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Erschienen in: Sleep and Breathing 3/2022

16.10.2021 | Sleep Breathing Physiology and Disorders • Review

Association between YKL-40 and asthma: a systematic meta-analysis

verfasst von: Yihan Jin, Jie Song, Fang Xu, Di Zhang, Jinfang He, Jiakun Zheng, Yanan Zhang, Jintong Li, Yikun Guo, Mengjiao Xu, Xiangfeng Yu, Yanbin Liu, Qinghua Liu, Jun Yan

Erschienen in: Sleep and Breathing | Ausgabe 3/2022

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Abstract

Purpose

Many studies have shown that chitinase-3-like protein 1 (CHI3L1), also known as YKL-40, is associated with asthma. The purpose of this meta-analysis was to evaluate the role of serum YKL-40 in the diagnosis and differential diagnosis of asthma, severity grading, and determination of disease state.

Methods

The PubMed, Ovid, and Cochrane databases were searched. A total of 17 articles involving 5696 subjects were included in this meta-analysis.

Results

The results showed that the level of YKL-40 was significantly higher in asthmatic patients than in the normal group regardless of age and residential location, and increased with severity and acute exacerbation (p < 0.05). YKL-40 levels were significantly different between chronic obstructive pulmonary disease (COPD) and asthma, and also between asthma-COPD overlap syndrome (ACO) and asthma (p < 0.05).

