Abstract | BACKGROUND: The chitinase-like protein YKL-40 is involved in inflammation and tissue remodeling. We recently showed that serum YKL-40 levels were elevated in patients with asthma and were correlated with severity, thickening of the subepithelial basement membrane, and pulmonary function. We hypothesized that single-nucleotide polymorphisms (SNPs) that affect YKL-40 levels also influence asthma status and lung function. METHODS: We carried out a genomewide association study of serum YKL-40 levels in a founder population of European descent, the Hutterites, and then tested for an association between an implicated SNP and asthma and lung function. One associated variant was genotyped in a birth cohort at high risk for asthma, in which YKL-40 levels were measured from birth through 5 years of age, and in two populations of unrelated case patients of European descent with asthma and controls. RESULTS: A promoter SNP (-131C-->G) in CHI3L1, the chitinase 3-like 1 gene encoding YKL-40, was associated with elevated serum YKL-40 levels (P=1.1 x 10(-13)), asthma (P=0.047), bronchial hyperresponsiveness (P=0.002), and measures of pulmonary function (P=0.046 to 0.002) in the Hutterites. The same SNP could be used to predict the presence of asthma in the two case-control populations (combined P=1.2 x 10(-5)) and serum YKL-40 levels at birth (in cord-blood specimens) through 5 years of age in the birth cohort (P=8.9 x 10(-3) to 2.5 x 10(-4)). CONCLUSIONS: CHI3L1 is a susceptibility gene for asthma, bronchial hyperresponsiveness, and reduced lung function, and elevated circulating YKL-40 levels are a biomarker for asthma and decline in lung function.
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Authors | Carole Ober, Zheng Tan, Ying Sun, Jennifer D Possick, Lin Pan, Raluca Nicolae, Sadie Radford, Rodney R Parry, Andrea Heinzmann, Klaus A Deichmann, Lucille A Lester, James E Gern, Robert F Lemanske Jr, Dan L Nicolae, Jack A Elias, Geoffrey L Chupp |
Journal | The New England journal of medicine
(N Engl J Med)
Vol. 358
Issue 16
Pg. 1682-91
(Apr 17 2008)
ISSN: 1533-4406 [Electronic] United States |
PMID | 18403759
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
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Copyright | Copyright 2008 Massachusetts Medical Society. |
Chemical References |
- Adipokines
- Biomarkers
- CHI3L1 protein, human
- Chitinase-3-Like Protein 1
- Glycoproteins
- Lectins
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Topics |
- Adipokines
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Asthma
(blood, genetics)
- Biomarkers
(blood)
- Bronchial Hyperreactivity
(blood, genetics)
- Case-Control Studies
- Child
- Chitinase-3-Like Protein 1
- Female
- Founder Effect
- Genetic Predisposition to Disease
- Genotype
- Glycoproteins
(blood, genetics)
- Humans
- Lectins
- Male
- Middle Aged
- Phenotype
- Polymorphism, Single Nucleotide
- Pulmonary Ventilation
(genetics)
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