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Published on: August 15, 2019
The role of TAP1 and TAP2 gene polymorphism in idiopathic bronchiectasis in children
Deniz Doğru1, Filiz Ozbaş Gerçeker, Ebru Yalçin
1Pediatric Pulmonary Medicine Unit, Faculty of Medicine, Hacettepe University, Ankara, Turkey. ddogru@hacettepe.edu.tr
Insights
Genetic variations in the Transporter associated with antigen presentation (TAP) gene may contribute to idiopathic bronchiectasis. Early consideration of TAP deficiency syndrome in children can improve outcomes.
Area of Science:
- Immunogenetics
- Pulmonology
Background:
- Bronchiectasis involves permanent airway changes, often with unidentified causes.
- Consanguinity in some populations increases the risk of genetic predispositions.
- Transporter associated with antigen presentation (TAP) deficiency syndrome causes recurrent infections leading to bronchiectasis.
Purpose of the Study:
- To investigate the association between idiopathic bronchiectasis and polymorphisms in the TAP1 and TAP2 genes.
Main Methods:
- DNA was extracted from 44 idiopathic bronchiectasis patients and 100 healthy controls.
- Genotyping for TAP1 and TAP2 gene polymorphisms was performed.
- Allele and genotype frequencies were compared between patient and control groups.
Main Results:
- Significant differences in genotype frequencies for TAP1 (333, 637) and TAP2 (379, 665) polymorphisms were observed between patients and controls.
- Specific genotypes were found to be decreased or increased in the bronchiectasis group.
- No significant difference was found for the TAP2-565 polymorphism.
Conclusions:
- TAP gene polymorphisms may play a role in the development of bronchiectasis.
- TAP deficiency syndrome should be considered in children diagnosed with idiopathic bronchiectasis for timely intervention.
- Early diagnosis and management can enhance quality of life and survival rates.
Abstract:
Bronchiectasis is characterized by permanent changes in the structure and function of the airways. Its cause cannot be identified in some cases. A genetic disease can predispose to bronchiectasis in our country, where consanguinity of parents is common. Transporter associated with antigen presentation (TAP) deficiency syndrome is characterized by recurrent bacterial lower respiratory tract infections, which cause bronchiectasis. Our aim was to document the relationship between idiopathic bronchiectasis and TAP gene polymorphisms. Forty-four patients with idiopathic bronchiectasis and 100 healthy individuals as the control group were included. DNA was extracted and gene polymorphisms for TAP1 and TAP2 were studied. When compared to healthy controls, in the patient group, Ile/Ile genotype was decreased and Ile/Val genotype was increased in TAP1-333 polymorphism analysis; Asp/Asp and Gly/Gly genotypes were decreased and Asp/Gly frequency was increased in TAP1-637 polymorphism analysis; Ile/Val genotype was increased and Ile/Ile genotype was decreased in TAP2-379 polymorphism analysis; and Thr/Thr genotype frequency was decreased and Thr/Ala and Ala/Ala genotypes were increased in TAP2-665 polymorphism analysis. No statistically significant difference between patient and control groups was noted only in TAP2-565 polymorphism analysis. These results indicate that TAP gene polymorphisms may have had a role in the development of bronchiectasis in our patient group. Therefore, TAP deficiency syndrome should be considered in children with idiopathic diagnosis, since early diagnosis of the disease will improve life quality and survival.
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