Epigenome-Wide Association Studies of the Fractional Exhaled Nitric Oxide and Bronchodilator Drug Response in Moderate-to-Severe Pediatric Asthma

Asthma is the most prevalent pediatric chronic disease. Bronchodilator drug response (BDR) and fractional exhaled nitric oxide (FeNO) are clinical biomarkers of asthma. Although DNA methylation (DNAm) contributes to asthma pathogenesis, the influence of DNAm on BDR and FeNO is scarcely investigated....

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Main Authors: Mario Martin-Almeida, Javier Perez-Garcia, Esther Herrera-Luis, Carlos Rosa-Baez, Mario Gorenjak, Anne H. Neerincx, Olaia Sardón-Prado, Antoaneta A. Toncheva, Susanne Harner, Christine Wolff, Susanne Brandstetter, Elisa Valletta, Mahmoud I. Abdel-Aziz, Simone Hashimoto, Vojko Berce, Paula Corcuera-Elosegui, Javier Korta-Murua, Heike Buntrock-Döpke, Susanne J. H. Vijverberg, Joris C. Verster, Nikki Kerssemakers, Anna M Hedman, Catarina Almqvist, Jesús Villar, Aletta D. Kraneveld, Uroš Potočnik, Michael Kabesch, Anke H. Maitland-van der Zee, Maria Pino-Yanes, on behalf of the SysPharmPediA Consortium
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/11/3/676
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author Mario Martin-Almeida
Javier Perez-Garcia
Esther Herrera-Luis
Carlos Rosa-Baez
Mario Gorenjak
Anne H. Neerincx
Olaia Sardón-Prado
Antoaneta A. Toncheva
Susanne Harner
Christine Wolff
Susanne Brandstetter
Elisa Valletta
Mahmoud I. Abdel-Aziz
Simone Hashimoto
Vojko Berce
Paula Corcuera-Elosegui
Javier Korta-Murua
Heike Buntrock-Döpke
Susanne J. H. Vijverberg
Joris C. Verster
Nikki Kerssemakers
Anna M Hedman
Catarina Almqvist
Jesús Villar
Aletta D. Kraneveld
Uroš Potočnik
Michael Kabesch
Anke H. Maitland-van der Zee
Maria Pino-Yanes
on behalf of the SysPharmPediA Consortium
author_facet Mario Martin-Almeida
Javier Perez-Garcia
Esther Herrera-Luis
Carlos Rosa-Baez
Mario Gorenjak
Anne H. Neerincx
Olaia Sardón-Prado
Antoaneta A. Toncheva
Susanne Harner
Christine Wolff
Susanne Brandstetter
Elisa Valletta
Mahmoud I. Abdel-Aziz
Simone Hashimoto
Vojko Berce
Paula Corcuera-Elosegui
Javier Korta-Murua
Heike Buntrock-Döpke
Susanne J. H. Vijverberg
Joris C. Verster
Nikki Kerssemakers
Anna M Hedman
Catarina Almqvist
Jesús Villar
Aletta D. Kraneveld
Uroš Potočnik
Michael Kabesch
Anke H. Maitland-van der Zee
Maria Pino-Yanes
on behalf of the SysPharmPediA Consortium
author_sort Mario Martin-Almeida
collection DOAJ
description Asthma is the most prevalent pediatric chronic disease. Bronchodilator drug response (BDR) and fractional exhaled nitric oxide (FeNO) are clinical biomarkers of asthma. Although DNA methylation (DNAm) contributes to asthma pathogenesis, the influence of DNAm on BDR and FeNO is scarcely investigated. This study aims to identify DNAm markers in whole blood associated either with BDR or FeNO in pediatric asthma. We analyzed 121 samples from children with moderate-to-severe asthma. The association of genome-wide DNAm with BDR and FeNO has been assessed using regression models, adjusting for age, sex, ancestry, and tissue heterogeneity. Cross-tissue validation was assessed in 50 nasal samples. Differentially methylated regions (DMRs) and enrichment in traits and biological pathways were assessed. A false discovery rate (FDR) < 0.1 and a genome-wide significance threshold of <i>p</i> < 9 × 10<sup>−8</sup> were used to control for false-positive results. The CpG cg12835256 (<i>PLA2G12A</i>) was genome-wide associated with FeNO in blood samples (coefficient= −0.015, <i>p</i> = 2.53 × 10<sup>−9</sup>) and nominally associated in nasal samples (coefficient = −0.015, <i>p</i> = 0.045). Additionally, three CpGs were suggestively associated with BDR (FDR < 0.1). We identified 12 and four DMRs associated with FeNO and BDR (FDR < 0.05), respectively. An enrichment in allergic and inflammatory processes, smoking, and aging was observed. We reported novel associations of DNAm markers associated with BDR and FeNO enriched in asthma-related processes.
