Abstract
The gene for Clara cell secretory protein (CC16) is an ideal candidate for investigating genetic predisposition to asthma because of its role in the airway as an anti-inflammatory molecule, differences in its levels between asthmatics and healthy controls, and its genetic location (11q13). We investigated the association of an SNP (A38G) and an intragenic repeat polymorphism in the CC16 gene with asthma and its associated traits, such as total serum IgE levels, in a case control as well as in a family based study design. A significant association was observed for the microsatellite repeat at the level of alleles and genotypes with asthma (P<0.05) in both the study designs. However, no association was observed for the A38G SNP with asthma. When haplotypes were constructed for these two loci and compared, the haplotype A_18 was found at higher frequency in patients (OR=1.59, 95%CI=1.08, 2.33, P=0.016). Also, in the family based design, a biased transmission was observed for haplotypes from parents to affected offspring (P=0.003). Individually, haplotype A_18 showed preferential transmission (82.6%) to affected offspring (P=0.001), thereby confirming the case-control results. In summary, this is the first study identifying the CC16 gene to be associated with asthma in the Indian population.
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References
Bernard A, Marchandise FX, Depelchin S, Lauwerys R, Sibille Y (1992) Clara cell protein in serum and bronchoalveolar lavage. Eur Respir J 5:1231–1238
Blumenthal MN, Ober C, Beaty TH, Bleecker ER, Langefeld CD, King RA, Lester L, Cox N, Barnes K, Togias A, Mathias R, Meyers DA, Oetting W, Rich SS (2004) Genome scan for loci linked to mite sensitivity: the collaborative study on the genetics of asthma (CSGA). Genes Immun 5:226–231
Broeckaert F, Bernard A (2000) Clara cell secretory protein (CC16): characteristics and perspectives as lung peripheral biomarker. Clin Exp Allergy 30:469–475
Gao PS, Mao XQ, Kawai M, Enomoto T, Sasaki S, Tanabe O, Yoshimura K, Shaldon SR, Dake Y, Kitano H, Coull P, Shirakawa T, Hopkin JM (1998) Negative association between asthma and variants of CC16 (CC10) on chromosome 11q13 in British and Japanese populations. Hum Genet 103:57–59
Ghosh B, Sharma S, Nagarkatti R (2003) Genetics of asthma: current research paving the way for development of personalized drugs. Indian J Med Res 117:185–197
Gui Q, Qian GS, Huang GJ, Li SP (2003) Study on association between CC16 gene G38A mutation and asthma in the patients of Han population in Chongqing (abstract). China Zhonghua Yi Xue Yi Chuan Xue Za Zhi 20:542–543
Harrod KS, Mounday AD, Stripp BR, Whitsett JA (1998) Clara cell secretory protein decreases lung inflammation after acute virus infection. Am J Physiol 275:L924–L930
Hay JG, Danel C, Chu CS, Crystal RG (1995) Human CC10 gene expression in airway epithelium and subchromosomal locus suggest linkage to airway disease. Am J Physiol 268:L565–L575
Hefferon TW, Groman JD, Yurk CE, Cutting GR (2004) A variable dinucleotide repeat in the CFTR gene contributes to phenotype diversity by forming RNA secondary structures that alter splicing. Proc Natl Acad Sci U S A 101:3504–3509
Huang SK, Mathias RA, Ehrlich E, Plunkett B, Lui X, Cutting GR, Wang XJ, Li XD, Togias A, Barnes KC, Malveaux F, Rich S, Mellen B, Lange E, Beaty TH (2003) Comparative study on the genetics of asthma evidence for asthma susceptibility genes on chromosome 11 in an African-American population. Hum Genet 113:71–75
Johnston CJ, Mango GW, Finkelstein JN, Stripp BR (1997) Altered pulmonary response to hyperoxia in Clara cell secretory protein deficient mice. Am J Respir Cell Mol Biol 17:147–155
Laing IA, Goldblatt J, Eber E, Hayden CM, Rye PJ, Gibson NA, Palmer LJ, Burton PR, Le Souef PN (1998) A polymorphism of the CC16 gene is associated with an increased risk of asthma. J Med Genet 35:463–467
Laing IA, Hermans C, Bernard A, Burton PR, Goldblatt J, Le Souef PN (2000) Association between plasma CC16 levels, the A38G polymorphism, and asthma. Am J Respir Crit Care Med 161:124–127
Lesur O, Bernard A, Arsalane K, Lauwerys R, Begin R, Cantin A, Lane D (1995) Clara cell protein (CC-16) induces a phospholipase A2-mediated inhibition of fibroblast migration in vitro. Am J Respir Crit Care Med 152:290–297
Levin SW, Butler JD, Schumacher UK, Wightman PD, Mukherjee AB (1986) Uteroglobin inhibits phospholipase A2 activity. Life Sci 38:1813–1819
Maalej A, Rebai A, Ayadi A, Jouida J, Makni H, Ayadi H (2004) Allelic structure and distribution of 103 STR loci in a Southern Tunisian population. J Genet 83:65–71