Conclusion

YKL-40 may act as a potential serological marker for the diagnosis of asthma, assessment of severity, indicator of the disease state, and differential diagnosis of COPD, ACO, and asthma.
Literatur
1.
Zurück zum Zitat Boot RG, Blommaart EF, Swart E et al (2001) Identification of a novel acidic mammalian chitinase distinct from chitotriosidase[J]. J Biol Chem 276(9):6770–6778PubMedCrossRef Boot RG, Blommaart EF, Swart E et al (2001) Identification of a novel acidic mammalian chitinase distinct from chitotriosidase[J]. J Biol Chem 276(9):6770–6778PubMedCrossRef
3.
Zurück zum Zitat Leung TF, Ching KW, Sy HY et al (2010) CHIA confers susceptibility to childhood eczema[J]. Br J Dermatol 163(6):1360–1362PubMedCrossRef Leung TF, Ching KW, Sy HY et al (2010) CHIA confers susceptibility to childhood eczema[J]. Br J Dermatol 163(6):1360–1362PubMedCrossRef
4.
Zurück zum Zitat Lin HW, Chiang YC, Sun NY et al (2019) CHI3L1 results in poor outcome of ovarian cancer by promoting properties of stem-like cells[J]. Endocr Relat Cancer 26(1):73–88PubMedCrossRef Lin HW, Chiang YC, Sun NY et al (2019) CHI3L1 results in poor outcome of ovarian cancer by promoting properties of stem-like cells[J]. Endocr Relat Cancer 26(1):73–88PubMedCrossRef
5.
Zurück zum Zitat Furuhashi K, Suda T, Nakamura Y et al (2010) Increased expression of YKL-40, a chitinase-like protein, in serum and lung of patients with idiopathic pulmonary fibrosis[J]. Respir Med 104(8):1204–1210PubMedCrossRef Furuhashi K, Suda T, Nakamura Y et al (2010) Increased expression of YKL-40, a chitinase-like protein, in serum and lung of patients with idiopathic pulmonary fibrosis[J]. Respir Med 104(8):1204–1210PubMedCrossRef
6.
Zurück zum Zitat Kuepper M, Bratke K, Virchow JC (2008) Chitinase-like protein and asthma[J]. N Engl J Med 358(10):1073–1075, 1075PubMedCrossRef Kuepper M, Bratke K, Virchow JC (2008) Chitinase-like protein and asthma[J]. N Engl J Med 358(10):1073–1075, 1075PubMedCrossRef
9.
Zurück zum Zitat Gomez JL, Crisafi GM, Holm CT et al (2015) Genetic variation in chitinase 3-like 1 (CHI3L1) contributes to asthma severity and airway expression of YKL-40[J]. J Allergy Clin Immunol 136(1):51–58PubMedPubMedCentralCrossRef Gomez JL, Crisafi GM, Holm CT et al (2015) Genetic variation in chitinase 3-like 1 (CHI3L1) contributes to asthma severity and airway expression of YKL-40[J]. J Allergy Clin Immunol 136(1):51–58PubMedPubMedCentralCrossRef
10.
Zurück zum Zitat Kim SH, Choi H, Yoon MG et al (2015) Dipeptidyl-peptidase 10 as a genetic biomarker for the aspirin-exacerbated respiratory disease phenotype[J]. Ann Allergy Asthma Immunol 114(3):208–213PubMedCrossRef Kim SH, Choi H, Yoon MG et al (2015) Dipeptidyl-peptidase 10 as a genetic biomarker for the aspirin-exacerbated respiratory disease phenotype[J]. Ann Allergy Asthma Immunol 114(3):208–213PubMedCrossRef
11.
Zurück zum Zitat Chupp GL, Lee CG, Jarjour N et al (2007) A chitinase-like protein in the lung and circulation of patients with severe asthma[J]. N Engl J Med 357(20):2016–2027PubMedCrossRef Chupp GL, Lee CG, Jarjour N et al (2007) A chitinase-like protein in the lung and circulation of patients with severe asthma[J]. N Engl J Med 357(20):2016–2027PubMedCrossRef
12.
Zurück zum Zitat Tang H, Fang Z, Sun Y et al (2010) YKL-40 in asthmatic patients, and its correlations with exacerbation, eosinophils and immunoglobulin E[J]. Eur Respir J 35(4):757–760PubMedCrossRef Tang H, Fang Z, Sun Y et al (2010) YKL-40 in asthmatic patients, and its correlations with exacerbation, eosinophils and immunoglobulin E[J]. Eur Respir J 35(4):757–760PubMedCrossRef
13.
Zurück zum Zitat Specjalski K, Jassem E (2011) YKL-40 protein is a marker of asthma[J]. J Asthma 48(8):767–772PubMedCrossRef Specjalski K, Jassem E (2011) YKL-40 protein is a marker of asthma[J]. J Asthma 48(8):767–772PubMedCrossRef
14.
Zurück zum Zitat Konradsen JR, James A, Nordlund B et al (2013) The chitinase-like protein YKL-40: a possible biomarker of inflammation and airway remodeling in severe pediatric asthma[J]. J Allergy Clin Immunol 132(2):328–335PubMedCrossRef Konradsen JR, James A, Nordlund B et al (2013) The chitinase-like protein YKL-40: a possible biomarker of inflammation and airway remodeling in severe pediatric asthma[J]. J Allergy Clin Immunol 132(2):328–335PubMedCrossRef
15.
