Reference
Hallmark, Brian, et al. “Chromosome 17q12-21 Variants Are Associated With Multiple Wheezing Phenotypes in Childhood”. Am. J. Respir. Crit. Care Med., vol. 203, no. 7, Apr. 2021, pp. 864–870.
Abstract
Rationale: Birth cohort studies have identified several temporal
patterns of wheezing, only some of which are associated with
asthma. Whether 17q12-21 genetic variants, which are closely
associated with asthma, are also associated with childhood
wheezing phenotypes remains poorly explored.Objectives: To
determine whether wheezing phenotypes, defined by latent class
analysis (LCA), are associated with nine 17q12-21 SNPs and if
so, whether these relationships differ by race/ancestry.Methods:
Data from seven U.S. birth cohorts (n = 3,786) from the CREW
(Children's Respiratory Research and Environment Workgroup) were
harmonized to represent whether subjects wheezed in each year of
life from birth until age 11 years. LCA was then performed to
identify wheeze phenotypes. Genetic associations between SNPs
and wheeze phenotypes were assessed separately in European
American (EA) (n = 1,308) and, for the first time, in African
American (AA) (n = 620) children.Measurements and Main Results:
The LCA best supported four latent classes of wheeze:
infrequent, transient, late-onset, and persistent. Odds of
belonging to any of the three wheezing classes (vs. infrequent)
increased with the risk alleles for multiple SNPs in EA
children. Only one SNP, rs2305480, showed increased odds of
belonging to any wheezing class in both AA and EA
children.Conclusions: These results indicate that 17q12-21 is a
``wheezing locus,'' and this association may reflect an early
life susceptibility to respiratory viruses common to all
wheezing children. Which children will have their symptoms remit
or reoccur during childhood may be independent of the influence
of rs2305480.