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Genetic susceptibility to respiratory syncytial virus bronchiolitis is predominantly associated with innate immune genes

  • Riny Janssen
  • , Louis Bont
  • , Christine L.E. Siezen
  • , Hennie M. Hodemaekers
  • , Marieke J. Ermers
  • , Gerda Doornbos
  • , Ruben Van 'T Slot
  • , Ciska Wijmenga
  • , Jelle J. Goeman
  • , Jan L.L. Kimpen
  • , Hans C. Van Houwelingen
  • , Tjeerd G. Kimman
  • , Barbara Hoebee

Research output: Contribution to journalArticlepeer-review

264 Citations (Scopus)

Abstract

Background. Respiratory syncytial virus (RSV) is a common cause of severe lower respiratory tract infection in infants. Only a proportion of children infected with RSV require hospitalization. Because known risk factors for severe disease, such as premature birth, cannot fully explain differences in disease severity, genetic factors have been implicated. Methods. To study the complexity of RSV susceptibility and to identify the genes and biological pathways involved in its development, we performed a genetic association study involving 470 children hospitalized for RSV bronchiolitis, their parents, and 1008 random, population controls. We analyzed 384 single-nucleotide polymorphisms (SNPs) in 220 candidate genes involved in airway mucosal responses, innate immunity, chemotaxis, adaptive immunity, and allergic asthma. Results. SNPs in the innate immune genes VDR (rs10735810; P = .0017), JUN (rs1 1688; P = .0093), IFNA5 (rs10757212; P = .0093), and NOS2 (rs1060826; P = .0031) demonstrated the strongest association with bronchiolitis. Apart from association at the allele level, these 4 SNPs also demonstrated association at the genotype level (P = .0056, P = .0285, P = .0372, and P = .0117 for the SNPs in VDR, JUN, IFNA5, and NOS2, respectively). The role of innate immunity as a process was reinforced by association of the whole group of innate immune SNPs when the global test for groups of genes was applied (P = .046) Conclusion. SNPs in innate immune genes are important in determining susceptibility to RSV bronchiolitis.

Original languageEnglish
Pages (from-to)826-834
Number of pages9
JournalThe Journal of infectious diseases
Volume196
Issue number6
DOIs
Publication statusPublished - 15 Sept 2007
Externally publishedYes

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