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Erschienen in: Current Allergy and Asthma Reports 3/2011

01.06.2011

Genetics of Rhinosinusitis

verfasst von: Leandra Mfuna-Endam, Yuan Zhang, Martin Y. Desrosiers

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 3/2011

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Abstract

Suggestion for a potential genetic basis to chronic rhinosinusitis (CRS) is afforded by degree of inheritability suggested from family and twin studies, existence of CRS in simple mendelian diseases, and development of sinusitis as part of the phenotype of certain gene “knockout” murine models. Genetic association studies are expected to identify novel genes associated with CRS and suggest novel mechanisms implicated in disease development. Although these studies are subject to methodologic difficulties, associations of CRS and polymorphisms in more than 30 genes have been published, with single nucleotide polymorphisms in 3 (IL1A, TNFA, AOAH) replicated. While the individual risk conferred by these single nucleotide polymorphisms remains modest, taken as a group, they suggest an important implication of pathways of innate immune recognition and in regulation of downstream signaling in the development of CRS. In a demonstration of these techniques’ potential to identify new targets for research, the authors present a functional investigation of LAMB1, the top-rated gene from a pooling-based genome-wide association study of CRS. Upregulation of gene expression in LAMB1 and associated laminin genes in primary epithelial cells from CRS patients implicates the extracellular matrix in development of CRS and offers a new avenue for further study.
Literatur
1.
Zurück zum Zitat • Macdonald, K.I., J.D. McNally, and E. Massoud, The health and resource utilization of Canadians with chronic rhinosinusitis. Laryngoscope, 2009. 119(1):184–9. This is a concise documentation of the health care costs of CRS.PubMedCrossRef • Macdonald, K.I., J.D. McNally, and E. Massoud, The health and resource utilization of Canadians with chronic rhinosinusitis. Laryngoscope, 2009. 119(1):184–9. This is a concise documentation of the health care costs of CRS.PubMedCrossRef
2.
Zurück zum Zitat Fokkens W, Lund V, Mullol J. European position paper on rhinosinusitis and nasal polyps. Rhinol Suppl. 2007;20:1–136.PubMed Fokkens W, Lund V, Mullol J. European position paper on rhinosinusitis and nasal polyps. Rhinol Suppl. 2007;20:1–136.PubMed
3.
Zurück zum Zitat Stephenson, M.F., et al., Molecular characterization of the polymicrobial flora in chronic rhinosinusitis. J Otolaryngol Head Neck Surg. 39(2):182–7. Stephenson, M.F., et al., Molecular characterization of the polymicrobial flora in chronic rhinosinusitis. J Otolaryngol Head Neck Surg. 39(2):182–7.
4.
Zurück zum Zitat Al-Shemari H et al. Bacteriology of the sinus cavities of asymptomatic individuals after endoscopic sinus surgery. J Otolaryngol. 2007;36(1):43–8.PubMedCrossRef Al-Shemari H et al. Bacteriology of the sinus cavities of asymptomatic individuals after endoscopic sinus surgery. J Otolaryngol. 2007;36(1):43–8.PubMedCrossRef
5.
Zurück zum Zitat •• Bachert, C., et al., Role of staphylococcal superantigens in upper airway disease. Curr Opin Allergy Clin Immunol, 2008. 8(1):34–8. This is a comprehensive review of the evidence and mechanisms for staphylococcal enterotoxins in the pathogenesis of CRS. •• Bachert, C., et al., Role of staphylococcal superantigens in upper airway disease. Curr Opin Allergy Clin Immunol, 2008. 8(1):34–8. This is a comprehensive review of the evidence and mechanisms for staphylococcal enterotoxins in the pathogenesis of CRS.
6.
Zurück zum Zitat •• Kilty, S.J. and M.Y. Desrosiers, Are biofilms the answer in the pathophysiology and treatment of chronic rhinosinusitis? Immunol Allergy Clin North Am, 2009. 29(4):645–56. This is a review of bacterial biofilms, their role in CRS, and potential treatment avenues. •• Kilty, S.J. and M.Y. Desrosiers, Are biofilms the answer in the pathophysiology and treatment of chronic rhinosinusitis? Immunol Allergy Clin North Am, 2009. 29(4):645–56. This is a review of bacterial biofilms, their role in CRS, and potential treatment avenues.
