2003
DOI: 10.1086/368345
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Association between Chronic Disseminated Candidiasis in Adult Acute Leukemia and CommonIL4Promoter Haplotypes

Abstract: Chronic disseminated candidiasis (CDC) is a form of Candida species infection observed primarily in patients with acute leukemia. To investigate possible genetic factors associated with CDC, we conducted a pilot study of 40 patients with both leukemia and CDC and 50 control patients with leukemia only. A common haplotype of the IL4 promoter (-1098T/-589C/-33C) was overrepresented in patients with CDC (P= .01; odds ratio [OR], 2.16), whereas another common haplotype (-1098T/-589T/-33T) appeared to be protective… Show more

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Cited by 51 publications
(48 citation statements)
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“…For chronic disseminated candidiasis (CDC), a form of invasive infection that occurs primarily in acute leukemia patients undergoing intensive therapy, 4 a genetic contribution to susceptibility has been observed. 5 Additionally, there is some evidence that there is a genetic component affecting susceptibility to systemic candidiasis in humans, as illustrated by the elevated incidence of candidiasis in patients with congenital defects affecting phagocyte function, such as myeloperoxidase deficiency. 6 Mouse models of disseminated candidiasis represent a valuable tool to study the genetic basis of susceptibility to fungal infections.…”
Section: Introductionmentioning
confidence: 99%
“…For chronic disseminated candidiasis (CDC), a form of invasive infection that occurs primarily in acute leukemia patients undergoing intensive therapy, 4 a genetic contribution to susceptibility has been observed. 5 Additionally, there is some evidence that there is a genetic component affecting susceptibility to systemic candidiasis in humans, as illustrated by the elevated incidence of candidiasis in patients with congenital defects affecting phagocyte function, such as myeloperoxidase deficiency. 6 Mouse models of disseminated candidiasis represent a valuable tool to study the genetic basis of susceptibility to fungal infections.…”
Section: Introductionmentioning
confidence: 99%
“…8 Common, well-defined candidate genetic variants in innate immune pathways critical for host defense have been identified as risk factors for susceptibility and/or outcome to pathogens, such as malaria, the human immunodeficiency virus, or Candida infection in leukemia patients. [9][10][11] Moreover, common genetic variants in proinflammatory cytokine genes, such as tumor necrosis factor-alpha (TNF), interleukins 6 and 8 (IL6 and IL8) contribute to interindividual differences in circulating levels of these cytokines. 12,13 The reported findings provide correlative data in support of genetic variation as a risk factor for clinical outcome.…”
Section: Introductionmentioning
confidence: 99%
“…interleukin-4 promoter are associated with chronic disseminated candidiasis, a life-threatening infection in patients with acute leukaemia (Yin et al, 2002;Choi et al, 2003). Association studies have been plagued by an inability to consistently yield reproducible results.…”
Section: Analytical Issues In Snp Studiesmentioning
confidence: 99%