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Global Translational Medicine                              Inflammatory gene-environment interactions in COPD



            1. Introduction                                    IL24,  PPBP,  IL4,  IL4RA, С5,  FAS, FASLG,  and  TGFb1
                                                               genes singly and in combinations with COPD in smokers
            Chronic obstructive pulmonary disease (COPD) is a   and non-smokers to evaluate the gene-gene and gene-
            complex lung disease characterized by progressive airflow   environment interactions in COPD development.
            limitation and abnormal inflammatory response of the
            lungs to the inhaled noxious particles [1,2] . COPD is one   2. Materials and methods
            of  the  most  common  chronic  respiratory  diseases  with
                                         [3]
            high morbidity and mortality rates . Tobacco smoking,   2.1. Study population
            environmental pollution, and genetic predisposition are the   All participants of this study provided written informed
            principal risk factors of COPD with genetic contributions   consent and the study was approved by the Local Research
            from multiple genes [4,5] . COPD pathogenesis was linked   Ethics Committee (Ufa, Protocol No  17, December 07,
            to oxidative stress and systemic inflammation . To date,   2010). We included unrelated subjects of self-reported
                                                 [6]
            comprehensive studies of COPD genetic background are   ethnic Tatar population; all details have been previously
            being conducted . There is evidence that the genes of   described [26,27] . The participants were recruited through
                          [7]
            cytokines and inflammatory mediators play an important   the pulmonary departments of Ufa City Hospitals No. 21
            roles in the development of COPD [8-10] .          (Ufa, Russia) during the 2010 – 2020 period. The smoker
                                                               group  includes  484  COPD  patients  and  517  healthy
              Cytokines are secreted proteins with key functions that
            regulate immune responses [11,12] . IL19, IL20, and IL24 are   individuals, while the non-smoker group includes 117
                                                               COPD patients and 100 healthy individuals. Details of
            proinflammatory cytokines of the IL20 subfamily members   inclusion and exclusion criteria for case and control groups
            within the IL10 cytokine family, which can bind the IL20   have been previously described [24,26] . Briefly, to determine
            receptor complex IL-20R1/IL-20R2 [13-15] . IL4 is cytokine   pulmonary function, measures of forced expiratory
            produced by activated T cells and binds to the IL4 receptor.   volume in 1 second (FEV ) and forced vital capacity (FVC)
            As an important cytokine for tissue repair, IL4 also   were derived in accordance with American Thoracic
                                                                                   1
            promotes allergic airway inflammation, as well as mediates   Society/European Respiratory Society criteria . COPD
                                                                                                     [28]
            and regulates a variety of human host responses .  was diagnosed according to the Tenth Revision of the
                                                  [16]
              Chemokines play a key role to the formation of immune   International Classification of Diseases (ICD 10) (http://
            responses . Pro-platelet basic protein (PPBP) is a platelet-  www.who.int/classifications/icd/en/) and in accordance
                    [17]
            derived  growth  factor  or  platelet-derived  chemokine   with the recommendations of the Global Initiative on
            ligand 7 chemokine (CXCL7), which is a member of the   COPD (GOLD; http www.goldcopd.org) [26,27] . Baseline
            CXC-chemokine family . This growth factor is a potent   demographics and clinical characteristics of studied groups
                               [18]
            chemoattractant  and  activator  of  neutrophils .  CXCL   are presented in Table 1.
                                                  [19]
            chemokines are produced by inflammatory cells and
            endothelial cells, and CXCL7 displays chemotactic activity   2.2. Gene and SNPs selection and genotyping
            on neutrophils. The receptors CXCR1 and CXCR2 for   Eleven SNPs of inflammatory genes (Table 2), including
            CXCL7 are expressed on neutrophils, endothelial cells, and   FASLG (rs763110),  IL19 (rs2243193),  IL20 (rs2981573),
                      [20]
            macrophages .                                      IL24  (rs291107),  PPBP  (rs352010),  IL4  (rs2243250),
                                                               IL4 (rs2070874), С5 (rs17611),  FAS (rs1800682), IL4RA
              The FASL/FAS system is considered a major pathway
            for apoptosis in cells and tissues. FAS plays a central   (rs1805010), and TGFb1 (rs1800469), were selected for the
                                                                                            [26,27]
            role in the physiological regulation of programmed cell   study based on the following criteria  : (i) Associations
            death , as well as in pulmonary inflammation, injury, and   with complex human diseases; (ii) functional effect of
                [21]
            fibrosis . The transforming growth factor beta (TGF-β)   SNP on gene expression or relation to non-synonymous
                  [22]
            superfamily consists of secreted growth factors involved   substitutions; and (iii) minor allele frequency (MAF)
            in the regulation of different cellular processes . TGF-β1   of ≥5% in the European populations (http://www.
                                                 [23]
                                                               internationalgenome.org/). The SNPs regulatory potential
            plays a key role in tissue injury and airway remodeling in   and effect on the gene expression were assessed using
            smokers . C5 (complement C5) is a component of the   HaploReg  (v  4.1;  http://archive.broadinstitute.org/
                  [24]
            complement system, which is a part of the innate immune   mammals/haploreg/haploreg.php) ,  SNPinfo  Web
                                                                                          [29]
            system .
                 [25]
                                                               Server  (https://snpinfo.niehs.nih.gov/snpinfo/snpfunc.
              Previously, we identified the association of chemokines   html), RegulomeDB Version 1.1 (https://regulomedb.
            genes  with  COPD  risk  in  the  Tatar  population from   org), PolyPhen-2 prediction of functional effects of human
            Russia . In this study, we aimed to assess the association   nsSNPs  (http://genetics.bwh.harvard.edu/pph2/), and
                 [26]
            of single nucleotide polymorphisms (SNPs) of IL19, IL20,   GTExportal (http://www.gtexportal.org/). According to
            Volume 1 Issue 1 (2022)                         2                       https://doi.org/10.36922/gtm.v1i1.91
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