Effect modification by GST and TNF-α polymorphisms in the association
between air pollution and lung function in asthmatic children
Abstract
Background: Air pollutants induce the increase of inflammatory
components in the lungs and the decrease in pulmonary function. Genetic
polymorphisms may modify the inflammatory and immunological response to
the inhalation of those pollutants. Objective: To investigate effect
modification by GST and TNF-α polymorphisms in the association between
particulate matter (PM10) and lung function. Methods: This is a
cross-sectional epidemiological study with 112 asthmatic children aged 6
to 14 years old. GSTM1, GSTT1, GSTP1, and TNF-α polymorphisms were
genotyped using the polymerase chain reaction (PCR) technique.
Spirometry tests were conducted. We tested associations using
generalized linear models, adjusting for confounding variables. The
effect modification of the genetic polymorphisms was assessed, including
the genotypes and pollutants. Results: In carriers of the TNF-α-308 GA
or AA genotypes, we found a reduction of 11.5% (95% CI: -19.08, -3.30)
in FEV1 in the current exposure to PM10 and a reduction of 10.46% (95%
CI: -14.91, -5.77) for the 5-day cumulative exposure. The TNF-α-1031 TT
genotype was associated with a decline in FEV1 and FEF25-75% for the
cumulative exposure to PM10. The GSTP1 wild-type genotype was associated
with a decrease in FEF25-75% of 23.45% (95% CI; -30.6, -15.56) and in
FEV1 of 13% (95% CI; -15.21, -10.74). We found that among GSTT1 null
children, the cumulative exposure to PM10 was also associated with a
reduction in FEV1, FVC, and FEF25-75%. Conclusion: Genetic polymorphism
in GST and TNF-α may modify the association between particulate matter
and pulmonary function in asthmatic children and adolescents.