ST2 and IL-33 polymorphisms and the development of childhood asthma: a prospective birth cohort study in Finnish children
Johanna T. Teräsjärvi
Institute of Biomedicine, Research Centre for Infections and Immunity, University of Turku, Turku, Finland
Search for more papers by this authorLaura Toivonen
Department of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland
Search for more papers by this authorJussi Mertsola
Department of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland
Search for more papers by this authorVille Peltola
Department of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland
InFLAMES Research Flagship Centre, University of Turku, Turku, Finland
Search for more papers by this authorCorresponding Author
Qiushui He
Institute of Biomedicine, Research Centre for Infections and Immunity, University of Turku, Turku, Finland
InFLAMES Research Flagship Centre, University of Turku, Turku, Finland
Qiushui He, Institute of Biomedicine, Research Centre for Infections and Immunity, University of Turku, Kiinamyllynkatu 10, Turku 20520, Finland. e-mail: [email protected]
Search for more papers by this authorJohanna T. Teräsjärvi
Institute of Biomedicine, Research Centre for Infections and Immunity, University of Turku, Turku, Finland
Search for more papers by this authorLaura Toivonen
Department of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland
Search for more papers by this authorJussi Mertsola
Department of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland
Search for more papers by this authorVille Peltola
Department of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland
InFLAMES Research Flagship Centre, University of Turku, Turku, Finland
Search for more papers by this authorCorresponding Author
Qiushui He
Institute of Biomedicine, Research Centre for Infections and Immunity, University of Turku, Turku, Finland
InFLAMES Research Flagship Centre, University of Turku, Turku, Finland
Qiushui He, Institute of Biomedicine, Research Centre for Infections and Immunity, University of Turku, Kiinamyllynkatu 10, Turku 20520, Finland. e-mail: [email protected]
Search for more papers by this authorAbstract
The ST2/IL-33 signaling pathway has an important role in the host inflammatory response. Here we aimed to study the association of ST2 and IL-33 polymorphisms with serum soluble (s) ST2 and IL-33 concentrations in healthy Finnish children and, in addition, their association with childhood asthma. In total, 146 children were followed from birth to the age 7 years for the development of asthma. Single-nucleotide polymorphisms (SNPs) in ST2 and IL-33 were determined, and associations of the SNP variants with serum levels of sST2 and IL-33 at age of 13 months and with recurrent wheezing and childhood asthma at 7 years of age were analyzed. Children with ST2 rs1041973 AC/AA genotypes had significantly lower level of serum sST2 (2453 pg/mL; IQR 2265) than those with CC genotype (5437 pg/mL; IQR 2575; p = < 0.0001). Similar difference was also observed with ST2 rs13408661. No differences were observed between subjects with studied IL-33 SNPs. Children who carried genetic variants of ST2 rs1041973 or rs13408661 seemed to have a higher risk of asthma. In contrast, children who carried genetic variants of IL-33 rs12551268 were less often diagnosed with asthma. Even though these SNPs seemed to associate with asthma, the differences were not statistically significant.
CONFLICT OF INTEREST
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Supporting Information
Filename | Description |
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apm13411-sup-0001-TableS1.docxWord 2007 document , 14.9 KB | Table S1. Primers used in the study. |
apm13411-sup-0002-TableS2.docxWord 2007 document , 18.9 KB | Table S2. Serum sST2 and IL-33 levels in individuals with and without ST2 and IL-33 polymorphisms. |
apm13411-sup-0003-TableS3.docxWord 2007 document , 18.1 KB | Table S3. Serum sST2 and IL-33 levels in individuals with different haplotypes of ST2 and IL-33 polymorphisms. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
REFERENCES
- 1Gans MD, Gavrilova T. Understanding the immunology of asthma: pathophysiology, biomarkers, and treatments for asthma endotypes. Paediatr Respir Rev. 2020; 36: 118–127.
- 2Hammad H, Lambrecht BN. The basic immunology of asthma. Cell. 2021; 184: 1469–1485.
