Leung T F, Sy H Y, Ng M C Y, Chan I H S, Wong G W K, Tang N L S, Waye M M Y, Lam C W K
Department of Paediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Allergy. 2009 Apr;64(4):621-8. doi: 10.1111/j.1398-9995.2008.01873.x. Epub 2009 Jan 27.
Single-nucleotide polymorphism (SNP)-based genome-wide association study revealed that markers on chromosome 17q21 were linked to childhood asthma but not atopy in Caucasians, with the strongest signal being detected for the SNP rs7216389 in the ORMDL3 gene. Such association was unknown in Chinese. This study delineated the allele and genotype frequencies of 10 SNPs at chromosome 17q21, and investigated the relationship between these SNPs and asthma and plasma IgE in southern Chinese children.
Asthmatic children and non-allergic controls were recruited from pediatric clinics. Their plasma total and aeroallergen-specific IgE concentrations were measured by immunoassay. Ten SNPs on 17q21 region were genotyped by multiplex SNaPshot, and their genotype associations with asthma traits analyzed using multivariate regression.
315 patients and 192 controls were enrolled. The allele frequency for C allele of rs7216389 varied significantly from 0.232 in our controls, 0.389 in Han Chinese to 0.536 in Caucasians. Asthma diagnosis was associated with rs11650680 and five other SNPs including rs7216389 (P = 0.019-0.034), whereas atopy was associated only with rs11650680 (P = 0.0004). Linear regression revealed the covariates for plasma total IgE to be significant for rs11650680 (P = 0.008-0.0002). Haplotypic associations were found with atopy and increased plasma total IgE, with the respective odds ratios and 95% confidence intervals for TTTCCGTT haplotype to be 0.21 and 0.09-0.52 (P = 0.0002) and 0.41 and 0.18-0.90 (P = 0.025).
Childhood asthma and atopy are associated with chromosome 17q21 in Chinese, but such association may involve genes other than ORMDL3 in this region.
基于单核苷酸多态性(SNP)的全基因组关联研究表明,17号染色体q21区域的标记与白种人的儿童哮喘相关,但与特应性无关,其中ORMDL3基因中的SNP rs7216389信号最强。这种关联在中国人群中尚不清楚。本研究描述了17号染色体q21区域10个SNP的等位基因和基因型频率,并探讨了这些SNP与中国南方儿童哮喘及血浆IgE之间的关系。
从儿科诊所招募哮喘儿童和非过敏对照。通过免疫测定法测量他们的血浆总IgE和变应原特异性IgE浓度。采用多重SNaPshot技术对17q21区域的10个SNP进行基因分型,并使用多变量回归分析它们的基因型与哮喘特征的关联。
共纳入315例患者和192例对照。rs7216389的C等位基因频率在我们的对照组中为0.232,在汉族中为0.389,在白种人中为0.536,差异显著。哮喘诊断与rs11650680及其他5个SNP(包括rs7216389)相关(P = 0.019 - 0.034),而特应性仅与rs11650680相关(P = 0.0004)。线性回归显示,rs11650680对血浆总IgE的协变量有显著影响(P = 0.008 - 0.0002)。发现单倍型与特应性和血浆总IgE升高相关,TTTCCGTT单倍型的比值比和95%置信区间分别为0.21和0.09 - 0.52(P = 0.0002)以及0.41和0.18 - 0.90(P = 0.025)。
中国儿童哮喘和特应性与17号染色体q21相关,但这种关联可能涉及该区域中除ORMDL3之外的其他基因。