Published ahead of print on August 14, 2008, doi:10.1164/rccm.200804-549OC Am. J. Respir. Crit. Care Med., Volume 178, Number 9, November 2008, 906-912 A more recent version of this article appeared on November 1, 2008
Submitted on April 11, 2008 Superoxide Dismutase 3 Polymorphism Associated with Reduced Lung Function in Two Large PopulationsMorten Dahl1,1 Department of Clinical Biochemistry and the Copenhagen General Population Study, Herlev Hospital, Copenhagen University Hospital, Herlev, Denmark, 2 Department of Medicine, National Jewish Medical and Research Center, Denver, CO, USA, 3 J. Craig Venter Institute, Rockville, MD, USA, 4 Department of Clinical Biochemistry and the Copenhagen General Population Study, Herlev Hospital, Copenhagen University Hospital, Herlev, Denmark; Copenhagen City Heart Study, Bispebjerg Hospital, Copenhagen University Hospital, Copenhagen, Denmark * To whom correspondence should be addressed. E-mail: brno{at}heh.regionh.dk.
Rationale: Superoxide dismutase 3 (SOD3) inhibits oxidative fragmentation of lung matrix components collagen I, hyaluronan, and heparan sulfate. Inherited change in SOD3 expression or function could affect lung matrix homeostasis and influence pulmonary function. Objectives and Methods: Resequencing of 182 individuals identified two novel polymorphisms E1 (rs8192287) and I1 (rs8192288) in a conserved region of the SOD3 gene of potential relationship to lung function. We next genotyped 9093 individuals from the Copenhagen City Heart Study for the polymorphisms and recorded spirometry, and admissions and deaths due to COPD during 26 years follow-up. Finally, we validated our findings in a cross-sectional analysis of 35,635 individuals from the Copenhagen General Population Study. Measurements and Main Results: Genotyping the Copenhagen City Heart Study identified 35 E1/I1 homozygotes, 1,050 heterozygotes, and 8,008 non-carriers (Hardy-Weinberg equilibrium:P=0.93). Using quadruple lung function measurements, we found that E1/I1 homozygotes had 7% lower forced vital capacity (FVC)% predicted (P=0.006) and 4% lower forced expiratory volume in first second (FEV1) %predicted (P=0.12) compared with noncarriers. In the Copenhagen General Population Study, E1/I1 homozygotes also had lower FVC % predicted than noncarriers (P=0.03), confirming an association between E1/I1 genotype and reduced lung function. E1/I1 homozygotes had adjusted hazard ratios for COPD hospitalization and COPD mortality of 2.5 (1.0-5.9) and 3.7 (0.9-15), respectively; the results were independent from influence from the R213G allele of the SOD3 gene. Conclusions: We identified two novel polymorphisms in a conserved region of the SOD3 gene and show that individuals that are homozygous for these polymorphisms have reduced FVC % predicted in two large population-based studies. Key words: SOD3 protein, Human; Superoxide dismutase; Pulmonary Disease, Chronic Obstructive; Genetics; Oxidative stress;
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