Abstract
BackgroundMutation in SPINK5 causes Netherton syndrome, a rare recessive skin disease that is accompanied by severe atopic manifestations including atopic dermatitis, allergic rhinitis, asthma, high serum IgE and hypereosinophilia. Recently, single nucleotide polymorphism (SNP) of the SPINK5 was shown to be significantly associated with atopy, atopic dermatitis, asthma, and total serum IgE. In order to determine the role of the SPINK5 in the development of asthma, a case-control study including 669 asthma patients and 711 healthy controls in Han Chinese was conducted.MethodsUsing PCR-RFLP assay, we genotyped one promoter SNP, -206G>A, and four nonsynonymous SNPs, 1103A>G (Asn368Ser), 1156G>A (Asp386Asn), 1258G>A (Glu420Lys), and 2475G>T (Glu825Asp). Also, we analyzed the functional significance of -206G>A using the luciferase reporter assay and electrophoresis mobility shift assay.Resultswe found that the G allele at SNP -206G>A was associated with increased asthma susceptibility in our study population (p = 0.002, odds ratio 1.34, 95% confidence interval 1.11–1.60). There was no significant association between any of four nonsynonymous SNPs and asthma. The A allele at -206G>A has a significantly higher transcriptional activity than the G allele. Electrophoresis mobility shift assay also showed a significantly higher binding efficiency of nuclear protein to the A allele compared with the G allele.ConclusionOur findings indicate that the -206G>A polymorphism in the SPINK5 is associated with asthma susceptibility in a Chinese Han population.
Highlights
Mutation in SPINK5 causes Netherton syndrome, a rare recessive skin disease that is accompanied by severe atopic manifestations including atopic dermatitis, allergic rhinitis, asthma, high serum immunoglobin E (IgE) and hypereosinophilia
We found that the G allele of single nucleotide polymorphism (SNP) -206 G>A was significantly more common among patients with asthma than among the controls (P = 0.002, odds ratios (ORs) 1.34; 95% CI: 1.11– 1.60)
This result suggested that SNP 206G>A in the SPINK5 promoter region was significantly associated with asthma in our Chinese cohort
Summary
Mutation in SPINK5 causes Netherton syndrome, a rare recessive skin disease that is accompanied by severe atopic manifestations including atopic dermatitis, allergic rhinitis, asthma, high serum IgE and hypereosinophilia. The individual variation in predisposition to asthma is genetically determined [1,2]. It is characterized prominently by an elevated production of (page number not for citation purposes). Considerable effort has been directed toward a better understanding of the genetic factors involved in the development of asthma and other allergic diseases. While mutations in SPINK5, causes Netherton syndrome, a rare autosomal recessive disorder, SPINK5 plays a role in common atopic diseases [9,10]
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