Relationship between effectiveness of asthma management and genetic variants in asthmatic Egyptian children

Abstract Background Personalized asthma medicine research identifies critical genes like ADRB2 and ADH5 that affect disease and treatment outcomes, necessitating a deeper exploration of these genetic influences on asthma prevalence and management in Egyptian children. This study aimed to examine the...

Full description

Bibliographic Details
Main Authors: Hoda H. Ahmed, Tarek M. Farid, Maha M. A. Abo Hashish, Areef R. Ibrahim, Amr M. Mustafa, Aliaa Ahmed Wahby, Mirhane Hassan, Eman Hany Elsebaie, Abeer Ramadan, Sameh Abdelaziz Mansour
Format: Article
Language:English
Published: SpringerOpen 2024-01-01
Series:Egyptian Pediatric Association Gazette
Subjects:
Online Access:https://doi.org/10.1186/s43054-023-00242-2
_version_ 1797355950228635648
author Hoda H. Ahmed
Tarek M. Farid
Maha M. A. Abo Hashish
Areef R. Ibrahim
Amr M. Mustafa
Aliaa Ahmed Wahby
Mirhane Hassan
Eman Hany Elsebaie
Abeer Ramadan
Sameh Abdelaziz Mansour
author_facet Hoda H. Ahmed
Tarek M. Farid
Maha M. A. Abo Hashish
Areef R. Ibrahim
Amr M. Mustafa
Aliaa Ahmed Wahby
Mirhane Hassan
Eman Hany Elsebaie
Abeer Ramadan
Sameh Abdelaziz Mansour
author_sort Hoda H. Ahmed
collection DOAJ
description Abstract Background Personalized asthma medicine research identifies critical genes like ADRB2 and ADH5 that affect disease and treatment outcomes, necessitating a deeper exploration of these genetic influences on asthma prevalence and management in Egyptian children. This study aimed to examine the relationship between asthma control and specific genetic variants in Egyptian children, focusing on four significant SNPs within four key genes. Methods A cross-sectional genetic study was conducted between December 2020 and May 2021 at two hospitals affiliated with Al-Azhar University to assess gene polymorphisms in adolescent asthmatic patients. Blood samples were taken from participants, with portions dedicated to DNA extraction and serum level measurements. The extracted DNA was then genotyped using the real-time PCR technique, and specific genotypes were identified based on their fluorescence characteristics. Results A total of 93 subjects were enrolled in the study. Cases (asthmatic children) had a significantly higher BMI than controls—healthy children—(33.65 ± 3.88 vs. 21.10 ± 3.48, p < 0.001). A notable distinction was observed in residence, with 30.6% of cases from urban areas versus 85.7% in controls (p < 0.001). Cases had a markedly higher incidence of familial asthma history (86.1% vs. 0.0%, p < 0.001), atopy (95.8% vs. 0.0%, p < 0.001), food allergies (80.6% vs. 9.5%, p < 0.001), and animal contact (79.2% vs. 14.3%, p < 0.001) compared to controls. The genetic marker rs4795399's CC allele was found in 10.0% of controls but not in any cases (p = 0.024), and the AA allele of rs7927044 was significantly more common in controlled asthmatics than in uncontrolled ones (p = 0.030). Conclusion The studied genetic variants were not significantly associated with asthma severity; however, patients with uncontrolled asthma were associated with significantly higher polymorphism of GG and AG alleles of rs7927044. Additionally, there was a significant difference between the asthmatic patients and healthy individuals in terms of the polymorphism of the rs4795399 TT allele.
first_indexed 2024-03-08T14:18:33Z
format Article
id doaj.art-d23e9ff9bd374f3a8f289cb758e2ea39
institution Directory Open Access Journal
issn 2090-9942
language English
last_indexed 2024-03-08T14:18:33Z
publishDate 2024-01-01
publisher SpringerOpen
record_format Article
series Egyptian Pediatric Association Gazette
spelling doaj.art-d23e9ff9bd374f3a8f289cb758e2ea392024-01-14T12:15:30ZengSpringerOpenEgyptian Pediatric Association Gazette2090-99422024-01-017211710.1186/s43054-023-00242-2Relationship between effectiveness of asthma management and genetic variants in asthmatic Egyptian childrenHoda H. Ahmed0Tarek M. Farid1Maha M. A. Abo Hashish2Areef R. Ibrahim3Amr M. Mustafa4Aliaa Ahmed Wahby5Mirhane Hassan6Eman Hany Elsebaie7Abeer Ramadan8Sameh Abdelaziz Mansour9Pediatric Department, Medical Research and Clinical Studies Institute, NRCPediatric Department, Medical Research and Clinical Studies Institute, NRCPediatric Department, Medical Research and Clinical Studies Institute, NRCPediatric Department, Faculty of Medicine, Cairo UniversityPediatric Department, Faculty of Medicine, Cairo UniversityClinical Pathology Department, Clinical Pathology