Asthma and atopy are due to the interaction between genetic and enviro
nmental factors. The genetic basis of asthma and atopy is becoming mor
e certain, with the promise of improvements in the diagnosis and treat
ment of these disorders. A combination of candidate gene and positiona
l cloning studies has already identified several genes which influence
allergic disease. These genes predispose in general to atopy, or infl
uence the specific IgE response to individual allergens, or enhance in
flammation independently of atopic mechanisms. In addition to these kn
own factors, the chromosomal localisation of other putative genes is b
ecoming clear.