{"id":17783,"date":"2021-12-10T10:13:40","date_gmt":"2021-12-10T08:13:40","guid":{"rendered":"http:\/\/www.wjst.de\/blog\/?p=17783"},"modified":"2022-03-08T08:11:00","modified_gmt":"2022-03-08T06:11:00","slug":"how-atopic-dermatitis-is-linked-to-vitamin-d-and-how-il33-splice-variants-associate-to-eosinophil-numbers","status":"publish","type":"post","link":"https:\/\/www.wjst.de\/blog\/sciencesurf\/2021\/12\/how-atopic-dermatitis-is-linked-to-vitamin-d-and-how-il33-splice-variants-associate-to-eosinophil-numbers\/","title":{"rendered":"How atopic dermatitis is linked to vitamin D and how IL33 splice variants associate to eosinophil numbers"},"content":{"rendered":"<p>(first published 12 Dec2020 and revised 10Dec2021)<\/p>\n<p>We had a major discussion right before <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20860503\/\">our 2010 paper<\/a> where <a href=\"https:\/\/push-zb.helmholtz-muenchen.de\/deliver.php?id=4186\">I argued that rare variants should have been included<\/a> into our asthma\/allergy\/dermatitis GWAS. Ten years after there is now a nice paper using massive exome sequencing <a href=\"https:\/\/www.biorxiv.org\/content\/10.1101\/2020.12.13.422582v1\">that finally includes them<\/a>.<\/p>\n<p>It seems that the respiratory tract isn&#8217;t so much influenced by rare gene variants but that there is a strong effect in\u00a0 the immune system.<\/p>\n<p>And there is another interesting fact.<\/p>\n<blockquote><p>&#8230;Surveying the contribution of rare variants to the genetic architecture of human disease through exome sequencing of 177,882 UK Biobank participants &#8230;if we look at the &#8230;. European population who are carriers of a filaggrin (FLG) PTV, we find those carriers have significantly higher risk for well-known associations, such as dermatitis\u00a0 &#8230; and asthma &#8230; Concomitant increases in vitamin D levels suggest &#8230; increased sensitivity to ultraviolet B radiation.<\/p><\/blockquote>\n<p>So far, I have only assumed an asthma\/allergy priming effect of oral vitamin D in the newborn gut. This paper now argues for an increased vitamin D sensitivity also in the skin of\u00a0 FLG dermatitis patients which is interesting given the largely <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30284328\/\">contradictory data of serum vitamin D and atopic dermatitis<\/a>. Maybe dermatologists should focus their research more on skin and local vitamin D turnover?<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\">-II-<\/p>\n<p>&nbsp;<\/p>\n<p>The most prominent IL33 variant carried by over 2,300 people is splice acceptor 9-6250473-G-C followed by 600+ individuals with splice donor 9-6250600-G-T.<\/p>\n<p><a href=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2020\/12\/Bildschirmfoto-2021-12-10-um-08.31.25.jpg\" data-rel=\"key-image-0\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-18778\" src=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2020\/12\/Bildschirmfoto-2021-12-10-um-08.31.25-620x437.jpg\" alt=\"\" width=\"620\" height=\"437\" srcset=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2020\/12\/Bildschirmfoto-2021-12-10-um-08.31.25-620x437.jpg 620w, https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2020\/12\/Bildschirmfoto-2021-12-10-um-08.31.25-710x500.jpg 710w, https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2020\/12\/Bildschirmfoto-2021-12-10-um-08.31.25-768x541.jpg 768w, https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2020\/12\/Bildschirmfoto-2021-12-10-um-08.31.25.jpg 1432w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><\/a><\/p>\n<p>There are not too many carriers of this variant by the sheer amount of 177,882 participants. We nevertheless know already something about the seven IL33 splice variants <a href=\"http:\/\/chrome-extension:\/\/oemmndcbldboiebfnladdacbdfmadadm\/https:\/\/core.ac.uk\/download\/pdf\/82752668.pdf\">since 2012<\/a>.<\/p>\n<figure id=\"attachment_18779\" aria-describedby=\"caption-attachment-18779\" style=\"width: 621px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2020\/12\/x-5.jpg\" data-rel=\"key-image-1\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-18779 size-full\" src=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2020\/12\/x-5.jpg\" alt=\"\" width=\"621\" height=\"298\" \/><\/a><figcaption id=\"caption-attachment-18779\" class=\"wp-caption-text\">Novel Splice Variants of IL-33: Differential Expression in Normal and Transformed Cells Journal of Investigative Dermatology (2012) 132, 2661\u20132664; doi:10.1038\/jid.2012.180<\/figcaption><\/figure>\n<p>with updates\u00a0 <a href=\"http:\/\/chrome-extension:\/\/oemmndcbldboiebfnladdacbdfmadadm\/https:\/\/www.pnas.org\/content\/pnas\/113\/31\/8765.full.pdf\">in\u00a0 2016<\/a><\/p>\n<figure id=\"attachment_18785\" aria-describedby=\"caption-attachment-18785\" style=\"width: 620px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/Bildschirmfoto-2021-12-10-um-14.21.36.jpg\" data-rel=\"key-image-2\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-18785 size-medium\" src=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/Bildschirmfoto-2021-12-10-um-14.21.36-620x205.jpg\" alt=\"\" width=\"620\" height=\"205\" srcset=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/Bildschirmfoto-2021-12-10-um-14.21.36-620x205.jpg 620w, https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/Bildschirmfoto-2021-12-10-um-14.21.36.jpg 