Department, NRCClinical Pathology Department, Clinical Pathology Department, NRCPublic Health and Community Medicine Department, Faculty of Medicine, Cairo UniversityMolecular Genetics and Enzymology Department, NRCPediatric Department, Alazhar UniversityAbstract Background Personalized asthma medicine research identifies critical genes like ADRB2 and ADH5 that affect disease and treatment outcomes, necessitating a deeper exploration of these genetic influences on asthma prevalence and management in Egyptian children. This study aimed to examine the relationship between asthma control and specific genetic variants in Egyptian children, focusing on four significant SNPs within four key genes. Methods A cross-sectional genetic study was conducted between December 2020 and May 2021 at two hospitals affiliated with Al-Azhar University to assess gene polymorphisms in adolescent asthmatic patients. Blood samples were taken from participants, with portions dedicated to DNA extraction and serum level measurements. The extracted DNA was then genotyped using the real-time PCR technique, and specific genotypes were identified based on their fluorescence characteristics. Results A total of 93 subjects were enrolled in the study. Cases (asthmatic children) had a significantly higher BMI than controls—healthy children—(33.65 ± 3.88 vs. 21.10 ± 3.48, p < 0.001). A notable distinction was observed in residence, with 30.6% of cases from urban areas versus 85.7% in controls (p < 0.001). Cases had a markedly higher incidence of familial asthma history (86.1% vs. 0.0%, p < 0.001), atopy (95.8% vs. 0.0%, p < 0.001), food allergies (80.6% vs. 9.5%, p < 0.001), and animal contact (79.2% vs. 14.3%, p < 0.001) compared to controls. The genetic marker rs4795399's CC allele was found in 10.0% of controls but not in any cases (p = 0.024), and the AA allele of rs7927044 was significantly more common in controlled asthmatics than in uncontrolled ones (p = 0.030). Conclusion The studied genetic variants were not significantly associated with asthma severity; however, patients with uncontrolled asthma were associated with significantly higher polymorphism of GG and AG alleles of rs7927044. Additionally, there was a significant difference between the asthmatic patients and healthy individuals in terms of the polymorphism of the rs4795399 TT allele.https://doi.org/10.1186/s43054-023-00242-2Genetic associationGenetic variantsAsthmaEgyptChildhood asthma
spellingShingle Hoda H. Ahmed
Tarek M. Farid
Maha M. A. Abo Hashish
Areef R. Ibrahim
Amr M. Mustafa
Aliaa Ahmed Wahby
Mirhane Hassan
Eman Hany Elsebaie
Abeer Ramadan
Sameh Abdelaziz Mansour
Relationship between effectiveness of asthma management and genetic variants in asthmatic Egyptian children
Egyptian Pediatric Association Gazette
Genetic association
Genetic variants
Asthma
Egypt
Childhood asthma
title Relationship between effectiveness of asthma management and genetic variants in asthmatic Egyptian children
title_full Relationship between effectiveness of asthma management and genetic variants in asthmatic Egyptian children
title_fullStr Relationship between effectiveness of asthma management and genetic variants in asthmatic Egyptian children
title_full_unstemmed Relationship between effectiveness of asthma management and genetic variants in asthmatic Egyptian children
title_short Relationship between effectiveness of asthma management and genetic variants in asthmatic Egyptian children
title_sort relationship between effectiveness of asthma management and genetic variants in asthmatic egyptian children
topic Genetic association
Genetic variants
Asthma
Egypt
Childhood asthma
url https://doi.org/10.1186/s43054-023-00242-2
work_keys_str_mv AT hodahahmed relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren
AT tarekmfarid relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren
AT mahamaabohashish relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren
AT areefribrahim relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren
AT amrmmustafa relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren
AT aliaaahmedwahby relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren
AT mirhanehassan relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren
AT emanhanyelsebaie relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren
AT abeerramadan relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren
AT samehabdelazizmansour relationshipbetweeneffectivenessofasthmamanagementandgeneticvariantsinasthmaticegyptianchildren