Mechanisms of asthma and allergic inflammation
Genetic variation in S-nitrosoglutathione reductase (GSNOR) and childhood asthma

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Background

S-nitrosothiols are potent endogenous bronchodilators depleted in asthmatic airway lining fluid. S-nitrosoglutathione reductase (GSNOR; also known as alcohol dehydrogenase 5 or formaldehyde dehydrogenase) catalyzes the metabolism of S-nitrosoglutathione (GSNO) and controls intracellular levels of S-nitrosothiols. GSNOR knockout mice have increased lung S-nitrosothiol levels and are therefore protected from airway hyperresponsiveness after methacholine or allergen challenge.

Objective

We sought to investigate whether genetic variation in GSNOR is associated with childhood asthma and atopy.

Methods

We genotyped 5 tagging and 2 additional single nucleotide polymorphisms (SNPs) in GSNOR in 532 nuclear families consisting of asthmatic children aged 4 to 17 years and both parents in Mexico City. Atopy was determined by means of skin prick testing.

Results

Carrying 1 or 2 copies of the minor allele of SNP rs1154404 was associated with decreased risk of asthma (relative risk [RR], 0.77; 95% CI, 0.61-0.97; P = .028 for 1 copy and RR, 0.66; 95% CI, 0.44-0.99; P = .046 for 2 copies). Homozygosity for the minor allele of SNP rs28730619 was associated with increased risk of asthma (RR, 1.60; 95% CI, 1.13-2.26; P = .0077). Haplotype analyses supported the single SNP findings. GSNOR SNPs were not associated with the degree of atopy.

Conclusion

This is the first study of genetic polymorphisms in GSNOR and asthma. These data suggest that genetic variation in GSNOR might play a role in asthma susceptibility.

Clinical implications

The association of GSNOR polymorphisms with asthma suggests a potential therapeutic target.

Section snippets

Study design and subject enrollment

We used the case-parent triad design.12, 13 The study population included 532 case-parent triads with adequate DNA samples for genotyping of at least 1 single nucleotide polymorphism (SNP) for the GSNOR genes. The cases were children aged 4 to 17 years with asthma diagnosed by a pediatric allergist at the allergy referral clinic of a large public pediatric hospital in central Mexico City (Hospital Infantil de México, Federico Gómez). Children and parents provided blood samples as sources of

Results

Characteristics of the asthmatic children with genotyping data are presented in Table I. The mean age of patients was 9.0 years (range, 4-17 years). Most had mild (71.7%) as opposed to moderate or severe (28.3%) asthma. Nearly all patients (98.1%) had used medication for asthma in the past 12 months. Wheezing in the past 12 months was reported by 90.3% of the patients, and chronic dry cough was reported by 65.0%. For 73.5% of the patients, asthma symptoms had interfered with daily activities or

Discussion

Based on accumulating experimental evidence,2, 10, 11 we examined GSNOR as a potential asthma candidate gene. Carrying 1 or 2 copies of the minor A allele of the rs1154404 SNP decreased the risk of childhood asthma. This finding translates to an increased risk of asthma among homozygotes for the major T allele of this SNP. For the rs28730619 SNP, homozygotes for the minor G allele also had an increased risk of asthma development. Results of haplotype analysis agreed with the single SNP

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    Supported by the Division of Intramural Research, National Institute of Environmental Health Sciences (Z01 ES49019), National Institutes of Health, Department of Health and Human Services, and the National Council of Science and Technology (Grant 26206-M), Mexico. Dr Romieu is supported by the National Center for Environmental Health at the Centers for Disease Control.

    Disclosure of potential conflict of interest: The authors have declared that they have no conflict of interest.

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