Zurück zum Zitat Kim HR, Jun CD, Lee KS et al (2012) Levels of YKL-40 in pleural effusions and blood from patients with pulmonary or pleural disease[J]. Cytokine 58(3):336–343PubMedCrossRef Kim HR, Jun CD, Lee KS et al (2012) Levels of YKL-40 in pleural effusions and blood from patients with pulmonary or pleural disease[J]. Cytokine 58(3):336–343PubMedCrossRef
16.
Zurück zum Zitat Duru S, Yuce G, Ulasli SS et al (2013) The relationship between serum YKL-40 levels and severity of asthma[J]. Iran J Allergy Asthma Immunol 12(3):247–253PubMed Duru S, Yuce G, Ulasli SS et al (2013) The relationship between serum YKL-40 levels and severity of asthma[J]. Iran J Allergy Asthma Immunol 12(3):247–253PubMed
18.
Zurück zum Zitat Shirai T, Hirai K, Gon Y et al (2019) Combined assessment of serum periostin and YKL-40 may identify asthma-COPD overlap[J]. J Allergy Clin Immunol Pract 7(1):134–145PubMedCrossRef Shirai T, Hirai K, Gon Y et al (2019) Combined assessment of serum periostin and YKL-40 may identify asthma-COPD overlap[J]. J Allergy Clin Immunol Pract 7(1):134–145PubMedCrossRef
19.
Zurück zum Zitat Han SS, Lee WH, Hong Y et al (2016) Comparison of serum biomarkers between patients with asthma and with chronic obstructive pulmonary disease[J]. J Asthma 53(6):583–588PubMedCrossRef Han SS, Lee WH, Hong Y et al (2016) Comparison of serum biomarkers between patients with asthma and with chronic obstructive pulmonary disease[J]. J Asthma 53(6):583–588PubMedCrossRef
20.
Zurück zum Zitat El BN, Osman HM, Abdelaal AA et al (2018) Increased expression of serum periostin and YKL40 in children with severe asthma and asthma exacerbation[J]. J Investig Med 66(8):1102–1108CrossRef El BN, Osman HM, Abdelaal AA et al (2018) Increased expression of serum periostin and YKL40 in children with severe asthma and asthma exacerbation[J]. J Investig Med 66(8):1102–1108CrossRef
21.
Zurück zum Zitat Gon Y, Maruoka S, Ito R et al (2017) Utility of serum YKL-40 levels for identification of patients with asthma and COPD[J]. Allergol Int 66(4):624–626PubMedCrossRef Gon Y, Maruoka S, Ito R et al (2017) Utility of serum YKL-40 levels for identification of patients with asthma and COPD[J]. Allergol Int 66(4):624–626PubMedCrossRef
22.
Zurück zum Zitat Santos CB, Davidson J, Covar RA et al (2014) The chitinase-like protein YKL-40 is not a useful biomarker for severe persistent asthma in children[J]. Ann Allergy Asthma Immunol 113(3):263–266PubMedCrossRef Santos CB, Davidson J, Covar RA et al (2014) The chitinase-like protein YKL-40 is not a useful biomarker for severe persistent asthma in children[J]. Ann Allergy Asthma Immunol 113(3):263–266PubMedCrossRef
23.
Zurück zum Zitat James AJ, Reinius LE, Verhoek M et al (2016) Increased YKL-40 and chitotriosidase in asthma and chronic obstructive pulmonary disease[J]. Am J Respir Crit Care Med 193(2):131–142PubMedCrossRef James AJ, Reinius LE, Verhoek M et al (2016) Increased YKL-40 and chitotriosidase in asthma and chronic obstructive pulmonary disease[J]. Am J Respir Crit Care Med 193(2):131–142PubMedCrossRef
24.
Zurück zum Zitat Rathcke CN, Johansen JS, Vestergaard H (2006) YKL-40, a biomarker of inflammation, is elevated in patients with type 2 diabetes and is related to insulin resistance[J]. Inflamm Res 55(2):53–59PubMedCrossRef Rathcke CN, Johansen JS, Vestergaard H (2006) YKL-40, a biomarker of inflammation, is elevated in patients with type 2 diabetes and is related to insulin resistance[J]. Inflamm Res 55(2):53–59PubMedCrossRef
25.
Zurück zum Zitat Bara I, Ozier A, Girodet PO et al (2012) Role of YKL-40 in bronchial smooth muscle remodeling in asthma[J]. Am J Respir Crit Care Med 185(7):715–722PubMedCrossRef Bara I, Ozier A, Girodet PO et al (2012) Role of YKL-40 in bronchial smooth muscle remodeling in asthma[J]. Am J Respir Crit Care Med 185(7):715–722PubMedCrossRef
26.
Zurück zum Zitat Tang H, Sun Y, Shi Z et al (2013) YKL-40 induces IL-8 expression from bronchial epithelium via MAPK (JNK and ERK) and NF-kappaB pathways, causing bronchial smooth muscle proliferation and migration[J]. J Immunol 190(1):438–446PubMedCrossRef Tang H, Sun Y, Shi Z et al (2013) YKL-40 induces IL-8 expression from bronchial epithelium via MAPK (JNK and ERK) and NF-kappaB pathways, causing bronchial smooth muscle proliferation and migration[J]. J Immunol 190(1):438–446PubMedCrossRef