7.
Zurück zum Zitat • Corriveau, M.N., et al., Detection of Staphylococcus aureus in nasal tissue with peptide nucleic acid-fluorescence in situ hybridization. Am J Rhinol Allergy, 2009. 23(5):461–5. This is one of several articles demonstrating the intracellular presence of bacteria in CRS. • Corriveau, M.N., et al., Detection of Staphylococcus aureus in nasal tissue with peptide nucleic acid-fluorescence in situ hybridization. Am J Rhinol Allergy, 2009. 23(5):461–5. This is one of several articles demonstrating the intracellular presence of bacteria in CRS.
8.
Zurück zum Zitat • Bousquet, J., et al., Unmet needs in severe chronic upper airway disease (SCUAD). J Allergy Clin Immunol, 2009. 124(3):428–33. This article identifies research priorities in rhinitis and sinusitis. • Bousquet, J., et al., Unmet needs in severe chronic upper airway disease (SCUAD). J Allergy Clin Immunol, 2009. 124(3):428–33. This article identifies research priorities in rhinitis and sinusitis.
9.
Zurück zum Zitat Bachert C, Patou J, Van Cauwenberge P. The role of sinus disease in asthma. Curr Opin Allergy Clin Immunol. 2006;6(1):29–36.PubMedCrossRef Bachert C, Patou J, Van Cauwenberge P. The role of sinus disease in asthma. Curr Opin Allergy Clin Immunol. 2006;6(1):29–36.PubMedCrossRef
10.
Zurück zum Zitat Sobol SE et al. Cytokine profile of chronic sinusitis in patients with cystic fibrosis. Arch Otolaryngol Head Neck Surg. 2002;128(11):1295–8.PubMed Sobol SE et al. Cytokine profile of chronic sinusitis in patients with cystic fibrosis. Arch Otolaryngol Head Neck Surg. 2002;128(11):1295–8.PubMed
11.
Zurück zum Zitat Yang A et al. p73-deficient mice have neurological, pheromonal and inflammatory defects but lack spontaneous tumours. Nature. 2000;404(6773):99–103.PubMedCrossRef Yang A et al. p73-deficient mice have neurological, pheromonal and inflammatory defects but lack spontaneous tumours. Nature. 2000;404(6773):99–103.PubMedCrossRef
12.
Zurück zum Zitat Cohen NA et al. Familial aggregation of sinonasal polyps correlates with severity of disease. Otolaryngol Head Neck Surg. 2006;134(4):601–4.PubMedCrossRef Cohen NA et al. Familial aggregation of sinonasal polyps correlates with severity of disease. Otolaryngol Head Neck Surg. 2006;134(4):601–4.PubMedCrossRef
13.
Zurück zum Zitat Greisner, W.A., 3rd and G.A. Settipane, Hereditary factor for nasal polyps. Allergy Asthma Proc, 1996. 17(5):283–6. Greisner, W.A., 3rd and G.A. Settipane, Hereditary factor for nasal polyps. Allergy Asthma Proc, 1996. 17(5):283–6.
14.
Zurück zum Zitat • Slatkin, M., Linkage disequilibrium--understanding the evolutionary past and mapping the medical future. Nature reviews. Genetics, 2008. 9(6):477–85. This is a summary of linkage disequilibrium techniques for the nonspecialist. • Slatkin, M., Linkage disequilibrium--understanding the evolutionary past and mapping the medical future. Nature reviews. Genetics, 2008. 9(6):477–85. This is a summary of linkage disequilibrium techniques for the nonspecialist.
15.
Zurück zum Zitat Tewfik, M.A., et al., Genetics of chronic rhinosinusitis: a primer. J Otolaryngol Head Neck Surg. 39(1):62–8. Tewfik, M.A., et al., Genetics of chronic rhinosinusitis: a primer. J Otolaryngol Head Neck Surg. 39(1):62–8.
16.
