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Genetic variants and risk of asthma in an American Indian population
Lyle G Best1, Crystal Azure2, Alexandre Segarra2
1Missouri Breaks Industries Research Inc, Eagle Butte, South Dakota; Science Department, Turtle Mountain Community College, Belcourt, North Dakota; School of Medicine and Health Sciences, University of North Dakota, Grand Forks, North Dakota.
Insights
Genetic variants linked to asthma in other populations are also associated with the condition in American Indian children. Obesity may also increase asthma risk in this group.
Area of Science:
- Genetics
- Pediatrics
- Epidemiology
Background:
- Asthma is a complex, multifactorial disease with a known genetic component.
- Previous studies have identified specific genetic variants associated with asthma risk in various populations.
Purpose of the Study:
- To investigate whether known asthma-associated genetic variants increase asthma risk in American Indian children.
- To explore the relationship between genetic factors, obesity, and asthma in this specific demographic.
Main Methods:
- Case-control study utilizing electronic medical records from an Indian Health Service facility.
- Genotyping of 10 single-nucleotide polymorphisms (SNPs) at 6 genetic loci in 108 children with asthma and 216 matched controls.
- Statistical analysis using chi-squared tests and logistic regression, including adjustments for age, body mass index, and atopy.
Main Results:
- A significant association was found between a variant at 5q22.1 (rs10056340) and asthma risk (P < .001).
- Variants at 5q22.1 and 17q21 (rs9303277) were independently associated with asthma (P < .05).
- Obesity was also identified as a risk factor for asthma in American Indian children.
Conclusions:
- Genetic variants commonly associated with asthma in other populations are relevant to American Indian children.
- These findings highlight the importance of genetic predisposition and environmental factors like obesity in childhood asthma within this population.
Background:
Asthma is recognized as a complex, multifactorial disease with a genetic component that is well recognized. Certain genetic variants are associated with asthma in a number of populations.
Objective:
To determine whether the same variants increase the risk of asthma among American Indian children.
Methods:
The electronic medical records of an Indian Health Service facility identified all children between 6 and 17 years of age with case-defining criteria for asthma (n = 108). Control children (n = 216), matched for age, were also identified. Real-time polymerase chain reaction assays were used to genotype 10 single-nucleotide polymorphisms (SNPs) at 6 genetic loci. Genotypic distributions among cases and controls were evaluated by χ2 and logistic regression methods.
Results:
A variant at 5q22.1 revealed a statistically significant imbalance in the distribution of genotypes between case-control pairs (rs10056340, P < .001). In logistic regression analyses, the same variant at 5q22.1 and a variant at 17q21 were associated with asthma at P < .05 (rs10056340 and rs9303277). Inclusions of age, body mass index, and atopy in multivariate models revealed significant associations between rs10056340 (odds ratio, 2.020; 95% confidence interval, 1.283-3.180; P = .002) and all 5 17q21 SNPs and asthma in this population. In analyses restricted to atopic individuals, the association of rs10056340 was essentially unchanged, whereas among nonatopic individuals the trend was in the same direction but nonsignificant. The reverse was true for the 17q21 SNPs.
Conclusion:
These findings demonstrate that many variants commonly associated with asthma in other populations also accompany this condition among American Indian children. American Indian children also appear to have an increased risk of asthma associated with obesity.
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