Hereditary interstitial lung diseases manifesting in early childhood in Japan

Takuma Akimoto1, Kazutoshi Cho1, Itaru Hayasaka1

  • 1Maternity and Perinatal Care Center, Hokkaido University Hospital, Sapporo, Japan.

Pediatric Research
|August 9, 2014
PubMed

Insights

Genetic variations in Japanese infants with interstitial lung diseases (ILD) were investigated. Surfactant protein-C gene (SFTPC) abnormalities were most common, while surfactant protein-B (SP-B) deficiency was rare in these hereditary ILD cases.

Area of Science:

  • Pediatric Pulmonology
  • Medical Genetics
  • Neonatology

Background:

  • Interstitial lung diseases (ILD) in infants are challenging to diagnose.
  • Genetic factors contributing to ILD in Japanese infants remain understudied.
  • Unexplained lung dysfunction in infants necessitates etiological investigation.

Purpose of the Study:

  • To identify genetic variations associated with ILD in Japanese infants.
  • To determine the prevalence of specific gene mutations in different ILD subtypes.
  • To elucidate the role of surfactant protein genes in infantile ILD.

Main Methods:

  • Genetic analysis of SFTPC, ABCA3, SFTPB, and FOXF1 genes in 43 infants with unexplained lung dysfunction.
  • Western blotting for surfactant protein-B (SP-B).
  • Assessment of pSTAT-5 signaling pathway.

Main Results:

  • Nine infants were diagnosed with ILD (interstitial pneumonitis, hereditary pulmonary alveolar proteinosis (hPAP), alveolar capillary dysplasia with misalignment of pulmonary veins (ACD/MPV)).
  • Genetic variations were found in 67% of infants with ILD, predominantly involving SFTPC and ABCA3 genes in hPAP and interstitial pneumonitis.
  • No SFTPB mutations or pSTAT-5 defects were observed; adequate SP-B protein levels were detected.

Conclusions:

  • SFTPC gene abnormalities are the most prevalent genetic cause of hereditary ILD in Japanese infants.
  • SP-B deficiency is uncommon in this population.
  • Genetic testing is crucial for diagnosing hereditary ILD in infants with unexplained lung dysfunction.
Abstract

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