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Global Translational Medicine                              Inflammatory gene-environment interactions in COPD




            Table 5. Significant association of inflammatory genes loci with COPD in smokers and non‑smokers
            Gene, SNP             Minor allele    n       Model           OR  (95% CI)     P‑value     P
                                                                            adj                         cor‑FDR
            Smokers
             IL19, rs2243193 A>G  A              1001     GG                 1.00          0.00001    7.5×10-5
                                                          GA + AA        0.48 (0.37 – 0.64)
                                                          Dominant
                                                          Log-additive   0.72 (0.62 – 0.86)  0.0003    0.00112
             IL4, rs2243250 C>T   T              1001     CC + CT            1.00          0.036        0.041
                                                          TT             1.85 (1.03 – 3.32)
                                                          Recessive
                                                          Log-additive   1.33 (1.06 – 1.66)  0.014      0.019
             IL4, rs2070874 C>T   T              1001     CC + CT            1.00          0.00001    7.5×10-5
                                                          TT             0.08 (0.02 – 0.35)
                                                          Recessive
                                                          Log-additive   0.66 (0.52 – 0.84)  0.0006    0.0018
             PPBP, rs352010 T>C   T              1001     CC                 1.00          0.0002       0.001
                                                          CT + TT        0.60 (0.45 – 0.79)
                                                          Dominant
                                                          CC + CT            1.00          0.0008       0.002
                                                          TT             2.26 (1.38 – 3.69)
                                                          Recessive
                                                          Log-additive   0.88 (0.72 – 1.07)  0.21       0.21
            Non-smokers
             IL4, rs2070874 C>T   T              217      CC                 1.00          0.012        0.018
                                                          CT + TT        0.44 (0.23 – 0.85)
                                                          Dominant
                                                          Log-additive   0.43 (0.23 – 0.80)  0.0058    0.0108
             IL24, rs291107 T>C   C              217      TT                 1.00          0.0082       0.013
                                                          TC + CC        0.40 (0.20 – 0.80)
                                                          Dominant
                                                          Log-additive   0.49 (0.30 – 0.79)  0.0028     0.006
             PPBP, rs352010 T>C   T              217      CC + CT            1.00          0.027        0.033
                                                          TT             2.65 (1.08 – 6.47)
                                                          Recessive
                                                          Log-additive   1.45 (0.96 – 2.19)  0.075     0.0803
            P, P value for the likelihood ratio test for the regression model adjusted for covariates (age, gender, pack-year [in smokers], BMI); P cor-FDR , P value after
            the FDR test. CI, confidence interval; OR, odds ratio.

            CC genotype exhibited higher FVC value. Heterozygous   gene loci studied in this work. SNPs of IL12A (rs568408,
            genotypes of the IL4RA (rs1805010) and FASLG (rs763110)   rs2243115), IL12B  (rs3212227), IL13  (rs20541), and
            were associated with higher FEV1 value.            IL12RB2 (rs3762317) genes were analyzed for association
                                                               with COPD in the same cohort of COPD patients and
            3.3. Analysis of gene-gene interaction of          controls in our previous work . As a result, statistically
                                                                                       [34]
            inflammatory gene loci and COPD risk in groups     significant associations with COPD and IL12A (rs568408),
            stratified by smoking status                       IL12A (rs2243115), and IL13 (rs20541) in the study group
                                                                           [34]
            We have identified gene-gene combinations significantly   were identified .
            associated with the development of COPD in smokers   Table  8  summarizes  the  gene-gene  combinations
            and non-smokers. To identify significant interactions of   significantly associated with COPD in groups stratified by
            functionally related inflammatory genes, five other cytokine   smoking status with P FDR  <0.05 and OR >1.5 in the case
            gene loci: IL12RB2 (rs3762317), IL12B (rs3212227), IL12A   of risk combinations, or OR <0.4 in the case of protective
            (rs568408), IL12A  (rs2243115),  and IL13  (rs20541)    combinations. We have identified various patterns of gene-
                                                        [34]
            were included in the analysis in addition to the  eleven   gene interactions associated with the development of

            Volume 1 Issue 1 (2022)                         7                       https://doi.org/10.36922/gtm.v1i1.91
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