Zurück zum Zitat Thorisson GA et al. The International HapMap Project Web site. Genome Res. 2005;15(11):1592–3.PubMedCrossRef Thorisson GA et al. The International HapMap Project Web site. Genome Res. 2005;15(11):1592–3.PubMedCrossRef
17.
Zurück zum Zitat Karolchik, D., A.S. Hinrichs, and W.J. Kent, The UCSC Genome Browser. Current protocols in bioinformatics/editoral board, Andreas D. Baxevanis … [et al.], 2009. Chapter 1: p. Unit1 4. Karolchik, D., A.S. Hinrichs, and W.J. Kent, The UCSC Genome Browser. Current protocols in bioinformatics/editoral board, Andreas D. Baxevanis … [et al.], 2009. Chapter 1: p. Unit1 4.
18.
Zurück zum Zitat • Little, J., et al., STrengthening the REporting of Genetic Association Studies (STREGA): an extension of the STROBE statement. PLoS Medicine, 2009. 6(2):e22. These are widely diffused guidelines for designing, interpreting, and reporting genetic association studies. • Little, J., et al., STrengthening the REporting of Genetic Association Studies (STREGA): an extension of the STROBE statement. PLoS Medicine, 2009. 6(2):e22. These are widely diffused guidelines for designing, interpreting, and reporting genetic association studies.
19.
Zurück zum Zitat • Moller, M. and E.G. Hoal, Current findings, challenges and novel approaches in human genetic susceptibility to tuberculosis. Tuberculosis, 2010. 90(2):71–83. This illustrates the use of genetic association studies to identify host factors conferring susceptibility to an infectious agent. • Moller, M. and E.G. Hoal, Current findings, challenges and novel approaches in human genetic susceptibility to tuberculosis. Tuberculosis, 2010. 90(2):71–83. This illustrates the use of genetic association studies to identify host factors conferring susceptibility to an infectious agent.
20.
Zurück zum Zitat Meltzer EO et al. Rhinosinusitis: developing guidance for clinical trials. J Allergy Clin Immunol. 2006;118(5 Suppl):S17–61.PubMedCrossRef Meltzer EO et al. Rhinosinusitis: developing guidance for clinical trials. J Allergy Clin Immunol. 2006;118(5 Suppl):S17–61.PubMedCrossRef
21.
Zurück zum Zitat • Cutting, G.R., Modifier genes in Mendelian disorders: the example of cystic fibrosis. Annals of the New York Academy of Sciences, 2010. 1214: p. 57–69. The author describes gene–gene interactions on the phenotypic impact of the genetic variation, using a disease—cystic fibrosis—with a simple mendelian model. • Cutting, G.R., Modifier genes in Mendelian disorders: the example of cystic fibrosis. Annals of the New York Academy of Sciences, 2010. 1214: p. 57–69. The author describes gene–gene interactions on the phenotypic impact of the genetic variation, using a disease—cystic fibrosis—with a simple mendelian model.
22.
Zurück zum Zitat Lango Allen, H., et al., Hundreds of variants clustered in genomic loci and biological pathways affect human height. Nature. 467(7317):832–8. Lango Allen, H., et al., Hundreds of variants clustered in genomic loci and biological pathways affect human height. Nature. 467(7317):832–8.
23.
Zurück zum Zitat • Hastie, C.E., S. Padmanabhan, and A.F. Dominiczak, Genome-wide association studies of hypertension: light at the end of the tunnel. Int J Hypertens. 2010:509581. This current review identifies potential pitfalls in genetic association studies while offering concrete evidence of existing benefits from these approaches. • Hastie, C.E., S. Padmanabhan, and A.F. Dominiczak, Genome-wide association studies of hypertension: light at the end of the tunnel. Int J Hypertens. 2010:509581. This current review identifies potential pitfalls in genetic association studies while offering concrete evidence of existing benefits from these approaches.
24.
Zurück zum Zitat Chanock SJ et al. Replicating genotype-phenotype associations. Nature. 2007;447(7145):655–60.PubMedCrossRef Chanock SJ et al. Replicating genotype-phenotype associations. Nature. 2007;447(7145):655–60.PubMedCrossRef
25.