- 3Saikumar Jayalatha AK, Hesse L, Ketelaar ME, Koppelman GH, Nawijn MC. The central role of IL-33/IL-1RL1 pathway in asthma: from pathogenesis to intervention. Pharmacol Ther. 2021; 225:107847.
- 4Tominaga S, Inazawa J, Tsuji S. Assignment of the human ST2 gene to chromosome 2 at q11.2. Hum Genet. 1996; 97: 561–563.
- 5Griesenauer B, Paczesny S. The ST2/IL-33 Axis in immune cells during inflammatory diseases. Front Immunol. 2017; 8: 475.
- 6Dudek M, Kałużna-Oleksy M, Migaj J, Straburzyńska-Migaj E. Clinical value of soluble ST2 in cardiology. Adv Clin Exp Med. 2020; 29: 1205–1210.
- 7Gabryelska A, Kuna P, Antczak A, Białasiewicz P, Panek M. IL-33 mediated inflammation in chronic respiratory diseases-understanding the role of the member of IL-1 superfamily. Front Immunol. 2019; 10: 692.
- 8Wu H, Romieu I, Shi M, Hancock DB, Huiling L, Sienra-Monge J, et al. Evaluation of candidate genes in a genome-wide association study of childhood asthma in Mexicans. J Allergy Clin Immunol. 2010; 125: 321–327.
- 9Savenije OEM, Kerkhof M, Reijmerink NE, Brunekreef B, de Jongste JC, Smit HA, et al. Interleukin-1 receptor-like 1 polymorphisms are associated with serum IL1RL1-a, eosinophils, and asthma in childhood. J Allergy Clin Immunol. 2011; 127: 750–755.
- 10Dijk FN, Vijverberg SJ, Hernandez-Pacheco N, Repnik K, Karimi L, Mitratza M, et al. IL1RL1 gene variations are associated with asthma exacerbations in children and adolescents using inhaled corticosteroids. Allergy. 2020; 75: 984–989.
- 11Riikonen R, Teräsjärvi J, Lauhkonen E, Nuolivirta K, He Q, Korppi M. Interleukin 1 receptor-like 1 rs13408661/13431828 polymorphism is associated with persistent post-bronchiolitis asthma at school age. Acta Paediatr. 2022; 111: 628–635.
- 12Talei M, Abdi A, Shanebandi D, Jadidi-Niaragh F, Khabazi A, Babaie F, et al. Interleukin-33 gene expression and rs1342326 polymorphism in Behçet's disease. Immunol Lett. 2019; 212: 120–124.
- 13Schröder PC, Casaca V, Illi S, Schieck M, Michel S, Böck A, et al. IL-33 polymorphisms are associated with increased risk of hay fever and reduced regulatory T cells in a birth cohort. Pediatr Allergy Immunol. 2016; 27: 687–695.
- 14Korppi M, Teräsjärvi J, Lauhkonen E, Huhtala H, Nuolivirta K, He Q. IL33 rs1342326 gene variation is associated with allergic rhinitis at school age after infant bronchiolitis. Acta Paediatr. 2020; 109: 2112–2116.
- 15Queiroz GA, Costa RS, Alcantara-Neves NM, de Oliveira Costa GN, Barreto ML, Carneiro VL, et al. IL33 and IL1RL1 variants are associated with asthma and atopy in a Brazilian population. Int J Immunogenet. 2017; 44: 51–61.
- 16Teräsjärvi JT, Toivonen L, Mertsola J, Peltola V, He Q. Low serum soluble ST2 level in early childhood is associated with the risk for asthma at 7 years of age. Allergol Int. 2023; 72: 173–175.
- 17Teräsjärvi JT, Toivonen L, Mertsola J, Peltola V, He Q. Association of Toll-like receptor 2 rs111200466 polymorphism with low serum levels of IL-33 in early childhood. APMIS. 2023; 131: 303–309.
- 18Lagström H, Rautava P, Kaljonen A, Räihä H, Pihlaja P, Korpilahti P, et al. Cohort profile: steps to the healthy development and well-being of children (the STEPS study). Int J Epidemiol. 2013; 42: 1273–1284.
