Copyright ©ERS Journals Ltd 2008 Functional single nucleotide polymorphisms of the CCL5 gene and nonemphysematous phenotype in COPD patients1 First Dept of Medicine, Hokkaido University Graduate School of Medicine, Sapporo, and 2 Dept of Pulmonary Medicine, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan. CORRESPONDENCE: M. Nishimura, First Dept of Medicine, Hokkaido University School of Medicine, N-15 W-7, Kita-Ku, Sapporo 060-8638, Japan. Fax: 81 117067899. E-mail: ma-nishi{at}med.hokudai.ac.jp Keywords: Chronic obstructive pulmonary disease, emphysema, genetics, late-onset asthma, small airway disease
Received: September 2, 2007
It was previously reported that the gain-of-function -28 guanine allele of the promoter single nucleotide polymorphism (SNP; cytosine to guanine substitution of nucleotide -28 (-28C>G)) in the CC chemokine ligand 5 gene (CCL5) was associated with susceptibility to late-onset asthma in patients who developed asthma at age
Patients with COPD were studied (n = 267). All of the patients underwent pulmonary high-resolution computed tomography (CT), and visual scoring (CT score) was performed to determine emphysema severity. Three SNPs of CCL5 were genotyped, including -403G>A, -28C>G and 375T>C.
A significant difference was found in CT score according to CCL5 genotype; the -28G allele was inversely associated with CT score. When the analysis was confined to 180 patients with bronchial reversibility of <15%, even stronger evidence for this association was noted.
Functional single nucleotide polymorphisms in the CC chemokine ligand 5 gene were associated with milder emphysema. Together with previous findings, the present study may identify the CC chemokine ligand 5 gene as part of a common pathway in the pathogenesis of late-onset asthma and chronic obstructive pulmonary disease with milder emphysema.
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