Short Summary
Despite the potential role of chitinases and chitinase-like proteins in the pathogenesis of asthma, variants in their respective genes are not associated with asthma, changes in lung physiology or allergy-related phenotypes in Caucasian children.
Keywords: chitinase, chitinase-like protein, CHIA, CHIT1, CHI13L1, YKL-40, AMCase, SNPs, asthma
To the Editor:
One of the most exciting findings recently in the pathophysiology of asthma is that mammalian chitinases may play an important role in the pathogenesis of asthma. Some researchers hypothesize that mammalian chitinases and a chitinase homologue may contribute to the pathogenesis of type 2 helper immune responses which play an important role in asthma.1, 2 Chitinases are enzymes that cleave chitin, a polysaccharide that is present in fungal cells, crustaceans, insects, and parasitic nematodes.3 Although chitin does not exist in humans, two chitinases, acidic mammalian chitinase (AMCase, CHIA) and chitotriosidase (CHIT1), have been described in humans.3 A third protein, chitinase-like protein YKL-40 (also known as human cartilage glycoprotein 39 [HCgp-39] and chitinase 3-like 1) also appears to be important in asthma.1
The objectives of this study were to assess whether single nucleotide polymorphisms (SNPs) in CHIT1, CHIA, and CHI3L1 and one CHIT1 duplication are associated with asthma, changes in lung physiology that are associated with asthma, or allergy-related phenotypes. We used data from the Childhood Asthma Management Program (CAMP), a multi-center trial that enrolled children between the ages of five and 12 years with mild to moderate persistent asthma and their parents.4 Subjects were followed every two to four months for four years in order to study the long-term use of the budesonide, nedocromil, and placebo.4
SNPs in CHIT1, CHIA, and CHI3L1 (see figures E1-3 for linkage disequilibrium plots) were genotyped using the Infinium HumanHap550 genotyping at Illumina (San Diego, CA). Genotyping quality was evaluated using the program PLINK (V1.01). SNPs with low Illumina gencall scores, poor completion rates, or four or more parent-offspring genotyped inconsistencies were dropped. Using the Basic Local Alignment Search Tool (BLAST), SNPs were further limited to those whose flanking sequences were reliably mapped to unique autosomal locations in the hg17 reference genome sequence. The CHIT1 fragment analysis5 was performed utilizing the Applied Biosystems (AB) 3100 Genetic Analyzer platform. Primers CHIT1_A1FGTCTGGATGAGGGGGTATCG-FAM and CHIT1 A1RGTTTCTTCCCTGCACAGGTCAGCTATC were used to PCR amplify the region containing the 24-bp duplication, and peaks were analyzed with AB GeneMapper software. Genotyping completion rate was 94%.
FBAT-PC is a method that has the ability to use genetic data from family members to assess associations between a disease phenotype and a gene allele, while maximizing the genetic information when multiple phenotypes are tested.6 We performed association analyses for each SNP and each phenotype using the FBAT-PC approach. FBAT-PC uses principal components analysis to construct an overall phenotype that amplifies the trait heritability by aggregating the genetic components of all measurements into a single univariate phenotype with maximal heritability.6
After the univariate phenotype is generated at each SNP, FBAT-PC uses a screening procedure to select the SNPs to be tested using a univariate quantitative FBAT statistic, the FBAT-PC statistic. For each SNP, the power to detect the association with the generated univariate phenotype is calculated, a group of SNPs with their associated phenotypes are selected based on the power to detect a genetic association, and then the FBAT-PC statistic is calculated on the SNPs and their associated phenotypes. In the analysis for this study, the additive genetic model was used and a minimum of 20 informative families were required. We utilized an FBAT approach with generalized estimating equations (FBAT-GEE)7 for our outcomes which were assessed at one time point.
Power calculations were conducted using the FBAT Power Calculator (HelixTree version 6.4.2, 2008; See online repository Table E1). Assuming a significance level of 0.05, we had ≥80% power to detect an association between each SNP and a single continuous measure for a heritability of ≥ 4%. We had greater power to detect smaller effect sizes for our outcomes with repeated measures. For example, we had ≥80% power to detect an association for a heritability of ≥4% for the outcomes FEV1 and FEV1 percent predicted which had 16 repeated measures.