Zurück zum Zitat Kraft P. Curses—winner’s and otherwise—in genetic epidemiology. Epidemiology. 2008;19(5):649–51. discussion 657–8.PubMedCrossRef Kraft P. Curses—winner’s and otherwise—in genetic epidemiology. Epidemiology. 2008;19(5):649–51. discussion 657–8.PubMedCrossRef
26.
Zurück zum Zitat Karjalainen J et al. The IL1A genotype is associated with nasal polyposis in asthmatic adults. Allergy. 2003;58(5):393–6.PubMedCrossRef Karjalainen J et al. The IL1A genotype is associated with nasal polyposis in asthmatic adults. Allergy. 2003;58(5):393–6.PubMedCrossRef
27.
Zurück zum Zitat Erbek, S.S., et al., Proinflammatory cytokine single nucleotide polymorphisms in nasal polyposis. Archives of otolaryngology--head & neck surgery, 2007. 133(7):705–9. Erbek, S.S., et al., Proinflammatory cytokine single nucleotide polymorphisms in nasal polyposis. Archives of otolaryngology--head & neck surgery, 2007. 133(7):705–9.
28.
Zurück zum Zitat Mfuna Endam, L., et al., Association of IL1A, IL1B, and TNF gene polymorphisms with chronic rhinosinusitis with and without nasal polyposis: a replication study. Arch Otolaryngol Head Neck Surg. 136(2):187–92. Mfuna Endam, L., et al., Association of IL1A, IL1B, and TNF gene polymorphisms with chronic rhinosinusitis with and without nasal polyposis: a replication study. Arch Otolaryngol Head Neck Surg. 136(2):187–92.
29.
Zurück zum Zitat Rossin, E.J., et al., Proteins encoded in genomic regions associated with immune-mediated disease physically interact and suggest underlying biology. PLoS Genet. 7(1):e1001273. Rossin, E.J., et al., Proteins encoded in genomic regions associated with immune-mediated disease physically interact and suggest underlying biology. PLoS Genet. 7(1):e1001273.
30.
Zurück zum Zitat •• Bosse, Y., et al., Identification of susceptibility genes for complex diseases using pooling-based genome-wide association scans. Hum Genet, 2009. 125(3):305–18. This is the only published “hypothesis-free” study of genetic associations in CRS; using a modification of the GWAS technique, it identifies potential candidate genes and novel pathways. •• Bosse, Y., et al., Identification of susceptibility genes for complex diseases using pooling-based genome-wide association scans. Hum Genet, 2009. 125(3):305–18. This is the only published “hypothesis-free” study of genetic associations in CRS; using a modification of the GWAS technique, it identifies potential candidate genes and novel pathways.
31.
Zurück zum Zitat • Zhang, Y., et al., Demonstration of a common genetic basis to CRS in Chinese and Caucasian populations. J Allergy Clin Immunol, 2011. 127(2 Suppl): p. AB121. This is an exploration of reported differences in CRS pathophysiology between Chinese and Caucasian populations. • Zhang, Y., et al., Demonstration of a common genetic basis to CRS in Chinese and Caucasian populations. J Allergy Clin Immunol, 2011. 127(2 Suppl): p. AB121. This is an exploration of reported differences in CRS pathophysiology between Chinese and Caucasian populations.
32.
Zurück zum Zitat Kilty, S.J., et al., Polymorphisms in the SERPINA1 (alpha-1-antitrypsin) gene are associated with severe chronic rhinosinusitis unresponsive to medical therapy. Am J Rhinol Allergy. 24(1):e4-9. Kilty, S.J., et al., Polymorphisms in the SERPINA1 (alpha-1-antitrypsin) gene are associated with severe chronic rhinosinusitis unresponsive to medical therapy. Am J Rhinol Allergy. 24(1):e4-9.
33.
Zurück zum Zitat Tournas, A., et al., A pooling-based genome-wide association study implicates the p73 gene in chronic rhinosinusitis. J Otolaryngol Head Neck Surg. 39(2):188–95. Tournas, A., et al., A pooling-based genome-wide association study implicates the p73 gene in chronic rhinosinusitis. J Otolaryngol Head Neck Surg. 39(2):188–95.
