Title | Association of Asthma Risk Alleles With Acute Respiratory Tract Infections and Wheezing Illnesses in Young Children. | ||
Author | Forsstrom, Ville; Toivonen, Laura; Homil, Kiara; Waris, Matti; Pedersen, Casper-Emil T; Bonnelykke, Klaus; Jartti, Tuomas; Peltola, Ville | ||
Journal | J Infect Dis | Publication Year/Month | 2023-Mar |
PMID | 36967681 | PMCID | -N/A- |
Affiliation + expend | 1.Department of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, 20520 Turku, Finland. |
BACKGROUND: Genome-wide association studies have identified several risk alleles for early childhood asthma, particularly in the 17q21 locus and in the cadherin-related family member 3 (CDHR3) gene. Contribution of these alleles to the risk of acute respiratory tract infections (ARI) in the early childhood is unclear. METHODS: We analyzed data from the STEPS birth-cohort study of unselected children and the VINKU and VINKU2 studies on children with severe wheezing illness. Genome-wide genotyping was performed on 1011 children. We analyzed the association between 11 pre-selected asthma risk alleles and the risk of ARIs and wheezing illnesses of various viral etiologies. RESULTS: The asthma risk alleles in CDHR3, GSDMA, and GSDMB were associated with an increased rate of ARIs (for CDHR3, incidence rate ratio [IRR], 1.06; 95% CI, 1.01-1.12; P=0.02), and risk allele in CDHR3 gene with rhinovirus infections (IRR, 1.10; 95% CI, 1.01-1.20, P=0.03). Asthma risk alleles in GSDMA, GSDMB, IKZF3, ZPBP2, and ORMDL3 genes were associated with wheezing illnesses in early childhood, especially rhinovirus-positive wheezing illnesses. CONCLUSIONS: Asthma risk alleles were associated with an increased rate of ARIs and an increased risk of viral wheezing illnesses. Non-wheezing and wheezing ARIs and asthma may have shared genetic risk factors.