Magdaleno SM, Barrish J, Finegold MJ, DeMayo FJ (1998) Investigating stem cells in the lung. Adv Pediatr 45:363–396
Mango GW, Johnston CJ, Reynolds SD, Finkelstein JN, Plopper CG, Stripp BR (1998) Clara cell secretory protein deficiency increases oxidant stress response in conducting airways. Am J Physiol 275:L348–L356
Mansur AH, Fryer AA, Hepple M, Strange RC, Spiteri MA (2002) An association study between the Clara cell secretory protein CC16 A38G polymorphism and asthma phenotypes. Clin Exp Allergy 32:994–999
Mao XQ, Shirakawa T, Kawai M, Enomoto T, Sasaki S, Dake Y, Kitano H, Hagihara A, Hopkin JM, Morimoto K (1998) Association between asthma and an intragenic variant of CC16 on chromosome 11q13. Clin Genet 53:54–56
Nagarkatti R, Rao CB, Rishi JP, Chetiwal R, Shandilya V, Vijayan V, Kumar R, Pemde HK, Sharma SK, Sharma S, Singh AB, Gangal SV, Ghosh B (2002) Association of IFNG gene polymorphism with asthma in the Indian population. J Allergy Clin Immunol 110:410–412
Nagarkatti R, B-Rao C, Vijayan V, Sharma SK, Ghosh B (2004) Signal transducer and activator of transcription 6 haplotypes and asthma in the Indian population. Am J Respir Cell Mol Biol 31:317–321
Pravica V, Asderakis A, Perrey C, Hajeer A, Sinnott PJ, Hutchinson IV (1999) In vitro production of IFN-gamma correlates with CA repeat polymorphism in the human IFN-gamma gene. Eur J Immunogenet 26:1–3
Sengler C, Heinzmann A, Jerkic SP, Haider A, Sommerfeld C, Niggemann B, Lau S, Forster J, Schuster A, Kamin W, Bauer C, Laing I, LeSouef P, Wahn U, Deichmann K, Nickel R (2003) Clara cell protein 16 (CC16) gene polymorphism influences the degree of airway responsiveness in asthmatic children (abstract). J Allergy Clin Immunol 111:515–519
Sham PC, Curtis D (1995) An extended transmission/disequilibrium test (TDT) for multi-allele marker loci. Ann Hum Genet 59:323–336
Sharma S, Nagarkatti R, B-Rao C, Niphadkar PV, Vijayan V, Sharma SK, Ghosh B (2004) A_16_C haplotype in FcɛRIβ gene confers higher risk for atopic asthma in Indian population. Clin Genet 66:417–425
Shijubo N, Itoh Y, Yamaguchi T, Sugaya F, Hirasawa M, Yamada T, Kawai T, Abe S (1999) Serum levels of Clara cell 10-kDa protein are decreased in patients with asthma. Lung 177:45–52
Simon Thomas N, Wilkinson J, Lonjou C, Morton NE, Holgate ST (2000) Linkage analysis of markers on chromosome 11q13 with asthma and atopy in a United Kingdom population. Am J Respir Crit Care Med 162:1268–1272
Smith KR (2000) Inaugural article: national burden of disease in India from indoor air pollution. Proc Natl Acad Sci U S A 97:13286–13293
Spielman RS, McGinnis RE, Ewens WJ (1993) Transmission test for linkage disequilibrium: the insulin gene region and insulin-dependent diabetes mellitus (IDDM). Am J Hum Genet 52:506–516
Stephens M, Donnelly P (2003) A comparison of bayesian methods for haplotype reconstruction from population genotype data. Am J Hum Genet 73:1162–1169
Suarez BK, Hampe CL (1994) Linkage and association. Am J Hum Genet 54:554–559
Van Vyve T, Chanez P, Bernard A, Bousquet J, Godard P, Lauwerijs R, Sibille Y (1995) Protein content in bronchoalveolar lavage fluid of patients with asthma and control subjects. J Allergy Clin Immunol 95:60–68
Yao XL, Ikezono T, Cowan M, Logun C, Angus CW, Shelhamer JH (1998) Interferon-gamma stimulates human Clara cell secretory protein production by human airway epithelial cells. Am J Physiol 274:L864–L869
Young RP, Sharp PA, Lynch JR, Faux JA, Lathrop GM, Cookson WO, Hopkin JM (1992) Confirmation of genetic linkage between atopic IgE responses and chromosome 11q13. J Med Genet 29:236–238
Acknowledgements
We thank our collaborating physicians Dr. S. K. Sharma, Dr. Brajen Lahker, Dr. Aditi Sinha, Dr. Virender Kumar, Dr. N. K. Bhatia, and Dr. P. V. Niphadkar for helping us in sample collection. We also thank all patients, their family members, and healthy volunteers for participating in this study. We thank Ms. Mamta Sharma, Mr. Amrendra Gupta, Ms. Sanober Nahid, and Ms. Sangeeta Goswami for assistance. We acknowledge the Functional Genomics Unit of IGIB, Delhi, for helping in sequencing and genotyping. The financial support from the Council of Scientific and Industrial Research (CSIR), Govt. of India, is greatly acknowledged.
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Sharma, S., Ghosh, B. Association of an intragenic microsatellite marker in the CC16 gene with asthma in the Indian population. J Hum Genet 49, 677–683 (2004). https://doi.org/10.1007/s10038-004-0206-8
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DOI: https://doi.org/10.1007/s10038-004-0206-8
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