title: Racial differences in the association of CD14 polymorphisms with serum total IgE levels and allergen skin test reactivity.
abstract: BACKGROUND
  The CD14 C-159T single nucleotide polymorphism (SNP) has been investigated widely as a candidate genetic locus in patients with allergic disease. There are conflicting results for the association of the CD14 C-159T SNP with total serum immunoglobulin E (IgE) levels and atopy. There are limited data regarding the association of the CD14 C-159T SNP in subjects of African ancestry. The aim of the study was to determine whether the C-159T SNP and other CD14 SNPs (C1188G, C1341T) were associated with total serum IgE levels and with allergy skin test results in nonatopic and atopic subjects; as well as in Caucasian and African American subjects.
  
  
  METHODS
  A total of 291 participants, 18-40 years old, were screened to determine whether they were atopic and/or asthmatic. Analyses were performed to determine the association between CD14 C-159T, C1188G, or C1341T genotypes with serum IgE levels and with the number of positive skin tests among Caucasian or African American subjects.
  
  
  RESULTS
  We found no significant association of serum total IgE level with CD14 C-159T, C1188G, or C1341T genotypes within nonatopic or atopic subjects. Subjects with CD14-159 T alleles had significantly more positive allergen skin tests than subjects without CD14-159 T alleles (P = 0.0388). There was a significant association between the CD14 1188 G allele, but not the CD14 1341 T allele, with the number of positive skin-test results in Caucasians, but not in African Americans.
  
  
  CONCLUSIONS
  These results support a possible association between CD14 polymorphisms and atopy. CD14-159 T or CD14 1188 G alleles were associated with atopic disease. For subjects with CD14 1188 G alleles, the association with atopic disease was stronger in Caucasians compared to African Americans.
authors.affiliation: Division of Pulmonary, Allergy and Critical Care Medicine.
authors.forename: Zongyao
authors.initials: Z
authors.lastname: Wang
authors.forename: John S
authors.initials: JS
authors.lastname: Sundy
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Foss
authors.forename: Huiman X
authors.initials: HX
authors.lastname: Barnhart
authors.forename: Scott M
authors.initials: SM
authors.lastname: Palmer
authors.forename: Sallie D
authors.initials: SD
authors.lastname: Allgood
authors.forename: Evan
authors.initials: E
authors.lastname: Trudeau
authors.forename: Katie M
authors.initials: KM
authors.lastname: Alexander
authors.forename: Marc C
authors.initials: MC
authors.lastname: Levesque
keywords: CD14-159T; IgE; LPS; SNP; SPT; endotoxin; lipopolysaccharide; single nucleotide polymorphism; skin prick test; total serum immunoglobulin E