Molecular Relationships between Bronchial Asthma and Hypertension as Comorbid Diseases
JOURNAL OF INTEGRATIVE BIOINFORMATICS
Authors: Bragina, Elena Yu; Goncharova, Irina A.; Garaeva, Anna F.; Nemerov, Evgeniy, V; Babovskaya, Anastasija A.; Karpov, Andrey B.; Semenova, Yulia, V; Zhalsanova, Irina Z.; Gomboeva, Densema E.; Saik, Olga, V; Zolotareva, Olga, I; Ivanisenko, Vladimir A.; Dosenko, Victor E.; Hofestaedt, Ralf; Freidin, Maxim B.
Abstract
Comorbidity, a co-incidence of several disorders in an individual, is a common phenomenon. Their development is governed by multiple factors, including genetic variation. The current study was set up to look at associations between isolated and comorbid diseases of bronchial asthma and hypertension, on one hand, and single nucleotide polymorphisms associated with regulation of gene expression (eQTL), on the other hand. A total of 96 eQTL SNPs were genotyped in 587 Russian individuals. Bronchial asthma alone was found to be associated with rs1927914 (TLR4), rs1928298 (intergenic variant), and rs1980616 (SERPINA1); hypertension alone was found to be associated with rs11065987 (intergenic variant); rs2284033 (IL2RB), rs11191582 (NT5C2), and rs11669386 (CARDS); comorbidity between asthma and hypertension was found to be associated with o rs1010461 (ANG/RNASE4), rs7038716, rs7026297 (LOC105376244), rs7025144 (intergenic variant), and rs2022318 (intergenic variant). The results suggest that genetic background of comorbidity of asthma and hypertension is En different from genetic backgrounds of both diseases manifesting isolated.
alpha 1-antitrypsin deficiency
LANCET
Authors: Stoller, JK; Aboussouan, LS
Abstract
alpha 1-antitrypsin deficiency is a genetic disorder that affects about one in 2000-5000 individuals. It is clinically characterised by liver disease and early-onset emphysema. Although alpha 1 antitrypsin is mainly produced in the liver, its main function is to protect the lung against proteolytic damage from neutrophil elastase. The most frequent mutation that causes severe alpha 1-antitrypsin deficiency arises in the SERPINA1 gene and gives rise to the Zallele. This mutation reduces concentrations in serum of alpha 1 antitrypsin by retaining polymerised molecules within hepatocytes: an amount below the serum protective threshold of 11 mu mol/L increases risk for emphysema. In addition to the usual treatments for emphysema, infusion of purified alpha 1 antitrypsin from pooled human plasma represents a specific treatment and raises the concentrations in serum and epithelial-lining fluid above the protective threshold. Evidence suggests that this approach is safe, slows the decline of lung function, could reduce infection rates, and might enhance survival. However, uncertainty about the cost-effectiveness of this expensive treatment remains.