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Published ahead of print on July 28, 2004, doi:10.1164/rccm.200403-412OC
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American Journal of Respiratory and Critical Care Medicine Vol 170. pp. 967-973, (2004)
© 2004 American Thoracic Society
doi: 10.1164/rccm.200403-412OC


Original Article

Association of Vitamin D Receptor Genetic Variants with Susceptibility to Asthma and Atopy

Audrey H. Poon, Catherine Laprise, Mathieu Lemire, Alexandre Montpetit, Donna Sinnett, Erwin Schurr and Thomas J. Hudson

McGill Centre for the Study of Host Resistance, Research Institute of the McGill University Health Centre, Montreal; Université du Québec à Chicoutimi; Community Genomic Medicine Centre, University of Montreal, Chicoutimi Hospital, Chicoutimi; McGill University and Genome Quebec Innovation Centre, Montreal, Quebec, Canada

Correspondence and requests for reprints should be addressed to Thomas J. Hudson, M.D., McGill University and Genome Quebec Innovation Centre, 740 Penfield Avenue, Room 7105, Montreal, PQ, H3A 1A4 Canada. E-mail: tom.hudson{at}mcgill.ca

Genome scans for asthma have identified suggestive or significant linkages on 17 different chromosomes, including chromosome 12, region q13–23, housing the vitamin D receptor (VDR) gene. Through interaction with VDR, 1,25-dihydroxyvitamin D3 mediates numerous biological activities, such as regulation of helper T-cell development and subsequent cytokine secretion profiles. Variants of the VDR have been found to be associated with immune-mediated diseases that are characterized by an imbalance in helper T-cell development, such as Crohn's disease and tuberculosis. The VDR, hence, is a good candidate to be investigated for association with asthma, which is characterized by enhanced helper T-cell type 2 activity. Here, we examined VDR genetic variants in an asthma family-based cohort from Quebec. We report six variants to be strongly associated with asthma and four with atopy (0.0005 <= p <= 0.05). Analysis of the linkage disequilibrium pattern and haplotypes also revealed significant association with both phenotypes (0.0004 <= p <= 0.01). The findings have been replicated by another research team in a second but not in a third cohort. These results identify VDR variants as genetic risk factors for asthma/atopy and implicate a non-human leukocyte antigen immunoregulatory molecule in the pathogenesis of asthma and atopy.

Key Words: genetic predisposition • polymorphism • vitamin D receptor




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