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Published on: July 14, 2016
A polymorphism in HLA-G modifies statin benefit in asthma
D Naidoo1, A C Wu2, M H Brilliant3
1Atherosclerosis Research, Children's Hospital Oakland Research Institute, Oakland, CA, USA.
Abstract:
Several reports have shown that statin treatment benefits patients with asthma; however, inconsistent effects have been observed. The mir-152 family (148a, 148b and 152) has been implicated in asthma. These microRNAs suppress HLA-G expression, and rs1063320, a common SNP in the HLA-G 3'UTR that is associated with asthma risk, modulates miRNA binding. We report that statins upregulate mir-148b and 152, and affect HLA-G expression in an rs1063320-dependent fashion. In addition, we found that individuals who carried the G minor allele of rs1063320 had reduced asthma-related exacerbations (emergency department visits, hospitalizations or oral steroid use) compared with non-carriers (P=0.03) in statin users ascertained in the Personalized Medicine Research Project at the Marshfield Clinic (n=421). These findings support the hypothesis that rs1063320 modifies the effect of statin benefit in asthma, and thus may contribute to variation in statin efficacy for the management of this disease.
Insights
Statins may improve asthma outcomes, but effects vary. A specific gene variant (rs1063320) influences how statins affect asthma by modulating microRNA binding to HLA-G, impacting treatment effectiveness.
Area of Science:
- Immunogenetics
- Pharmacogenomics
- Respiratory Medicine
Background:
- Statin therapy shows variable benefits for asthma patients.
- The microRNA (mir)-152 family (mir-148a, mir-148b, mir-152) is linked to asthma.
- MicroRNAs regulate HLA-G expression, and the rs1063320 single nucleotide polymorphism (SNP) in HLA-G influences miRNA binding and asthma risk.
Purpose of the Study:
- To investigate the relationship between statins, microRNAs, HLA-G, and the rs1063320 SNP in asthma.
- To determine if rs1063320 modifies statin efficacy in asthma management.
Main Methods:
- Analysis of mir-148b and mir-152 expression in relation to statin use.
- Assessment of HLA-G expression changes.
- Genotyping for the rs1063320 SNP in asthma patients using statins.
- Correlation of rs1063320 genotype with asthma exacerbation rates in statin users.
Main Results:
- Statins were found to upregulate mir-148b and mir-152.
- Statin effects on HLA-G expression were dependent on the rs1063320 genotype.
- Individuals with the G minor allele of rs1063320 experienced fewer asthma exacerbations when using statins (P=0.03).
Conclusions:
- The rs1063320 SNP modifies the impact of statin treatment on asthma.
- This genetic variation may explain differences in statin efficacy for asthma management.
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