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Published ahead of print on February 15, 2007, doi:10.1164/rccm.200607-992OC

Am. J. Respir. Crit. Care Med., Volume 175, Number 9, May 2007, 881-887

A more recent version of this article appeared on May 1, 2007
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Submitted on July 20, 2006
Accepted on February 15, 2007

Ethnic Specific Gene-Gene Interaction between IL-13 and IL-4R{alpha} Among African American Asthmatics

Natalie C Battle1, Shweta Choudhry1, Hui-Ju Tsai1, Celeste Eng1, Gunjan Kumar1, Kenneth Beckman2, Mariam Naqvi1, Kelley Meade2, H.George Watson3, Michael LeNoir4, and Esteban Gonzalez Burchard1*

1 University of California, San Francisco, San Francisco, CA, USA; Lung Biology Center, UCSF Mission Bay Campus, San Francisco, CA, USA, 2 Children's Hospital Oakland Research Institute (CHORI), Oakland, CA, USA, 3 The James A. Watson Wellness Center, Oakland, CA, USA, 4 Bay Area Pediatrics, Oakland, CA, USA

* To whom correspondence should be addressed. E-mail: esteban{at}sfgh.ucsf.edu.

Rationale: Genes in the interleukin-4 (IL-4)/IL-13/IL-4R{alpha} pathway have been shown to be associated with asthma and related phenotypes in some populations, but not in others. Furthermore, interaction between these genes has been shown to affect asthma in Caucasian and Chinese populations. Objectives: To determine whether there are IL-4/IL-13 and IL-4R{alpha} gene-gene interactions, which are associated with asthma in African Americans. Methods: Eighteen single nucleotide polymorphisms (SNPs) in the IL-4, IL-13, and IL-4R{alpha} genes were genotyped in 264 African American asthma cases and 176 healthy controls. We tested the SNPs for genetic associations and gene-gene interactions with asthma, baseline lung function, bronchodilator drug response, and total serum IgE levels. Measurements and Main Results: We identified 94 SNPs in the IL-4, IL-13, and IL-4R{alpha} genes by directly sequencing these genes in 24 African American subjects with asthma. Seventeen SNPs were analyzed for association with asthma and related phenotypes. We found no evidence of association in the IL-4 gene. One SNP in the IL-13 gene (A-646G, rs2069743) and two SNPs in the IL-4R{alpha} gene (A+4679G, rs1805010 and C+22656T, rs1805015) showed association with lung function (both baseline and post bronchodilator). Although the association between individual SNPs and asthmarelated phenotypes differed from previous studies performed in Caucasian and Chinese populations, significant gene-gene interaction was found between the IL-13 (A-646G) and IL-4R{alpha} (A+4679G) SNPs for baseline lung function among African American subjects with asthma. Conclusions: Gene-gene interaction between the IL-13 and IL-4R{alpha} genes may play an important role in asthma among African Americans.


Key words: Asthma, African Americans, Gene-gene interaction




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