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      Association between SP‐A rs1965708 gene polymorphism and allergic rhinitis risk in Chinese population

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          Abstract

          Background

          Pulmonary surfactant protein A (SP‐A) in the respiratory tract plays an important role in host. In the present, we assessed the association between SP‐A gene polymorphism and allergic rhinitis.

          Methods

          Using a case–control design, we compared the genotype frequencies of SP‐A rs1965708 between allergic rhinitis patients and healthy control group. Genotyping was performed using real‐time quantitative PCR‐based molecular identification methods. Univariate and multivariate logistic regression were performed to quantitatively assess the association between rs1965708 polymorphism and allergic rhinitis, and the odds ratio (OR) and 95% confidence interval (CI) were also calculated.

          Results

          500 patients with allergic rhinitis and 500 healthy controls were included in the study. Compared with the CC genotype, we found that AA genotype of rs1965708 could increase the allergic rhinitis risk in the univariate analysis (OR = 2.63, 95% CI: 1.56–4.54, p = 0.000). For dominant model, we found no significant difference in the dominant model (OR = 1.14, 95% CI: 0.86–1.52, p = 0.367). In the recessive model, the CC genotype could elevate the risk of allergic rhinitis compared with CC + AA genotype (OR = 2.70, 95% CI: 1.61–4.54, p = 0.000). Similar results were also found in the allele model (OR = 1.28, 95% CI: 1.07–1.54, p = 0.008). Interactions between rs1965708 AA or AC and smoking increased the allergic rhinitis risk.

          Conclusions

          The rs1965708 variants of SP‐A gene polymorphism are associated with allergic rhinitis, and the A allele could increase the allergic rhinitis risk. The AA SNP variants that interact with smoking may alter the susceptibility to allergic rhinitis.

          Abstract

          For rs1965708 variants, compared with the AA genotype, we found that CC genotype of rs1965708 could increase the allergic rhinitis risk in the univariate analysis (CC vs. AA: p = 0.000, CC vs. AC: p = 0.000). For dominant model, we found no significant difference in the dominant model (AC + CC vs. AA: p = 0.367). In the recessive model, the CC genotype could elevate the risk of allergic rhinitis compared with AA + CC genotype ( p = 0.000).

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          Most cited references32

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          Clinical practice guideline: Allergic rhinitis.

          Allergic rhinitis (AR) is one of the most common diseases affecting adults. It is the most common chronic disease in children in the United States today and the fifth most common chronic disease in the United States overall. AR is estimated to affect nearly 1 in every 6 Americans and generates $2 to $5 billion in direct health expenditures annually. It can impair quality of life and, through loss of work and school attendance, is responsible for as much as $2 to $4 billion in lost productivity annually. Not surprisingly, myriad diagnostic tests and treatments are used in managing this disorder, yet there is considerable variation in their use. This clinical practice guideline was undertaken to optimize the care of patients with AR by addressing quality improvement opportunities through an evaluation of the available evidence and an assessment of the harm-benefit balance of various diagnostic and management options.
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            Chinese Society of Allergy Guidelines for Diagnosis and Treatment of Allergic Rhinitis

            Allergic rhinitis (AR) is a global health problem that causes major illnesses and disabilities worldwide. Epidemiologic studies have demonstrated that the prevalence of AR has increased progressively over the last few decades in more developed countries and currently affects up to 40% of the population worldwide. Likewise, a rising trend of AR has also been observed over the last 2–3 decades in developing countries including China, with the prevalence of AR varying widely in these countries. A survey of self-reported AR over a 6-year period in the general Chinese adult population reported that the standardized prevalence of adult AR increased from 11.1% in 2005 to 17.6% in 2011. An increasing number of original articles and imporclinical trials on the epidemiology, pathophysiologic mechanisms, diagnosis, management and comorbidities of AR in Chinese subjects have been published in international peer-reviewed journals over the past 2 decades, and substantially added to our understanding of this disease as a global problem. Although guidelines for the diagnosis and treatment of AR in Chinese subjects have also been published, they have not been translated into English and therefore not generally accessible for reference to non-Chinese speaking international medical communities. Moreover, methods for the diagnosis and treatment of AR in China have not been standardized entirely and some patients are still treated according to regional preferences. Thus, the present guidelines have been developed by the Chinese Society of Allergy to be accessible to both national and international medical communities involved in the management of AR patients. These guidelines have been prepared in line with existing international guidelines to provide evidence-based recommendations for the diagnosis and management of AR in China.
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              Recent developments and highlights in allergic rhinitis

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                Author and article information

                Contributors
                zhangxinhaify@foxmail.com
                Journal
                J Clin Lab Anal
                J Clin Lab Anal
                10.1002/(ISSN)1098-2825
                JCLA
                Journal of Clinical Laboratory Analysis
                John Wiley and Sons Inc. (Hoboken )
                0887-8013
                1098-2825
                24 May 2021
                July 2021
                : 35
                : 7 ( doiID: 10.1002/jcla.v35.7 )
                : e23828
                Affiliations
                [ 1 ] Department of Otolaryngology‐Head & Neck Surgery Fuyang People's Hospital Fuyang China
                Author notes
                [*] [* ] Correspondence

                Xinhai Zhang, Department of Otolaryngology‐Head & Neck Surgery, Fuyang People's Hospital, No. 501, Sanqing Road, Yingzhou District, Fuyang City, Anhui Province 230000, China.

                Email: zhangxinhaify@ 123456foxmail.com

                Author information
                https://orcid.org/0000-0003-2357-3744
                Article
                JCLA23828
                10.1002/jcla.23828
                8274983
                34028080
                b97aea17-8a4a-43df-aa26-bd2dc1761ae5
                © 2021 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 24 April 2021
                : 08 March 2021
                : 03 May 2021
                Page count
                Figures: 1, Tables: 5, Pages: 9, Words: 7298
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                July 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.4 mode:remove_FC converted:12.07.2021

                Clinical chemistry
                allergic rhinitis,gene polymorphism,interaction,surfactant protein a
                Clinical chemistry
                allergic rhinitis, gene polymorphism, interaction, surfactant protein a

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