662w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><\/a><figcaption id=\"caption-attachment-18785\" class=\"wp-caption-text\">Gordon, Alternative splicing of interleukin-33 and type 2 inflammation in asthma, PNAS 2016<\/figcaption><\/figure>\n<p>as well as in <a href=\"https:\/\/journals.plos.org\/plosgenetics\/article\/file?id=10.1371\/journal.pgen.1006659&amp;type=printable\">2017<\/a><\/p>\n<figure id=\"attachment_18784\" aria-describedby=\"caption-attachment-18784\" style=\"width: 508px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/Bildschirmfoto-2021-12-10-um-14.02.18.jpg\" data-rel=\"key-image-3\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-18784 size-full\" src=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/Bildschirmfoto-2021-12-10-um-14.02.18.jpg\" alt=\"\" width=\"508\" height=\"355\" \/><\/a><figcaption id=\"caption-attachment-18784\" class=\"wp-caption-text\">Fig 3A Smith et al. A rare IL33 loss-of-function mutation reduces blood eosinophil counts and protects from asthma, PLoS Genetics 2017 &#8211; describes the splice site as NM_001199640:exon7:c.487-1G&gt;C or rs146597587-C<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>So I did a sequence match to compare the new finding with these older publications.<\/p>\n<figure id=\"attachment_18971\" aria-describedby=\"caption-attachment-18971\" style=\"width: 620px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/x-6.jpg\" data-rel=\"key-image-4\" data-rl_title=\"\" data-rl_caption=\"\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-18971 size-medium\" src=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/x-6-620x139.jpg\" alt=\"\" width=\"620\" height=\"139\" srcset=\"https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/x-6-620x139.jpg 620w, https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/x-6-768x172.jpg 768w, https:\/\/www.wjst.de\/blog\/wp-content\/uploads\/2021\/12\/x-6.jpg 1243w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><\/a><figcaption id=\"caption-attachment-18971\" class=\"wp-caption-text\">own sequence match exon7 using data from dbSNP, UCSC GoldenPath and Uniprot &#8211; reference is hg19<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>Indeed, the 2017 paper already described rs146597587 which is probably identical to the splice acceptor 9-6250473-G-C in Astra UK Phewas (genome positions do not match &#8211; I used hg19 while I don&#8217;t know the Astra reference) . Astra says also c.613-1G&gt;C while rs146597587 is just upfront of my codon 205 (3*205=615) whatever that means.<\/p>\n<p>The Astra UK Phewas at least confirms the Iceland paper above<\/p>\n<blockquote><p>rs146597587-C associates with lower eosinophil counts (\u00df= -0.21 SD, P = 2.5\u00d710-16, N = 103,104), and reduced risk of asthma in Europeans (OR = 0.47; 95%CI: 0.32, 0.70, P = 1.8\u00d710-4, N cases = 6,465, N controls = 302,977). Heterozygotes have about 40% lower total IL33 mRNA expression than non-carriers and allele-specific analysis based on RNA sequencing and phased genotypes shows that only 20% of the total expression is from the mutated chromosome. In half of those transcripts the mutation causes retention of the last intron, predicted to result in a premature stop codon that leads to truncation of 66 amino acids.<\/p><\/blockquote>\n<p>So it is basically a rediscovery meaning that we reached saturation.<\/p>\n\n<p>&nbsp;<\/p>\n<div class=\"bottom-note\">\n  <span class=\"mod1\">CC-BY-NC Science Surf , accessed 05.04.2026<\/span>\n <\/div>","protected":false},"excerpt":{"rendered":"<p>(first published 12 Dec2020 and revised 10Dec2021) We had a major discussion right before our 2010 paper where I argued that rare variants should have been included into our asthma\/allergy\/dermatitis GWAS. Ten years after there is now a nice paper using massive exome sequencing that finally includes them. It seems that the respiratory tract isn&#8217;t &hellip; <a href=\"https:\/\/www.wjst.de\/blog\/sciencesurf\/2021\/12\/how-atopic-dermatitis-is-linked-to-vitamin-d-and-how-il33-splice-variants-associate-to-eosinophil-numbers\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">How atopic dermatitis is linked to vitamin D and how IL33 splice variants associate to eosinophil numbers<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,2],"tags":[3585,3103,3700,3742,3699,199,83,3586,143,3698],"class_list":["post-17783","post","type-post","status-publish","format-standard","hentry","category-asthma-allergy","category-genetics-biology","tag-flg","tag-il33","tag-iceland","tag-key-biscayne","tag-smith","tag-allergy","tag-asthma","tag-dermatology","tag-genetics","tag-rs146597587"],"_links":{"self":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/17783","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/comments?post=17783"}],"version-history":[{"count":19,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/17783\/revisions"}],"predecessor-version":[{"id":19590,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/17783\/revisions\/19590"}],"wp:attachment":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/media?parent=17783"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/categories?post=17783"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/tags?post=17783"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}