Eur Respir J 2007, doi:10.1183/09031936.00160806
Effects of antioxidant enzyme polymorphisms on ozone-induced lung function changes
1 These authors contributed equally to this article; and School of Public Health, University of California, Berkeley
* To whom correspondence should be addressed. E-mail: john.balmes{at}ucsf.edu.
Chronic exposure to O3 can cause changes in lung function that may reflect remodeling of small airways. Antioxidant enzyme function likely affects susceptibility to O3. The aim of this study was to determine whether polymorphisms in antioxidant enzyme (GSTM1, GSTP1, NQO1) genes affect the risk of lung function changes related to chronic exposure to O3. We genotyped 210 young adults who participated in a previous study that showed a relationship between lifetime exposure to O3 and decreased lung function. We used multivariable linear regression to model sex-specific associations between genotypes and O3-related lung function changes, adjusting for height, weight, lifetime exposure to NO2, PM10, and self-identified race/ethnicity. The GSTM1-null/NQO1 Pro187Pro-combination genotype was significantly associated with increased risk of an O3-related decrease in FEF25–75 in females [parameter estimate (SE): -75 (35) ml·s-1], while the GSTP1 Val105 variant genotypes were significantly associated with greater risk of an O3-related decrease in FEF75 in males [-81 (31) ml·s-1]. GSTM1-null status was not significantly associated with any O3-related changes in lung function in either sex. We conclude that the effects of antioxidant enzyme gene polymorphisms on risk of decreased lung function related to chronic exposure to O3 may be modified by sex-specific factors. Keywords: Antioxidant enzymes, lung function, oxidative injury, ozone
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