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Transbronchial biopsy is useful in predicting UIP pattern |
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| Authors: | Sara Tomassetti Alberto Cavazza Thomas V Colby Jay H Ryu Oriana Nanni E Scarpi Paola Tantalocco Matteo Buccioli Alessandra Dubini Sara Piciucchi Claudia Ravaglia Christian Gurioli Gian Luca Casoni Carlo Gurioli Micaela Romagnoli Venerino Poletti |
| Affiliation: | 1. Department of Internal Medicine, Kangwon National University, Chuncheon, South Korea 2. School of Clinical and Experimental Medicine, University of Birmingham, Birmingham, UK 3. Oregon Health and Science University, Portland, OR, USA 4. University of Florida, Gainesville, FL, USA 5. Intermountain Health Care, Provo, and Heredilab, Inc, Salt Lake City, UT, USA 6. St. Luke??s/Roosevelt Hospital, New York, NY, USA 7. Beaumont Hospital, Dublin, Ireland 8. University of Nebraska, Omaha, NE, USA 9. National Jewish Health, Denver, CO, USA 10. University of Texas at Tyler, Tyler, TX, USA 11. Cleveland Clinic, Cleveland, OH, USA 12. Medical University of South Carolina, Charleston, SC, USA 13. St. Luke??s/Roosevelt Hospital, New York, NY, USA 14. Channing Laboratory and the Division of Pulmonary and Critical Care Medicine, Brigham and Women??s Hospital, and Harvard Medical School, Boston, MA, USA 15. Lung Investigation Unit, University Hospitals Birmingham, Birmingham, UK |
| Abstract: | BackgroundThe development of COPD in subjects with alpha-1 antitrypsin (AAT) deficiency is likely to be influenced by modifier genes. Genome-wide association studies and integrative genomics approaches in COPD have demonstrated significant associations with SNPs in the chromosome 15q region that includes CHRNA3 (cholinergic nicotine receptor alpha3) and IREB2 (iron regulatory binding protein 2). We investigated whether SNPs in the chromosome 15q region would be modifiers for lung function and COPD in AAT deficiency.MethodsThe current analysis included 378 PIZZ subjects in the AAT Genetic Modifiers Study and a replication cohort of 458 subjects from the UK AAT Deficiency National Registry. Nine SNPs in LOC123688, CHRNA3 and IREB2 were selected for genotyping. FEV1 percent of predicted and FEV1/FVC ratio were analyzed as quantitative phenotypes. Family-based association analysis was performed in the AAT Genetic Modifiers Study. In the replication set, general linear models were used for quantitative phenotypes and logistic regression models were used for the presence/absence of emphysema or COPD.ResultsThree SNPs (rs2568494 in IREB2, rs8034191 in LOC123688, and rs1051730 in CHRNA3) were associated with pre-bronchodilator FEV1 percent of predicted in the AAT Genetic Modifiers Study. Two SNPs (rs2568494 and rs1051730) were associated with the post-bronchodilator FEV1 percent of predicted and pre-bronchodilator FEV1/FVC ratio; SNP-by-gender interactions were observed. In the UK National Registry dataset, rs2568494 was significantly associated with emphysema in the male subgroup; significant SNP-by-smoking interactions were observed.ConclusionsIREB2 and CHRNA3 are potential genetic modifiers of COPD phenotypes in individuals with severe AAT deficiency and may be sex-specific in their impact. |
| Keywords: | Bronchoscopy Idiopathic pulmonary fibrosis Interstitial lung diseases Transbronchial biopsy Usual interstitial pneumonia |
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