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Published online before print July 26, 2006
Eur Respir J 2006, doi:10.1183/09031936.06.00114905
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ORIGINAL ARTICLE

GSTM1 and GSTP1 and respiratory health in asthmatic children exposed to ozone

I. Romieu 1*, M. Ramirez-Aguilar 1, J.J. Sienra-Monge 2, H. Moreno-Macías 1, B.E. del Rio-Navarro 2, G. David 3, J. Marzec 3, M. Hernández-Avila 1, S. London 3

1 Instituto Nacional de Salud Publica de México
2 Hospital Infantil "Federico Gómez", México
3 Division of Intramural Research, National Institute of Environmental Health Sciences, National Institutes of Health, Dept of Health and Human Services, NC, USA

* To whom correspondence should be addressed. E-mail: iromieu{at}correo.insp.mx.


   Abstract

Acute exposure to ozone has been related to a wide spectrum of health effects in susceptible individuals. Genetic factors may influence inter-individual variation in ozone response. We investigated the relation between common polymorphisms in two genes involved in response to oxidative stress, glutathione S-transferases M1 (GSTM1) and P1 (GSTP1), and both respiratory symptoms and lung function in response to ozone among childhood asthmatics.

We studied 151 asthmatic children, participants in a randomized controlled trial of antioxidant vitamin supplementation in Mexico City. Children were genotyped using PCR methods and followed from October 1998-April 2000.

Increases in reported difficulty breathing were associated with ozone exposure in children with GSTM1 null (8%, 95%CI 1% to 15%, per 20 ppb increase in 1-hour maximum daily average over 7 days) or GSTP1 Val/Val genotypes (14%, 95%CI 5% to 25%). In children with both GSTM1 null and GSTP1 Val/Val genotypes, the increase in difficulty breathing associated with 20 ppb increase in ozone exposure was even greater (21%, 95%CI 5% to 39%). GSTP1 genotypes were not significantly associated with ozone-related lung function changes.

Asthmatic children with GSTM1 null and GSTP1 Val/Val genotypes appear more susceptible to developing respiratory symptoms related to ozone exposure.

Keywords:  Asthmatic children, GSTM1, GSTP1, lung function, ozone, symptoms




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