- 19Forsström V, Toivonen L, Homil K, Waris M, Pedersen C-ET, Bønnelykke K, et al. Association of asthma risk alleles with acute respiratory tract infections and wheezing illnesses in young children. J Infect Dis. 2023; 228: 990–998.
- 20Toivonen L, Forsström V, Waris M, Peltola V. Acute respiratory infections in early childhood and risk of asthma at age 7 years. J Allergy Clin Immunol. 2019; 143: 407–410.
- 21Vuononvirta J, Toivonen L, Gröndahl-Yli-Hannuksela K, Barkoff A-M, Lindholm L, Mertsola J, et al. Nasopharyngeal bacterial colonization and gene polymorphisms of mannose-binding lectin and toll-like receptors 2 and 4 in infants. PLoS One. 2011; 6:e26198.
- 22Dharmage SC, Perret JL, Custovic A. Epidemiology of asthma in children and adults. Front Pediatr. 2019; 7: 246.
- 23Caminati M, Le PD, Bagnasco D, Canonica GW. Type 2 immunity in asthma. World Allergy Organ J. 2018; 11: 13.
- 24Momen T, Ahanchian H, Reisi M, Shamsdin SA, Shahsanai A, Keivanfar M. Comparison of interleukin-33 serum levels in asthmatic patients with a control group and relation with the severity of the disease. Int J Prev Med. 2017; 8: 65.
- 25Lambrecth Bart N, Hamida H, John FV. The cytokines of asthma. Immunity. 2019; 50: 975–991.
- 26Mildner M, Storka A, Lichtenauer M, Mlitz V, Ghannadan M, Hoetzenecker K, et al. Primary sources and immunological prerequisites for sST2 secretion in humans. Cardiovasc Res. 2010; 87: 769–777.
- 27Bandara G, Beaven MA, Olivera A, Gilfillan AM, Metcalfe DD. Activated mast cells synthesize and release soluble ST2-a decoy receptor for IL-33. Eur J Immunol. 2015; 45: 3034–3044.
- 28Watanabe M, Nakamoto K, Inui T, Sada M, Honda K, Tamura M, et al. Serum sST2 levels predict severe exacerbation of asthma. Respir Res. 2018; 19: 169.
- 29Ketelaar ME, van de Kant KD, Dijk FN, Klaassen EM, Grotenboer NS, Nawijn MC, et al. Predictive value of serum sST2 in preschool wheezers for development of asthma with high FeNO. Allergy. 2017; 72: 1811–1815.
- 30Li Y, Oosting M, Deelen P, Ricano-Ponce I, Smeekens S, Jaeger M, et al. Inter-individual variability and genetic influences on cytokine responses to bacteria and fungi. Nat Med. 2016; 22: 952–960.
- 31Korppi M, Teräsjärvi J, Lauhkonen E, Huhtala H, Nuolivirta K, He Q. Toll-like receptor 4 polymorphisms were associated with low serum pro-inflammatory cytokines in BCG osteitis survivors. Acta Paediatr. 2020; 109: 1417–1422.
- 32Moffatt MF, Gut IG, Demenais F, Strachan DP, Bouzigon E, Heath S, et al. A large-scale, consortium-based genomewide association study of asthma. N Engl J Med. 2010; 363: 1211–1221.
- 33Traister RS, Uvalle CE, Hawkins GA, Meyers DA, Bleecker ER, Wenzel SE. Phenotypic and genotypic association of epithelial IL1RL1 to human TH2-like asthma. J Allergy Clin Immunol. 2015; 135: 92–99.
- 34Matloubi M, Ranjbar M, Assarehzadegan MA, Fallahpour M, Sadeghi F, Soleyman-Jahi S, et al. The impact of interleukin (IL)-33 gene polymorphisms and environmental factors on risk of asthma in the Iranian population. Lung. 2020; 198: 105–112.
- 35Charrad R, Kaabachi W, Berraies A, Hamzaoui K, Hamzaoui A. IL-33 gene variants and protein expression in pediatric Tunisian asthmatic patients. Cytokine. 2018; 104: 85–91.