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Scientists link asthma to a mutation in the gene that also determines the severity
of the respiratory disease
A genetic mutation in a gene that is a marker for asthma severity may also play a role in causing the disease, researchers
at Yale School of Medicine and the University of Chicago report in the April
2 issue of New England Journal of Medicine.
“We know from a recent study that people with severe asthma are more likely
to have elevated levels of the protein known as YKL-40 in their blood compared
to people without asthma,” says Dr. Geoffrey Chupp, associate professor
of medicine at Yale and senior author of the study. “In this study we found
that a mutation in the YKL-40 gene is associated with YKL-40 levels in the blood,
a diagnosis of asthma and impaired lung function. Ultimately, blocking the effects
of YKL-40 may prove to be a novel and effective way to treat asthma.”
Asthma is a chronic respiratory disease characterized by airway inflammation,
airway obstruction and episodes of respiratory difficulty. As of five years
ago, 20 million people in the United States had a diagnosis of asthma.
YKL-40, which may have originally evolved to help protect the airways, is what
is known as a chitinase-like protein. It attaches itself to chitin, a substance
found in fungi, crustaceans and insects like dust mites and cockroaches. Humans
don’t manufacture chitin but produce enzymes that either break down or
bind to chitin.
Carole Ober, first author of the article and an expert in asthma genetics at
the University of Chicago, correlated YKL-40 levels with variations in the
human genome in a group of 632 individuals from South Dakota. This population
is genetically homogeneous, so identifying genetic links to disease can be
easier than in larger populations where a lot of genetic mixing has occurred.
The members of this particular group were related to each other through multiple
lines of descent in a 3,028-person, 13-generation pedigree, which is like a
family tree, with 62 founders. “The small number of founding genomes
reduces genetic differences and their communal lifestyle ensure that non-genetic
factors are uniform among individuals,” the researchers note.
Ober’s team found that one of the mutations in the YKL-40 gene also correlated
with a diagnosis of asthma and with impaired lung function, suggesting that
increased levels of YKL-40 are part of the causal pathway that leads to asthma.
The study also included two comparison groups of adults from the general population
with asthma and without asthma and a population of children at risk of developing
asthma.
Co-authors included Jennifer Possick and Jack Elias of Yale, as well as a number
of researchers at the University of Chicago.
— By Jacqueline Weaver
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