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Toll-like receptor 10 rs4129009 gene polymorphism is associated with post-bronchiolitis lung function in adolescence
Riikka Riikonen1, Matti Korppi1, Sari Törmänen1
1Center for Child Health Research, Tampere University and University Hospital, Tampere, Finland.
Insights
Genetic variations in Toll-like receptor 10 (TLR10) influence long-term lung function in children previously hospitalized for bronchiolitis. The variant TLR10 genotype is linked to better lung function outcomes in this cohort.
Area of Science:
- Immunology
- Pulmonology
- Genetics
Background:
- Bronchiolitis is a common childhood respiratory infection.
- Long-term respiratory sequelae after severe bronchiolitis are a concern.
- Toll-like receptors (TLRs) play a role in innate immunity and respiratory infections.
Purpose of the Study:
- To investigate the association between polymorphisms in Toll-like receptor (TLR) 2 subfamily genes and lung function.
- To assess lung function in children previously hospitalized for bronchiolitis during infancy.
- To evaluate spirometry measurements at 10-13 years of age in relation to TLR gene variants.
Main Methods:
- Prospective cohort study of 166 former bronchiolitis patients.
- Structured questionnaires and clinical follow-up including spirometry.
- Genotyping for polymorphisms in TLR1, TLR2, TLR6, and TLR10 genes.
Main Results:
- The wild (AA) genotype of TLR10 rs4129009 was associated with lower FEV1/FVC ratios.
- This association persisted both before and after bronchodilator administration.
- Combined analysis of TLR10, TLR2, and TLR1 genotypes showed lowest FEV1/FVC in subjects with the wild TLR10 rs4129009 genotype.
Conclusions:
- Children with the variant TLR10 rs4129009 genotype exhibited superior lung function.
- This suggests that TLR10 genetic variations may influence long-term respiratory health post-bronchiolitis.
- The findings highlight a potential genetic predisposition affecting lung function recovery.
Aim:
The aim was to evaluate the association of polymorphisms in the Toll-like receptor (TLR) 2 subfamily encoding genes with lung function by spirometry at 10-13 years of age in children who had been hospitalised for bronchiolitis at <6 months of age.
Methods:
In a prospective cohort of 166 former bronchiolitis patients, 138 returned a structured questionnaire and 89 attended a clinical follow-up visit including spirometry before and after bronchodilation at 10-13 years of age. Data on polymorphisms of the TLR1, TLR2, TLR6 and TLR10 genes were available from 81-82 children.
Results:
In the TLR10 rs4129009, the wild (AA) genotype was associated with lower FEV1/FVC before (92.4 vs 97.4, P = .002) and after (95.5 vs 98.6, P = .011) bronchodilator administration, compared to those with the variant genotype. When the TLR10 rs4129009 and TLR2 rs5743708 genotypes, and the TLR10 rs4129009 and TLR1 rs5743618 genotypes, respectively, were analysed as combined, both baseline and post-bronchodilator FEV1/FVC were lowest in the subjects with the wild (AA) genotype of the TLR10 rs4129009.
Conclusion:
In this post-bronchiolitis follow-up, lung function in children with the variant TLR10 rs4129009 genotype with potentially altered TLR10 function was superior to lung function in those with the wild genotype.
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