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The PCDH1 gene and asthma in early childhood
Li J Mortensen1, Eskil Kreiner-Møller, Hakon Hakonarson
1Danish Pediatric Asthma Center, Health Sciences, University of Copenhagen, Copenhagen University Hospital, Gentofte, Denmark.
Insights
Genetic variants in the protocadherin-1 (PCDH1) gene are linked to increased risk of transient early asthma and atopic dermatitis in children. This research highlights PCDH1
Area of Science:
- Genetics
- Immunology
- Pediatrics
Background:
- Protocadherin-1 (PCDH1) gene variants have been previously associated with asthma, bronchial hyperresponsiveness, and atopic dermatitis.
- The role of PCDH1 in cell-cell adhesion suggests a potential mechanism for its involvement in allergic diseases.
Purpose of the Study:
- To investigate the association between common PCDH1 gene variants and longitudinally assessed asthma phenotypes and atopic dermatitis in early childhood.
- To identify specific single-nucleotide polymorphisms (SNPs) within PCDH1 that correlate with the development of these conditions.
Main Methods:
- Analysis of eight single-nucleotide polymorphisms (SNPs) in the PCDH1 gene in 411 children from the Copenhagen Prospective Studies on Asthma in Childhood birth cohort.
- Prospective diagnosis of asthma and atopic dermatitis up to age 7 years, with asthma categorized by symptom patterns (transient early, persistent, late-onset).
- Measurement of bronchial responsiveness at age 6 years and application of additive genetic models.
Main Results:
- A significant association was found between the rs10063472-T allele of PCDH1 and the transient early asthma phenotype (OR 1.91-2.00, p=0.0053-0.0058).
- Hetero- and homozygotes for the rs10063472-T allele showed an earlier onset of asthma symptoms.
- A significant association was observed between atopic dermatitis and the rs11167761-A allele (OR 1.85, p=0.0026).
- No associations were found for other asthma symptom patterns or bronchial responsiveness.
Conclusions:
- Common variations in the PCDH1 gene are associated with an increased risk of developing transient early-onset asthma.
- PCDH1 gene variants also play a role in the development of atopic dermatitis in early childhood.
- These findings underscore the importance of PCDH1 in the pathogenesis of allergic diseases during early development.
Abstract:
Previous studies have suggested that variants in the protocadherin-1 (PCDH1) gene, which is important for cell-cell adhesion, are associated with asthma, bronchial, hyperresponsiveness and atopic dermatitis in school children. Our aim was to associate common variants of the PCDH1 gene with longitudinally assessed asthma phenotypes and atopic dermatitis in early childhood. We analysed eight single-nucleotide polymorphisms in PCDH1 from 411 children born to asthmatic mothers from the Copenhagen Prospective Studies on Asthma in Childhood birth cohort. Asthma and atopic dermatitis were diagnosed prospectively to the age of 7 years and asthma was categorised by temporal pattern: transient early respiratory symptoms, persistent symptoms and late-onset symptoms. Bronchial responsiveness was measured at age 6 years. We used additive genetic models. Kaplan-Meier plots revealed early onset in hetero- and homozygotes for the rs10063472-T allele. Significant association was observed between the transient early phenotype and rs10063472-T (transient early versus all: OR 1.91, 95% CI 1.21-3.01, p=0.0058; transient early versus asymptomatic: OR 2.00, 95% CI 1.23-3.25, p=0.0053). No association was observed for other symptom patterns or bronchial responsiveness. Significant association was observed for atopic dermatitis and rs11167761-A (OR 1.85, 95% CI 1.24-2.75, p=0.0026). Common variations in PCDH1 increase the risk of developing both transient early asthma and atopic dermatitis in early childhood.
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