Paternal history of asthma and airway responsiveness in children with asthma

Benjamin A Raby1, Kristel Van Steen, Juan C Celedón

  • 1Channing Laboratory, Department of Medicine, and Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA. benjamin.raby@channing.harvard.edu

Insights

A father's history of asthma is linked to greater airway hyperresponsiveness (AHR) in children with asthma. This suggests a genetic influence from the father on AHR, a key factor in childhood asthma severity.

Area of Science:

  • Pediatric Pulmonology
  • Genetics of Asthma
  • Respiratory Medicine

Background:

  • The link between parental asthma history and children's airway hyperresponsiveness (AHR) is not well understood.
  • Airway hyperresponsiveness (AHR) is a critical factor in childhood asthma severity.

Purpose of the Study:

  • To investigate the association between parental asthma history and AHR in children with asthma.
  • To analyze genetic contributions to AHR in pediatric asthma patients.

Main Methods:

  • Utilized data from 1,041 children with asthma in the Childhood Asthma Management Program (CAMP).
  • Performed methacholine challenge testing annually over 4.5 years to assess AHR (PC20).
  • Employed cross-sectional and longitudinal analyses, adjusting for confounders, to model the relationship between parental asthma history and AHR.

Main Results:

  • A paternal history of asthma was significantly associated with greater AHR at baseline and longitudinally.
  • Children with two parents with asthma exhibited significantly higher AHR compared to those with no parental history.
  • Maternal asthma history alone did not show a significant association with AHR.

Conclusions:

  • Paternal genetic contribution appears to play a significant role in the development of AHR in children with asthma.
  • Understanding these genetic links can inform strategies for managing childhood asthma severity.
Abstract

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