27.
Zurück zum Zitat Iwata T, Kuwajima M, Sukeno A et al (2009) YKL-40 secreted from adipose tissue inhibits degradation of type I collagen[J]. Biochem Biophys Res Commun 388(3):511–516PubMedCrossRef Iwata T, Kuwajima M, Sukeno A et al (2009) YKL-40 secreted from adipose tissue inhibits degradation of type I collagen[J]. Biochem Biophys Res Commun 388(3):511–516PubMedCrossRef
28.
Zurück zum Zitat Bigg HF, Wait R, Rowan AD et al (2006) The mammalian chitinase-like lectin, YKL-40, binds specifically to type I collagen and modulates the rate of type I collagen fibril formation[J]. J Biol Chem 281(30):21082–21095PubMedCrossRef Bigg HF, Wait R, Rowan AD et al (2006) The mammalian chitinase-like lectin, YKL-40, binds specifically to type I collagen and modulates the rate of type I collagen fibril formation[J]. J Biol Chem 281(30):21082–21095PubMedCrossRef
29.
Zurück zum Zitat Zhu Z, Zheng T, Homer RJ et al (2004) Acidic mammalian chitinase in asthmatic Th2 inflammation and IL-13 pathway activation[J]. Science 304(5677):1678–1682PubMedCrossRef Zhu Z, Zheng T, Homer RJ et al (2004) Acidic mammalian chitinase in asthmatic Th2 inflammation and IL-13 pathway activation[J]. Science 304(5677):1678–1682PubMedCrossRef
30.
Zurück zum Zitat Lee CG, Hartl D, Lee GR et al (2009) Role of breast regression protein 39 (BRP-39)/chitinase 3-like-1 in Th2 and IL-13-induced tissue responses and apoptosis[J]. J Exp Med 206(5):1149–1166PubMedPubMedCentralCrossRef Lee CG, Hartl D, Lee GR et al (2009) Role of breast regression protein 39 (BRP-39)/chitinase 3-like-1 in Th2 and IL-13-induced tissue responses and apoptosis[J]. J Exp Med 206(5):1149–1166PubMedPubMedCentralCrossRef
31.
Zurück zum Zitat Matsuura H, Hartl D, Kang MJ et al (2011) Role of breast regression protein-39 in the pathogenesis of cigarette smoke-induced inflammation and emphysema[J]. Am J Respir Cell Mol Biol 44(6):777–786PubMedCrossRef Matsuura H, Hartl D, Kang MJ et al (2011) Role of breast regression protein-39 in the pathogenesis of cigarette smoke-induced inflammation and emphysema[J]. Am J Respir Cell Mol Biol 44(6):777–786PubMedCrossRef
32.
Zurück zum Zitat Kanazawa J, Kitazawa H, Masuko H et al (2019) A cis-eQTL allele regulating reduced expression of CHI3L1 is associated with late-onset adult asthma in Japanese cohorts[J]. BMC Med Genet 20(1):58PubMedPubMedCentralCrossRef Kanazawa J, Kitazawa H, Masuko H et al (2019) A cis-eQTL allele regulating reduced expression of CHI3L1 is associated with late-onset adult asthma in Japanese cohorts[J]. BMC Med Genet 20(1):58PubMedPubMedCentralCrossRef
33.
Zurück zum Zitat Liu L, Zhang X, Liu Y et al (2019) Chitinase-like protein YKL-40 correlates with inflammatory phenotypes, anti-asthma responsiveness and future exacerbations[J]. Respir Res 20(1):95PubMedPubMedCentralCrossRef Liu L, Zhang X, Liu Y et al (2019) Chitinase-like protein YKL-40 correlates with inflammatory phenotypes, anti-asthma responsiveness and future exacerbations[J]. Respir Res 20(1):95PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Ahangari F, Sood A, Ma B et al (2015) Chitinase 3-like-1 regulates both visceral fat accumulation and asthma-like Th2 inflammation[J]. Am J Respir Crit Care Med 191(7):746–757PubMedPubMedCentralCrossRef Ahangari F, Sood A, Ma B et al (2015) Chitinase 3-like-1 regulates both visceral fat accumulation and asthma-like Th2 inflammation[J]. Am J Respir Crit Care Med 191(7):746–757PubMedPubMedCentralCrossRef
35.
Zurück zum Zitat Sohn MH, Lee JH, Kim KW et al (2009) Genetic variation in the promoter region of chitinase 3-like 1 is associated with atopy[J]. Am J Respir Crit Care Med 179(6):449–456PubMedCrossRef Sohn MH, Lee JH, Kim KW et al (2009) Genetic variation in the promoter region of chitinase 3-like 1 is associated with atopy[J]. Am J Respir Crit Care Med 179(6):449–456PubMedCrossRef
36.
Zurück zum Zitat Zhu Y, Yan X, Zhai C et al (2017) Association between risk of asthma and gene polymorphisms in CHI3L1 and CHIA: a systematic meta-analysis[J]. BMC Pulm Med 17(1):193PubMedPubMedCentralCrossRef Zhu Y, Yan X, Zhai C et al (2017) Association between risk of asthma and gene polymorphisms in CHI3L1 and CHIA: a systematic meta-analysis[J]. BMC Pulm Med 17(1):193PubMedPubMedCentralCrossRef
37.