34.
Zurück zum Zitat Desrosiers, M., et al., Alpha-1-antitrypsin deficiency: a new clinical entity in CRS? Journal of Allergy and Clinical Immunology, 2010. 125(2, Supplement 1):AB100. Desrosiers, M., et al., Alpha-1-antitrypsin deficiency: a new clinical entity in CRS? Journal of Allergy and Clinical Immunology, 2010. 125(2, Supplement 1):AB100.
35.
Zurück zum Zitat • Desrosiers, M., et al., Bioinformatic analysis of epithelial cell gene expression in chronic rhinosinusitis identifies constitutive differences between CRSwNP and CRSsNP. J Allergy Clin Immunol, 2011. 127(2 Suppl): p. AB269. This network analysis of gene expression profiles in primary epithelial cells from CRS patients identifies involvement of the same pathways as those predicted from gene association studies. • Desrosiers, M., et al., Bioinformatic analysis of epithelial cell gene expression in chronic rhinosinusitis identifies constitutive differences between CRSwNP and CRSsNP. J Allergy Clin Immunol, 2011. 127(2 Suppl): p. AB269. This network analysis of gene expression profiles in primary epithelial cells from CRS patients identifies involvement of the same pathways as those predicted from gene association studies.
36.
Zurück zum Zitat • Buysschaert, I.D., et al., Genetic evidence for a role of IL33 in nasal polyposis. Allergy, 2010. 65(5):616–22. This is another elegant study combining genomic and transcriptomic methods. Different gene expression results in CRS identify IL33 as a candidate gene in CRS for genetic association studies. • Buysschaert, I.D., et al., Genetic evidence for a role of IL33 in nasal polyposis. Allergy, 2010. 65(5):616–22. This is another elegant study combining genomic and transcriptomic methods. Different gene expression results in CRS identify IL33 as a candidate gene in CRS for genetic association studies.
37.
Zurück zum Zitat Cheng, Y.K., et al., Increased prevalence of interleukin-1 receptor antagonist gene polymorphism in patients with chronic rhinosinusitis. Archives of otolaryngology--head & neck surgery, 2006. 132(3):285–90. Cheng, Y.K., et al., Increased prevalence of interleukin-1 receptor antagonist gene polymorphism in patients with chronic rhinosinusitis. Archives of otolaryngology--head & neck surgery, 2006. 132(3):285–90.
38.
Zurück zum Zitat Lee JS et al. Association of CACNG6 polymorphisms with aspirin-intolerance asthmatics in a Korean population. BMC Med Genet. 2010;11:138.PubMedCrossRef Lee JS et al. Association of CACNG6 polymorphisms with aspirin-intolerance asthmatics in a Korean population. BMC Med Genet. 2010;11:138.PubMedCrossRef
39.
Zurück zum Zitat Wang LF et al. Matrix metalloproteinase-9 gene polymorphisms in nasal polyposis. BMC Med Genet. 2010;11:85.PubMedCrossRef Wang LF et al. Matrix metalloproteinase-9 gene polymorphisms in nasal polyposis. BMC Med Genet. 2010;11:85.PubMedCrossRef
40.
Zurück zum Zitat Batikhan H et al. Association of the tumor necrosis factor-alpha −308 G/A polymorphism with nasal polyposis. Eur archives oto rhino laryngology official journal Eur Fed Oto Rhino Laryngol Soc. 2010;267(6):903–8. Batikhan H et al. Association of the tumor necrosis factor-alpha −308 G/A polymorphism with nasal polyposis. Eur archives oto rhino laryngology official journal Eur Fed Oto Rhino Laryngol Soc. 2010;267(6):903–8.
41.
Zurück zum Zitat Kim SH et al. Combined effect of IL-10 and TGF-beta1 promoter polymorphisms as a risk factor for aspirin-intolerant asthma and rhinosinusitis. Allergy. 2009;64(8):1221–5.PubMedCrossRef Kim SH et al. Combined effect of IL-10 and TGF-beta1 promoter polymorphisms as a risk factor for aspirin-intolerant asthma and rhinosinusitis. Allergy. 2009;64(8):1221–5.PubMedCrossRef
42.