Table 1 provides the baseline demographic characteristics measured in our study population of 422 children. None of the polymorphisms were associated with asthma after Bonferroni correction. We found no associations between the SNPs and the total number of hospitalizations and ED visits over four years (Table 2). The results were not significantly different after adjusting for age, gender, and treatment group.
TABLE 1.
N=422 | Mean [SD] or Percent (n) |
---|---|
Age in years [SD] (range) | 8.7 [2.1] (5.2-13.2) |
| |
Treatment group | |
Budesonide | 28% (118) |
Nedocromil | 29% (122) |
Placebo | 43% (182) |
| |
Gender, n=422 | |
Male | 63% (266) |
Female | 37% (156) |
| |
Weight at baseline (kg), n = 419 | 31.87 [10.56] |
Height at baseline (cm), n = 417 | 132.45 [13.50] |
| |
Total number of hospitalization and ED visits over 4 year period, n=422 |
|
0 | 69% (291) |
1 | 14% (60) |
2 | 7% (31) |
3 or more | 9.5% (40) |
| |
Baseline PreFEV1, n=421 | 1.694 [0.473] |
| |
Baseline Bronchodilator Response, n = 421 | 0.104 [0.098] |
| |
Baseline FEV1 percent predicted, n = 416 | 93.370 [13.954] |
| |
Baseline lnPC20, n = 420 | 0.025 [1.153] |
| |
Baseline Log10 IgE, n = 417 | 2.616 [0.671] |
| |
Baseline Log10 Eosinophil count, n = 414 | 2.561 [0.488] |
TABLE 2.
Unadjusted FBAT-PC p-value* | |||||||||
---|---|---|---|---|---|---|---|---|---|
Gene | Marker | Minor Allele Frequency |
Number of Informative Families |
pre- FEV1 |
BDR | ln PC20 |
log10Eos | log10IgE | Total number of hospitalizations and ED visits |
CHIT 1 | rs4950934 | 0.108 | 161 | 0.036 | 0.526 | 0.879 | 0.221 | 0.715 | 0.144 |
rs2486953 | 0.473 | 341 | 0.403 | 0.483 | 0.080 | 0.175 | 0.084 | 0.646 | |
rs2486954 | 0.196 | 251 | 0.233 | 0.570 | 0.590 | 0.776 | 0.117 | 0.299 | |
rs12141375 | 0.197 | 252 | 0.221 | 0.621 | 0.573 | 0.774 | 0.107 | 0.282 | |
rs4950936 | 0.474 | 341 | 0.443 | 0.524 | 0.083 | 0.170 | 0.121 | 0.640 | |
rs4950937 | 0.280 | 276 | 0.697 | 0.854 | 0.752 | 0.089 | 0.699 | 0.668 | |
rs872583 | 0.195 | 253 | 0.262 | 0.728 | 0.694 | 0.796 | 0.050 | 0.239 | |
rs1417149 | 0.471 | 340 | 0.441 | 0.609 | 0.079 | 0.106 | 0.096 | 0.679 | |
rs3831317** | 0.174 | 273 | 0.913 | 0.693 | 0.799 | 0.490 | 0.420 | 0.922 | |
rs2486958 | 0.492 | 340 | 0.570 | 0.753 | 0.102 | 0.935 | 0.872 | 0.591 | |
rs1556854 | 0.485 | 341 | 0.516 | 0.697 | 0.087 | 0.560 | 0.815 | 0.556 | |
rs2486959 | 0.174 | 235 | 0.263 | 0.775 | 0.837 | 0.702 | 0.244 | 0.265 | |
rs946257 | 0.309 | 290 | 0.387 | 0.913 | 0.372 | 0.860 | 0.325 | 0.951 | |
rs2486068 | 0.171 | 234 | 0.275 | 0.875 | 0.724 | 0.868 | 0.223 | 0.253 | |
rs2297950 | 0.308 | 289 | 0.456 | 0.886 | 0.676 | 0.746 | 0.233 | 0.984 | |
