WEDNESDAY, June 25 (HealthDay News) -- Infants who have a
certain genetic mutation are more likely to develop eczema if there
is a cat in the home, a new study suggests.
The idea that genetic mutations associated with a disease can be
triggered by environmental exposures is not a new one, the
researchers from Denmark and Great Britain noted.
"It's more of an example of a mechanism that's likely to happen
between genes and the environment. It's sort of proof of a concept,
or an idea that's been around for years," said study author Dr.
Hans Bisgaard, of the Danish Pediatric Asthma Center at the
University of Copenhagen. "You can have a gene for many diseases
but never have the disease if you aren't exposed to triggers."
In the study, infants with the FLG mutation were studied in two
groups, a high-risk group in Denmark and a representative sample in
Great Britain. Children with the mutation were twice as likely to
develop eczema during their first year of life. Those with the
mutation
and a cat in their home from the time of their birth had a
further increased risk of having eczema. The study was published in
the June issue of
PLoS Medicine.
Eczema, or atopic dermatitis, begins in the first year of life
for 65 percent of the people who have the condition, according to
the National Institute of Arthritis and Musculoskeletal and Skin
Diseases. About 20 percent of all infants and children have
symptoms.
Bisgaard explained that the study did not determine how exposure
to cats triggered the eczema, but it did demonstrate that the
eczema was not an allergic reaction to cats.
"It's probably too early to tell parents to go out and shoot the
cat," Bisgaard added, because the finding needs to be replicated.
"What is often misleading is that people try to learn some guidance
from every new scientific research study. I wouldn't take much
guidance from this. I would see it as proof of a concept, the right
theory we're working around."
Bisgaard said there are a number of genes that predict asthma
and allergies. In the foreseeable future, it is likely "we will be
able to profile a child for the risk of these diseases."
In addition to the need to confirm the results before condemning
cats, other factors besides the presence of cats need to be
considered as potential triggers, added Dr. Marc Riedl, section
head for allergy and immunology at the David Geffen School of
Medicine at the University of California, Los Angeles. "The cat
ownership or exposure could potentially be a surrogate for
something else that wasn't measured," he said. For example, there
could be a fungal exposure associated with cats, rather than the
cats, that sets off the skin reaction, Riedl explained.
Riedl agreed the importance of the study is that "it once again
demonstrates gene and environmental interactions in a medical
condition. This is another example of how the genetics of an
individual convey some susceptibility to environmental
exposures."
More information
There's more on atopic dermatitis at
National Institutes of Health.