The European respiratory journal · 2017
The MUC5B promoter polymorphism is associated with specific interstitial lung abnormality subtypes.
СтатьяМногоцентровое исследованиеResearch Support, N.I.H., IntramuralПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАПоддержка правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Putman Rachel K, Gudmundsson Gunnar, Araki Tetsuro, Nishino Mizuki, Sigurdsson Sigurdur, Gudmundsson Elías F, Eiríksdottír Gudny, Aspelund Thor, Ross James C, San José Estépar Raúl, Miller Ezra R, Yamada Yoshitake, Yanagawa Masahiro, Tomiyama Noriyuki, Launer Lenore J, Harris Tamara B, El-Chemaly Souheil, Raby Benjamin A, Cho Michael H, Rosas Ivan O, Washko George R, Schwartz David A, Silverman Edwin K, Gudnason Vilmundur, Hatabu Hiroto, Hunninghake Gary M
Аннотация
The MUC5B promoter polymorphism (rs35705950) has been associated with interstitial lung abnormalities (ILA) in white participants from the general population; whether these findings are replicated and influenced by the ILA subtype is not known. We evaluated the associations between the MUC5B genotype and ILA in cohorts with extensive imaging characterisation.We performed ILA phenotyping and MUC5B promoter genotyping in 5308 and 9292 participants from the AGES-Reykjavik and COPDGene cohorts, respectively.We found that ILA was present in 7% of participants from the AGES-Reykjavik, 8% of non-Hispanic white participants from COPDGene and 7% of African-American participants from COPDGene. Although the MUC5B genotype was strongly associated (after correction for multiple testing) with ILA (OR 2.1, 95% CI 1.8-2.4, p=1×10-26), there was evidence of significant heterogeneity between cohorts (I2=81%). When narrowed to specific radiologic subtypes, (e.g. subpleural ILA), the MUC5B genotype remained strongly associated (OR 2.6, 95% CI 2.2-3.1, p=1×10-30) with minimal heterogeneity (I2=0%). Although there was no evidence that the MUC5B genotype influenced survival, there was evidence that MUC5B genotype improved risk prediction for possible usual interstitial pneumonia (UIP) or a UIP pattern in non-Hispanic white populations.The MUC5B promoter polymorphism is strongly associated with ILA and specific radiologic subtypes of ILA, with varying degrees of heterogeneity in the underlying populations.