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Published ahead of print on October 22, 2009
Am. J. Respir. Crit. Care Med. 2009, doi:10.1164/rccm.200812-1887OC
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Submitted on December 15, 2008
Accepted on October 21, 2009

In utero Smoke Exposure and Maternal and Infant GST Genes on Airway Responsiveness and Lung Function In Infancy

Jasminka Murdzoska1*, Sunalene G Devadason1, Siew-Kim Khoo1, Louis I Landau1, Sally Young1, Jack Goldblatt1, Guicheng Zang1, Peter N Le Souef1, and Catherine M Hayden1

1 School of Paediatrics and Child Health, University of Western Australia, Australia

* To whom correspondence should be addressed. E-mail: jmurdzoska{at}meddent.uwa.edu.au.

Rationale: Xenobiotics in the maternal circulation are capable of crossing the placental barrier so a reduction in the mother and fetus's detoxification ability due to genetic variation in the Glutathione S-transferases (GSTs) could expose the fetus to higher levels of toxins. Objective: To investigate the interactive effects of maternal smoking during pregnancy with maternal and infant GST genotypes on airway responsiveness (AR) and lung function in infancy. Methods: GSTT1, GSTP1 and GSTM1 were genotyped in infants and mothers, in utero smoke exposure was evaluated by questionnaire, AR was assessed by histamine challenge and V'maxFRC was measured using the rapid thoracoabdominal compression technique. The interactive effects of maternal smoking during pregnancy with maternal and infant GST genes on AR and lung function at 1, 6 and 12 months and longitudinally throughout the first year were investigated. Main Results: Infant and/or maternal GSTT1 non-null was associated with reduced AR at 12 months and throughout the first year and increased V'maxFRC at 6 months. Maternal GSTP1 Val/Val or Ile/Val was associated with increased V'maxFRC at 6 months. In infants exposed to in utero smoke, infant and/or maternal GSTT1 non-null was associated with reduced AR at 1 month and throughout the first year and increased V'maxFRC throughout the first year. Maternal GSTP1 Val/Val or Ile/Val was associated with increased V'maxFRC at 6 months. Conclusions: GST genes may be especially important during fetal development as they may modify, through proficient detoxification, the effects of in utero maternal smoke exposure on AR in infants.


Key words: Infant lung function • airway responsiveness • GST genes • maternal smoking during pregnancy







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