rs2486070 | 0.171 | 233 | 0.312 | 0.840 | 0.702 | 0.799 | 0.209 | 0.269 | |
rs3766537 | 0.192 | 241 | 0.218 | 0.148 | 0.842 | 0.117 | 0.106 | 0.957 | |
rs1417150 | 0.467 | 331 | 0.781 | 0.970 | 0.177 | 0.237 | 0.077 | 0.305 | |
rs2486072 | 0.353 | 323 | 0.703 | 0.533 | 0.784 | 0.471 | 0.098 | 0.844 | |
rs12747110 | 0.014 | 28 | 0.774 | 0.567 | 0.427 | 0.405 | 0.896 | 0.798 | |
rs2494287 | 0.128 | 177 | 0.149 | 0.937 | 0.348 | 0.602 | 0.529 | 0.999 | |
CHIA | rs4240529 | 0.283 | 222 | 0.256 | 0.622 | 0.538 | 0.594 | 0.331 | 0.589 |
rs4272622 | 0.190 | 167 | 0.126 | 0.900 | 0.369 | 0.018 | 0.049 | 0.178 | |
rs11102233 | 0.258 | 208 | 0.052 | 0.839 | 0.101 | 0.167 | 0.466 | 0.550 | |
rs12401737 | 0.460 | 264 | 0.979 | 0.078 | 0.764 | 0.992 | 0.028 | 0.172 | |
rs10857871 | 0.212 | 188 | 0.847 | 0.514 | 0.787 | 0.493 | 0.091 | 0.146 | |
rs3806448 | 0.481 | 261 | 0.844 | 0.293 | 0.891 | 0.930 | 0.527 | 0.666 | |
rs10494132 | 0.221 | 208 | 0.449 | 0.263 | 0.378 | 0.234 | 0.257 | 0.072 | |
rs3806446 | 0.450 | 270 | 0.590 | 0.651 | 0.868 | 0.891 | 0.510 | 0.331 | |
rs7411387 | 0.401 | 239 | 0.978 | 0.319 | 0.775 | 0.018 | 0.018 | 0.064 | |
rs11584291 | 0.313 | 243 | 0.940 | 0.502 | 0.691 | 0.144 | 0.191 | 0.636 | |
rs4240530 | 0.288 | 245 | 0.533 | 0.779 | 0.777 | 0.060 | 0.213 | 0.758 | |
rs12127313 | 0.136 | 149 | 0.487 | 0.477 | 0.625 | 0.870 | 0.261 | 0.214 | |
rs10494133 | 0.143 | 159 | 0.188 | 0.417 | 0.528 | 0.036 | 0.039 | 0.362 | |
rs3818822 | 0.101 | 124 | 0.547 | 0.714 | 0.592 | 0.395 | 0.930 | 0.906 | |
rs12034576 | 0.326 | 242 | 0.567 | 0.007 | 0.610 | 0.860 | 0.566 | 0.524 | |
rs10494134 | 0.463 | 269 | 0.058 | 0.000 | 0.204 | 0.807 | 0.631 | 0.805 | |
rs2275253 | 0.288 | 236 | 0.603 | 0.692 | 0.577 | 0.028 | 0.501 | 0.751 | |
rs2275254 | 0.396 | 261 | 0.679 | 0.011 | 0.400 | 0.493 | 0.645 | 0.718 | |
rs2256721 | 0.286 | 225 | 0.708 | 0.764 | 0.593 | 0.050 | 0.432 | 0.787 | |
rs2820093 | 0.102 | 126 | 0.663 | 0.857 | 0.515 | 0.457 | 0.716 | 0.877 | |
rs2282290 | 0.469 | 267 | 0.576 | 0.119 | 0.767 | 0.077 | 0.253 | 0.268 | |
rs12034177 | 0.328 | 241 | 0.562 | 0.007 | 0.597 | 0.858 | 0.558 | 0.534 | |
rs10776724 | 0.454 | 262 | 0.815 | 0.232 | 0.958 | 0.088 | 0.560 | 0.156 | |
rs12137697 | 0.128 | 141 | 0.840 | 0.724 | 0.594 | 0.935 | 0.075 | 0.105 | |
CH13L1 | rs7542294 | 0.145 | 168 | 0.953 | 0.616 | 0.171 | 0.985 | 0.257 | 0.797 |
rs880633 | 0.485 | 254 | 0.130 | 0.436 | 0.007 | 0.560 | 0.272 | 0.903 | |
rs10399805 | 0.126 | 149 | 0.448 | 0.999 | 0.047 | 0.757 | 0.060 | 0.192 | |
rs946261 | 0.401 | 252 | 0.200 | 0.687 | 0.010 | 0.811 | 0.291 | 0.970 |
The results were not significantly different even after adjusting for age, gender, treatment group.