Zurück zum Zitat Ober C, Tan Z, Sun Y et al (2008) Effect of variation in CHI3L1 on serum YKL-40 level, risk of asthma, and lung function[J]. N Engl J Med 358(16):1682–1691PubMedPubMedCentralCrossRef Ober C, Tan Z, Sun Y et al (2008) Effect of variation in CHI3L1 on serum YKL-40 level, risk of asthma, and lung function[J]. N Engl J Med 358(16):1682–1691PubMedPubMedCentralCrossRef
38.
Zurück zum Zitat Cunningham J, Basu K, Tavendale R et al (2011) The CHI3L1 rs4950928 polymorphism is associated with asthma-related hospital admissions in children and young adults[J]. Ann Allergy Asthma Immunol 106(5):381–386PubMedCrossRef Cunningham J, Basu K, Tavendale R et al (2011) The CHI3L1 rs4950928 polymorphism is associated with asthma-related hospital admissions in children and young adults[J]. Ann Allergy Asthma Immunol 106(5):381–386PubMedCrossRef
39.
Zurück zum Zitat Li K, Chen Z, Qin Y et al (2019) Plasm YKL-40 levels are associated with hypertension in patients with obstructive sleep apnea[J]. Biomed Res Int 2019:5193597PubMedPubMedCentral Li K, Chen Z, Qin Y et al (2019) Plasm YKL-40 levels are associated with hypertension in patients with obstructive sleep apnea[J]. Biomed Res Int 2019:5193597PubMedPubMedCentral
40.
Zurück zum Zitat Mutlu LC, Tulubas F, Alp R et al (2017) Serum YKL-40 level is correlated with apnea hypopnea index in patients with obstructive sleep apnea syndrome[J]. Eur Rev Med Pharmacol Sci 21(18):4161–4166PubMed Mutlu LC, Tulubas F, Alp R et al (2017) Serum YKL-40 level is correlated with apnea hypopnea index in patients with obstructive sleep apnea syndrome[J]. Eur Rev Med Pharmacol Sci 21(18):4161–4166PubMed
41.
Zurück zum Zitat Ragnoli B, Pochetti P, Raie A et al (2021) Interrelationship between obstructive sleep apnea syndrome and severe asthma: from endo-phenotype to clinical aspects[J]. Front Med (Lausanne) 8:640636CrossRef Ragnoli B, Pochetti P, Raie A et al (2021) Interrelationship between obstructive sleep apnea syndrome and severe asthma: from endo-phenotype to clinical aspects[J]. Front Med (Lausanne) 8:640636CrossRef
42.
Zurück zum Zitat Peng J, Yu Q, Fan S et al (2021) High blood eosinophil and YKL-40 levels, as well as low CXCL9 levels, are associated with increased readmission in patients with acute exacerbation of chronic obstructive pulmonary disease[J]. Int J Chron Obstruct Pulmon Dis 16:795–806PubMedPubMedCentralCrossRef Peng J, Yu Q, Fan S et al (2021) High blood eosinophil and YKL-40 levels, as well as low CXCL9 levels, are associated with increased readmission in patients with acute exacerbation of chronic obstructive pulmonary disease[J]. Int J Chron Obstruct Pulmon Dis 16:795–806PubMedPubMedCentralCrossRef
43.
Zurück zum Zitat Hozumi H, Fujisawa T, Enomoto N et al (2017) Clinical utility of YKL-40 in polymyositis/dermatomyositis-associated interstitial lung disease[J]. J Rheumatol 44(9):1394–1401PubMedCrossRef Hozumi H, Fujisawa T, Enomoto N et al (2017) Clinical utility of YKL-40 in polymyositis/dermatomyositis-associated interstitial lung disease[J]. J Rheumatol 44(9):1394–1401PubMedCrossRef
44.
Zurück zum Zitat Yang X, Sheng G (2018) YKL-40 levels are associated with disease severity and prognosis of viral pneumonia, but not available in bacterial pneumonia in children[J]. BMC Pediatr 18(1):381PubMedPubMedCentralCrossRef Yang X, Sheng G (2018) YKL-40 levels are associated with disease severity and prognosis of viral pneumonia, but not available in bacterial pneumonia in children[J]. BMC Pediatr 18(1):381PubMedPubMedCentralCrossRef
45.
Zurück zum Zitat Schultz NA, Johansen JS (2010) YKL-40-a protein in the field of translational medicine: a role as a biomarker in cancer patients?[J]. Cancers (Basel) 2(3):1453–1491CrossRef Schultz NA, Johansen JS (2010) YKL-40-a protein in the field of translational medicine: a role as a biomarker in cancer patients?[J]. Cancers (Basel) 2(3):1453–1491CrossRef
Metadaten
Titel
Association between YKL-40 and asthma: a systematic meta-analysis
verfasst von
Yihan Jin
Jie Song
Fang Xu
Di Zhang
Jinfang He
Jiakun Zheng
Yanan Zhang
Jintong Li
Yikun Guo
Mengjiao Xu
Xiangfeng Yu
Yanbin Liu
Qinghua Liu
Jun Yan
Publikationsdatum
16.10.2021
Verlag
Springer International Publishing
Erschienen in
Sleep and Breathing / Ausgabe 3/2022
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-021-02495-w

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