de Mel S, Nordlind K, Holst M, Frohm-Nilsson M, Lonne-Rahm SB. Polymorphisms in the serotonin transporter gene of patients with atopic dermatitis-association with personality traits related to high level of anxiety.
Immunopharmacol Immunotoxicol 2011;
34:534-8. [PMID:
22124413 DOI:
10.3109/08923973.2011.632636]
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Abstract
CONTEXT
The symptoms of atopic dermatitis (AD) are often aggravated by anxiety, and the serotonin transporter (5-HTT) has been shown to be of importance in this context. Three polymorphisms affecting transcription of this gene are known: a repetitive element, in the promoter region (5HTTLPR), a variable number tandem repeats (VNTR) within intron 2 referred to as STin2, and a single-nucleotide (A/G) polymorphism (SNP) located within the 5-HTTLPR.
OBJECTIVE
To examine for possible relationships between these polymorphisms and aggravation of AD by stress.
MATERIALS AND METHODS
Thirty-three patients with a history of such aggravation, together with 33 age- and gendermatched healthy control subjects, were recruited. The Karolinska Scales of Personality questionnaire was employed to evaluate anxiety-related personality traits and genomic DNA was extracted from blood samples and analyzed using the polymerase chain reaction.
RESULTS
Although the prevalence of the short and long alleles of 5-HTTLPR did not differ between the patients and healthy controls, there was a tendency towards high prevalence of the short (10-copy) variant of STin2 among the patients. When the study population was further analysed by subdivision into subgroups all AD patients with high- anxiety traits carried the short variant of STin2. In the corresponding healthy control group, the prevalences of the 10-and 12-copy variants were 62% and 38%, respectively (P < 0.01).
CONCLUSION
These findings indicate a possible association between the 10-copy variant of STin2 and aggravation of AD by anxiety.
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