Genetic Variations in Inflammatory Mediators Influence Lung Disease Progression in Cystic Fibrosis

被引:37
|
作者
Corvol, Harriet [1 ,2 ,3 ]
Boelle, Pierre-Yves [3 ,4 ,5 ]
Brouard, Jacques [1 ,2 ,6 ]
Knauer, Nicola [1 ,2 ,7 ]
Chadelat, Katarina [1 ,2 ,3 ]
Henrion-Caude, Alexandra [1 ,2 ,3 ]
Flamant, Cyril [1 ,2 ,3 ]
Muselet-Charlier, Celine [1 ,2 ,3 ]
Boule, Michele [1 ,2 ,3 ]
Fauroux, Brigitte [1 ,2 ,3 ]
Vallet, Christelle [1 ,2 ,3 ]
Feingold, Josue [3 ,8 ]
Ratjen, Felix [7 ]
Grasemann, Hartmut [7 ]
Clement, Annick [1 ,2 ,3 ]
机构
[1] Hop Trousseau, AP HP, Pediat Pulm Dept, F-75012 Paris, France
[2] INSERM, UMR S U893, Paris, France
[3] Univ Paris 06, Paris, France
[4] Hop St Antoine, AP HP, Dept Biostat, F-75571 Paris, France
[5] INSERM, UMR S U707, Paris, France
[6] Georges Clemenceau Hosp, Dept Pediat, Caen, France
[7] Univ Duisburg Essen, Childrens Hosp, Essen, Germany
[8] Hop Trousseau, AP HP, Dept Genet, F-75012 Paris, France
关键词
cystic fibrosis; cytokines; lung function; modifier gene; transforming growth factor beta 1;
D O I
10.1002/ppul.20935
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The clinical course of cystic fibrosis (CF) varies considerably among patients carrying the same CF-causing gene mutation. Additional genetic modifiers may contribute to this variability As airway inflammation is a key component of CF pathophysiology, we investigated whether major cytokine variants represent such modifiers in young CIF patients. We tested 13 polymorphisms in 8 genes that play a key role in the inflammatory response: tumor necrosis factor, lymphotoxin alpha, interleukin (IL) 1B, IL1 receptor antagonist, IL6, IL8, IL10 and transforming growth factor beta 1 (TGFB1), for an association with lung disease progression and nutritional status in 329 CF patients. Variants in the TGFB1 gene at position +869T/C demonstrated a significant association with lung function decline. A less pronounced rate of decline in forced expiratory volume in 1 sec (FEV1) and forced vital capacity (FVC) were observed in patients heterozygous for TGFB1 +869 (+869CT), when compared to patients carrying either TGFB1 +869TT or +869CC genotypes. These findings support the concept that TGFB1 gene variants appear to be important genetic modifiers of lung disease progression in CF Pediatr Pulmonol. 2008; 43:1224-1232. (c) 2008 Wiley-Liss, Inc.
引用
收藏
页码:1224 / 1232
页数:9
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