rs3831317 is a 24-bp duplication in CHIT1.
Although there is increasing evidence that chitinases play a role in asthma, our analysis suggests that variation in chitinase genes are not associated with asthma. Our study found no associations between SNPs in the genes of CHIT1, CHIA, and CHI3L1 and any of the outcomes studied: asthma, changes in lung physiology, or allergy-related phenotypes in subjects with mild to moderate asthma. Another strength of our study was the use of repeated measures of the asthma- and allergy-related phenotypes using a family-based design that accounts for these repeated measures, thus providing greater power to detect associations than a single measurement of the outcome.
Our finding that SNPs in CHIT1 and CHI3L1 are not associated with asthma is consistent with the findings of other studies.8, 9 On the other hand, our study findings are in contrast to previous studies that found that polymorphisms in CHIA are associated with asthma and IgE levels10, 11 and a previous study that concluded that CHI3L1 is associated with asthma.12 One potential reason for the discrepant findings may be that the studies that found positive associations used a case-control design, did not evaluate for population stratification, or did not adjust for multiple testing. Alternatively, environmental exposures in our cohort interacting with these genes may be different than in other cohorts.
Despite the strengths of our study, we were limited by our relatively small sample size of 422 subjects. Nevertheless, our power calculations suggest we had adequate power to detect small to moderate effect sizes.
The human chitinases and chitinase-like proteins have received attention in recent years because of their potential role in the pathogenesis of asthma. Nevertheless, polymorphisms in CHIT1, CHIA, and CHI3L1 are not associated with asthma, changes in lung physiology, or allergy-related phenotypes, suggesting that the effects of variation in these genes alone are weak without the appropriate environmental exposure.
Supplementary Material
ACKNOWLEDGMENTS
We thank Brooke Schuemann, MPH for her assistance with preparation of the phenotype data. We thank all subjects for their ongoing participation in this study. We acknowledge the CAMP investigators and research team, supported by NHLBI, for collection of CAMP Genetic Ancillary Study data. All work on data collected from the CAMP Genetic Ancillary Study was conducted at Channing Laboratory of the Brigham and Women's Hospital under appropriate CAMP policies and human subject's protections. CAMP is supported by U01 HL076419, U01 HL65899, P01 HL083069, and T32 HL07427 from the National Heart, Lung, and Blood Institute, National Institutes of Health.
Support: The Childhood Asthma Management Program is supported by contracts NO1-HR-16044, 16045, 16046, 16047, 16048, 16049, 16050, 16051, and 16052 with the National Heart, Lung, and Blood Institute and General Clinical Research Center grants M01RR00051, M01RR0099718-24, M01RR02719-14, and RR00036 from the National Center for Research Resources. This work was also supported by U01 HL65899. Dr. Litonjua is supported by R01 AI056230.
Abbreviations
- AMCase, CHIA
Acid mammalian chitinase
- BDR
Bronchodilator response
- CAMP
Childhood Asthma Management Program
- CHIT1
Chitotiosidase
- FBAT-PC
Family-Based Association Test-Principal Components
- FEV1
Forced Expiratory Volume in 1 second
- GEE
General Estimating Equations
- PC20
Concentration that provoked a 20% decrease from post-diluent FEV1
Footnotes
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