Zurück zum Zitat Bernstein JM et al. Genetic polymorphisms in chronic hyperplastic sinusitis with nasal polyposis. Laryngoscope. 2009;119(7):1258–64.PubMedCrossRef Bernstein JM et al. Genetic polymorphisms in chronic hyperplastic sinusitis with nasal polyposis. Laryngoscope. 2009;119(7):1258–64.PubMedCrossRef
43.
Zurück zum Zitat Kim SH et al. Association between a TGFbeta1 promoter polymorphism and rhinosinusitis in aspirin-intolerant asthmatic patients. Respir Med. 2007;101(3):490–5.PubMedCrossRef Kim SH et al. Association between a TGFbeta1 promoter polymorphism and rhinosinusitis in aspirin-intolerant asthmatic patients. Respir Med. 2007;101(3):490–5.PubMedCrossRef
44.
Zurück zum Zitat Cormier C et al. Polymorphisms in the tumour necrosis factor alpha-induced protein 3 (TNFAIP3) gene are associated with chronic rhinosinusitis. J Otolaryngol Head Neck Surg. 2009;38(1):133–41.PubMed Cormier C et al. Polymorphisms in the tumour necrosis factor alpha-induced protein 3 (TNFAIP3) gene are associated with chronic rhinosinusitis. J Otolaryngol Head Neck Surg. 2009;38(1):133–41.PubMed
45.
Zurück zum Zitat Endam, L.M., et al., Polymorphisms in the interleukin-22 receptor alpha-1 gene are associated with severe chronic rhinosinusitis. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2009. 140(5):741–7. Endam, L.M., et al., Polymorphisms in the interleukin-22 receptor alpha-1 gene are associated with severe chronic rhinosinusitis. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2009. 140(5):741–7.
46.
Zurück zum Zitat Castano, R., et al., c-MET pathway involvement in chronic rhinosinusitis: a genetic association analysis. Otolaryngol Head Neck Surg. 142(5):665–71 e1-2. Castano, R., et al., c-MET pathway involvement in chronic rhinosinusitis: a genetic association analysis. Otolaryngol Head Neck Surg. 142(5):665–71 e1-2.
47.
Zurück zum Zitat Tewfik MA et al. Polymorphisms in interleukin-1 receptor-associated kinase 4 are associated with total serum IgE. Allergy. 2009;64(5):746–53.PubMedCrossRef Tewfik MA et al. Polymorphisms in interleukin-1 receptor-associated kinase 4 are associated with total serum IgE. Allergy. 2009;64(5):746–53.PubMedCrossRef
48.
Zurück zum Zitat Castano, R., et al., Evidence of association of interleukin-1 receptor-like 1 gene polymorphisms with chronic rhinosinusitis. Am J Rhinol Allergy, 2009. Castano, R., et al., Evidence of association of interleukin-1 receptor-like 1 gene polymorphisms with chronic rhinosinusitis. Am J Rhinol Allergy, 2009.
49.
Zurück zum Zitat Zhang, Y., et al., Polymorphisms in the nitric oxide synthase 1 gene are associated with severe chronic rhinosinusitis. Am J Rhinol Allergy. 2011;25(2):e49–54. Zhang, Y., et al., Polymorphisms in the nitric oxide synthase 1 gene are associated with severe chronic rhinosinusitis. Am J Rhinol Allergy. 2011;25(2):e49–54.
50.
Zurück zum Zitat Al-Shemari H et al. Influence of leukotriene gene polymorphisms on chronic rhinosinusitis. BMC Med Genet. 2008;9:21.PubMedCrossRef Al-Shemari H et al. Influence of leukotriene gene polymorphisms on chronic rhinosinusitis. BMC Med Genet. 2008;9:21.PubMedCrossRef
Metadaten
Titel
Genetics of Rhinosinusitis
verfasst von
Leandra Mfuna-Endam
Yuan Zhang
Martin Y. Desrosiers
Publikationsdatum
01.06.2011
Verlag
Current Science Inc.
Erschienen in
Current Allergy and Asthma Reports / Ausgabe 3/2011
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-011-0189-4

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