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Published ahead of print on January 10, 2008, doi:10.1164/rccm.200705-781OC

Am. J. Respir. Crit. Care Med., Volume 177, Number 7, April 2008, 712-719

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Submitted on May 28, 2007
Accepted on January 10, 2008

A Genetic Variation in Inositol polyphosphate 4 phosphatase A Enhances Susceptibility to Asthma

Mamta Sharma1, Jyotsna Batra1, Ulaganathan Mabalirajan1, Shilpy Sharma1, Rana Nagarkatti2, Jyotirmoi Aich1, Surendra K Sharma3, Pramod V Niphadkar4, and Balaram Ghosh1*

1 Molecular Immunogenetics Laboratory, Institute of Genomics and Integrative Biology, Delhi, India, 2 Molecular Immunogenetics Laboratory, Institute of Genomics and Integrative Biology, Delhi, India; Virginia Bioinformatics Institute, Blacksburg, VA, USA, 3 Division of Pulmonary and Critical Care Medicine, Department of Medicine, All India Institute of Medical Sciences, Delhi, India, 4 Asthma and Allergy Centre, Mumbai, India

* To whom correspondence should be addressed. E-mail: bghosh{at}igib.res.in.

Rationale: Microarray data from mouse studies has identified a number of genes to be differentially expressed in allergen-sensitized mice lungs. Taking leads from these datasets, we attempted to identify novel genes associated with atopic asthma in humans. Methods: We performed family based genetic association analysis on selected markers within or in proximity of 21 human homologs of genes short-listed from ovalbumin sensitized mice studies in GEO database of NCBI. Family-based and case-control studies were undertaken for fine mapping and functional variation analysis of Inositol polyphosphate 4 phosphatase type I (INPP4A). Western blot analysis was performed to analyze INPP4A protein stability from human platelets. Results: Our genetic association studies of 21 human genes in 171 trios led to the identification of a bi-allelic repeat (rs3217304) in INPP4A, associated with atopic asthma (P= 0.009). Further studies using additional three single nucleotide polymorphisms (SNPs), +92031A/T, +92344C/T, and +131237C/T and two microsatellite markers, D2S2311 and D2S2187, revealed significant genetic associations with loci +92031A/T (p=0.0012) and +92344C/T (p=0.004). A non-synonymous SNP +110832A/GThr/Ala present within a PEST sequence, in proximity of these two loci, showed a significant association with atopic asthma (p=0.0006). The association results were also replicated in an independent cohort of 288 patients and 293 controls (p=0.004). PEST score and western blot analyses indicated a functional role of this SNP in regulating INPP4A protein stability. Conclusions: In our study, INPP4A was identified as a novel asthma candidate gene, whereby the +110832A/GThr/Ala variant affected its stability and was significantly associated with asthma.


Key words: Asthma, gene, INPP4A, SNP







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