Identifying Polymorphisms in IL-31 and Their Association with Susceptibility to Asthma
KOREAN JOURNAL OF PATHOLOGY
Authors: Yu, Ji-In; Han, Weon-Cheol; Yun, Ki-Jung; Moon, Hyung-Bae; Oh, Gyung-Jae; Chae, Soo-Cheon
Abstract
Background: Interleukin 31 (IL-31) is a T helper type 2 effector cytokine that plays an important role in the pathogenesis of atopic and allergic diseases. IL-31 may be involved in promoting allergic inflammation and in inducing airway epithelial responses such as allergic asthma. Methods: Single-base extension analysis was used to detect the genotypes of IL-31 single nucleotide polymorphisms (SNPs), and we compared the genotype and allele frequencies of the IL-31 SNPs between patients with asthma and healthy controls. Results: There were no significant differences in the genotype and allele frequencies of the IL-31 SNPs between patients with asthma and healthy controls. Furthermore we compared the genotype and allele frequencies of IL-31 SNPs between patients with atopic asthma, those with non-atopic asthma and healthy controls. This showed that the SNPs were not associated with the susceptibility to atopic asthma. There were no significant differences in the haplotype frequencies of IL-31 SNPs between patients with asthma and healthy controls. In patients with asthma, the IL-31 SNPs were significantly correlated with total serum levels of IgE (p=0.035). Conclusions: Our results indicate that, the IL-31 SNPs may be associated with IgE production in patients with asthma.
Itch in dermatomyositis: the role of increased skin interleukin-31
BRITISH JOURNAL OF DERMATOLOGY
Authors: Kim, H. J.; Zeidi, M.; Bonciani, D.; Pena, S. M.; Tiao, J.; Sahu, S.; Werth, V. P.
Abstract
BackgroundInterleukin (IL)-31 is implicated in pruritus associated with pruritic skin diseases like atopic dermatitis. Although pruritus is a prominent feature in dermatomyositis (DM), few studies have evaluated the pathogenesis of DM-associated itch. ObjectivesTo establish the prevalence of itch in DM, and to investigate the role of IL-31 in DM-related itch. MethodsPruritus and disease activity of DM were evaluated by a visual analogue scale (VAS) and the Cutaneous Disease and Activity Severity Index (CDASI), respectively. Expression of IL-31 and IL-31 receptor alpha (IL-31RA) in lesional DM, nonlesional DM and healthy control skin was evaluated by quantitative reverse-transcriptase polymerase chain reaction and immunofluorescence. Flow cytometry was performed on skin cells isolated from lesional DM skin to identify cellular sources of IL-31 in DM. ResultsAmong 191 patients with DM, 508% had moderate-to-severe itch, and itch was correlated with increased cutaneous severity (r = 034). In patients with itchy DM, gene expression of IL31 and IL31RA in lesional skin was upregulated compared with nonlesional skin and healthy control skin. IL31 mRNA expression positively correlated with VAS itch score (r = 067). On immunofluorescence, immunoreactivity for IL-31 and IL-31RA was stronger in lesional skin. Flow cytometry showed that lesional DM skin contained significantly more IL-31-producing cells, and CD4(+) cells were the most common cell type. Lenabasum, an emerging treatment for DM, significantly downregulated IL-31 from CpG-stimulated peripheral blood mononuclear cells. ConclusionsIncreased skin IL-31 may play a role in DM-associated itch, and ongoing trials will evaluate the effects of systemic treatment on IL-31 and itch in DM.