Mechanisms of asthma and allergic inflammation
Polymorphisms in SPINK5 are not associated with asthma in a Dutch population

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Background

Asthma and allergic phenotypes are complex genetic diseases with known linkage to chromosome 5q. This region has many candidate genes, including serine protease inhibitor Kazal type 5 (SPINK5), which has been associated with asthma and atopic dermatitis in family-based studies of children with atopic dermatitis.

Objective

We sought to investigate whether single nucleotide polymorphisms in SPINK5 are associated with asthma, atopic phenotypes, and atopic dermatitis.

Methods

We investigated whether single nucleotide polymorphisms in SPINK5 (ie, −785 A/G, Asn368Ser, and Lys420Glu) are associated with asthma, atopic phenotypes, and atopic dermatitis in 200 families ascertained by a proband with asthma (nonaffected spouses served as a matched control population) and an independent set of 252 trios with asthma.

Results

We found no association with asthma, atopic phenotypes, and atopic dermatitis after correction for multiple testing.

Conclusion

The negative results in this study suggest that SPINK5 is not associated with asthma or atopic phenotypes in individuals ascertained by a proband with asthma. This is consistent with the finding that SPINK5 is not expressed in the lung. Because our patients were ascertained for asthma, a role of SPINK5 in atopic dermatitis cannot be excluded.

Section snippets

Study populations

Between 1963 and 1975, patients with symptomatic asthma were referred to Beatrixoord, a local asthma center in the northern part of the Netherlands, for clinical evaluation and optimization of asthma treatment. Two hundred of these asthmatic patients participated between 1991 and 1999 in a family study on the genetics of asthma, together with their spouses, children, children's spouses, available grandchildren and their spouses, and available great-grandchildren. All individuals have been

Results

A total of 200 asthmatic probands and their spouses from the families and 252 probands from the trios were evaluated. Classical trios consisting of proband and both parents were analyzed (69.4% [n = 175]). The clinical characteristics of both the cases and control subjects of the families and the trios are outlined in Table II. The Frisian asthmatic patients were younger than the probands from the families. In addition, FEV1 was higher in the Frisian patients.

Allele frequencies of the SNPs (ie,

Discussion

This study suggests that the polymorphisms of the SPINK5 gene we genotyped do not contribute to susceptibility to asthma and atopic phenotypes in the Dutch population. In 2 independent populations, both ascertained by a proband with asthma, we found one significant association between the A allele of the −785 SNP and specific IgE to Der p 1 (P = .04). However, because 3 SNPs and 7 phenotypes had been analyzed, we performed a multiple testing correction. Correcting for 21 tests would, however, be

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    Supported by grants of the Netherlands Asthma Foundation (AF 95.09 and AF 98.48).

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