Abstract

BackgroundAsthma is a common chronic lung disease in children. We aimed to determine the associations between stress-induced phosphoprotein 1 (STIP1) and glucocorticoid-induced transcript 1 (GLCCI1) polymorphisms and susceptibility of childhood asthma and inhaled corticosteroid (ICS) response in children.MethodsA total of 263 Chinese Han asthmatic children were recruited from the Xiangya Hospital, Central South University. Pulmonary function tests were performed before the treatment and 3 months after the treatment. One hundred fifty non-asthmatic children were recruited. Each participant’s DNA was extracted from the peripheral blood and Method of MassARRAY was used to genotype the single-nucleotide polymorphisms (SNPs).ResultsSTIP1 rs2236647 wild-type homozygote (CC) was associated with increased asthma risk of children (OR = 1.858, 95% CI:1.205–2.864), but not associated with the ICS response. GLCCI1 rs37969, rs37972 and rs37973 polymorphisms were not associated with the risk of childhood asthma. However, rs37969 mutant genotypes (TT/GT) were significantly associated with less improvement in PD20 (p = 0.028). We also found significant associations between rs37969, rs37972 and rs37973 mutant genotypes and less improvement in maximal midexpiratory flow (MMEF) after ICS treatment for 3 months (p = 0.036, p = 0.010 and p = 0.003, respectively).ConclusionsSTIP1 rs2236647 was associated with asthma risk of children and GLCCI1 rs37969 mutant genotypes were associated with less improvement in airway hyper-responsiveness. GLCCI1 rs37969, rs37972 and rs37973 polymorphisms might be associated with pulmonary function in childhood asthma patients after ICS treatment.

Highlights

  • Asthma is a common chronic lung disease in children

  • glucocorticoid-induced transcript 1 (GLCCI1) rs37969 was associated with the change in airway hyper-responsiveness In our study, we found the mutant genotypes (TT/GT) for the GLCCI1 rs37969 had less improvement in PD20 compared with wild-type homozygotes (GG) (0.44 ± 0.82 mg, 0.77 ± 0.74 mg; p = 0.028) (Fig. 3)

  • We report here that GLCCI1 rs37969, rs37972, and rs37973 were associated with the response to inhaled corticosteroid (ICS) treatment in Chinese children with asthma

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Summary

Introduction

Asthma is a common chronic lung disease in children. Asthma is one of the most common chronic lung diseases in children and adults. The average global prevalence of adult asthma is 4.3%, up to 21.0% in Australia [2]. The global prevalence of asthma in children aged 6 to 7 years and in those aged 13 to 14 years are respectively 11.6 and 13.7% [3]. The clinical control of asthma is not promising. In China, only 28.7% of patients achieved complete asthma control [6]. Asthma is an important contributor to the burden of families and society around the world. Reducing the prevalence of asthma and improving asthma control will significantly decrease the global medical burden and meaningfully promote the development of global health care

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