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TSLP disease-associated genetic variants combined with airway TSLP expression influence asthma risk - 05/01/22

Doi : 10.1016/j.jaci.2021.05.033 
Liza Bronner Murrison, PhD a, b, , Xiaomeng Ren, PhD b, , Kristina Preusse, PhD c, Hua He, MS d, John Kroner, MS b, Xiaoting Chen, PhD e, Seth Jenkins, BS b, Elisabet Johansson, PhD b, Jocelyn M. Biagini, PhD a, b, Matthew T. Weirauch, PhD a, e, f, g, Raphael Kopan, PhD a, c, Lisa J. Martin, PhD a, d, Gurjit K. Khurana Hershey, MD, PhD a, b,
a Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio 
b Division of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 
c Division of Development Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 
d Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 
e Center for Autoimmune Genomics and Etiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 
f Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 
g Division of Developmental Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 

Corresponding author: Gurjit K. Khurana Hershey, MD, PhD, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7037, Cincinnati, OH 45229.Cincinnati Children's Hospital Medical Center3333 Burnet AvenueMLC 7037CincinnatiOH45229

Abstract

Background

Thymic stromal lymphopoietin (TSLP) is an epithelial-derived cytokine important in initiation of allergic inflammation. Single nucleotide polymorphisms (SNPs) in TSLP are associated with asthma, yet studies have shown inconsistent associations between circulating TSLP and asthma. Studies that integrate the combined effects of TSLP genotype, TSLP mRNA, circulating TSLP levels, and asthma outcome are lacking.

Objectives

This study sought to recruit a novel cohort based on asthma-relevant TSLP SNPs and determine their impact on TSLP mRNA expression and TSLP circulating protein levels, and their individual and combined effects on asthma.

Methods

This study developed an algorithm to prioritize TSLP SNPs and recruited 51 carriers and noncarriers based on TSLP genotypes. TSLP mRNA was quantified in nasal epithelial cells and circulating TSLP levels in plasma. This study determined the associations of defined TSLP risk genotypes and/or TSLP mRNA and protein levels with asthma.

Results

TSLP mRNA expression, but not circulating TSLP, was significantly increased in people who are asthmatic compared with in people who are nonasthmatic (P = .007; odds ratio, 1.44). Notably, 90% of children with the defined TSLP risk genotypes and high nasal TSLP mRNA expression (top tertile) had asthma compared with 40% of subjects without risk genotypes and with low TSLP expression (bottom tertile) (P = .024). No association between circulating TSLP and asthma was observed.

Conclusions

Collectively, these data suggest childhood asthma is modified by the combined effects of TSLP genotype and TSLP expression in the nasal epithelium. The increased asthma risk likely manifests when genetic variation enables expression quantitative trait loci in the TSLP locus to elevate TSLP. It is important to consider both biomarkers when factoring asthma risk.

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Key words : TSLP, asthma, genotype, gene, biomarker, gene expression, mRNA

Abbreviations used : AD, eQTL, FAIRE, GWAS, LD, lfTSLP, MAF, NEC, OR, sfTSLP, SNP, TSLP


Mappa


 Supported by National Institute of Allergy and Infectious Diseases grant R01AI127392 (to G.K.K.H., L.B.M., J.M.B., L.J.M., R.K.) and U19AI1070235 (to G.K.K.H., J.M.B., L.J.M.).
 Disclosure of potential conflict of interest: The authors declare that they have no relevant conflicts of interest.


© 2021  American Academy of Allergy, Asthma & Immunology. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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Vol 149 - N° 1

P. 79-88 - Gennaio 2022 Ritorno al numero
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