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spelling doaj.art-48042b64d2f44f07b4cb43380a25ef952023-11-17T09:43:58ZengMDPI AGBiomedicines2227-90592023-02-0111367610.3390/biomedicines11030676Epigenome-Wide Association Studies of the Fractional Exhaled Nitric Oxide and Bronchodilator Drug Response in Moderate-to-Severe Pediatric AsthmaMario Martin-Almeida0Javier Perez-Garcia1Esther Herrera-Luis2Carlos Rosa-Baez3Mario Gorenjak4Anne H. Neerincx5Olaia Sardón-Prado6Antoaneta A. Toncheva7Susanne Harner8Christine Wolff9Susanne Brandstetter10Elisa Valletta11Mahmoud I. Abdel-Aziz12Simone Hashimoto13Vojko Berce14Paula Corcuera-Elosegui15Javier Korta-Murua16Heike Buntrock-Döpke17Susanne J. H. Vijverberg18Joris C. Verster19Nikki Kerssemakers20Anna M Hedman21Catarina Almqvist22Jesús Villar23Aletta D. Kraneveld24Uroš Potočnik25Michael Kabesch26Anke H. Maitland-van der Zee27Maria Pino-Yanes28on behalf of the SysPharmPediA ConsortiumGenomics and Health Group, Department of Biochemistry, Microbiology, Cell Biology, and Genetics, Universidad de La Laguna (ULL), 38200 San Cristóbal de La Laguna, SpainGenomics and Health Group, Department of Biochemistry, Microbiology, Cell Biology, and Genetics, Universidad de La Laguna (ULL), 38200 San Cristóbal de La Laguna, SpainGenomics and Health Group, Department of Biochemistry, Microbiology, Cell Biology, and Genetics, Universidad de La Laguna (ULL), 38200 San Cristóbal de La Laguna, SpainGenomics and Health Group, Department of Biochemistry, Microbiology, Cell Biology, and Genetics, Universidad de La Laguna (ULL), 38200 San Cristóbal de La Laguna, SpainCenter for Human Molecular Genetics and Pharmacogenomics, Faculty of Medicine, University of Maribor, 2000 Maribor, SloveniaDepartment of Respiratory Medicine, Amsterdam University Medical Centres—Loc. AMC, University of Amsterdam, 1105 AZ Amsterdam, The NetherlandsDivision of Pediatric Respiratory Medicine, Donostia University Hospital, 20014 San Sebastián, SpainDepartment of Pediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, D-93049 Regensburg, GermanyDepartment of Pediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, D-93049 Regensburg, GermanyDepartment of Pediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, D-93049 Regensburg, GermanyDepartment of Pediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, D-93049 Regensburg, GermanyDepartment of Pediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, D-93049 Regensburg, GermanyDepartment of Respiratory Medicine, Amsterdam University Medical Centres—Loc. AMC, University of Amsterdam, 1105 AZ Amsterdam, The NetherlandsDepartment of Respiratory Medicine, Amsterdam University Medical Centres—Loc. AMC, University of Amsterdam, 1105 AZ Amsterdam, The NetherlandsCenter for Human Molecular Genetics and Pharmacogenomics, Faculty of Medicine, University of Maribor, 2000 Maribor, SloveniaDivision of Pediatric Respiratory Medicine, Donostia University Hospital, 20014 San Sebastián, SpainDivision of Pediatric Respiratory Medicine, Donostia University Hospital, 20014 San Sebastián, SpainDepartment of Pediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, D-93049 Regensburg, GermanyDepartment of Respiratory Medicine, Amsterdam University Medical Centres—Loc. AMC, University of Amsterdam, 1105 AZ Amsterdam, The NetherlandsDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, 3584 CG Utrecht, The NetherlandsDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, 3584 CG Utrecht, The NetherlandsDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, 171 77 Stockholm, SwedenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, 171 77 Stockholm, SwedenCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, 28029 Madrid, SpainDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, 3584 CG Utrecht, The NetherlandsCenter for Human Molecular Genetics and Pharmacogenomics, Faculty of Medicine, University of Maribor, 2000 Maribor, SloveniaDepartment of Pediatric Pneumology and Allergy, University Children’s Hospital Regensburg (KUNO) at the Hospital St. Hedwig of the Order of St. John, University of Regensburg, D-93049 Regensburg, GermanyDepartment of Respiratory Medicine, Amsterdam University Medical Centres—Loc. AMC, University of Amsterdam, 1105 AZ Amsterdam, The NetherlandsGenomics and Health Group, Department of Biochemistry, Microbiology, Cell Biology, and Genetics, Universidad de La Laguna (ULL), 38200 San Cristóbal de La Laguna, SpainAsthma is the most prevalent pediatric chronic disease. Bronchodilator drug response (BDR) and fractional exhaled nitric oxide (FeNO) are clinical biomarkers of asthma. Although DNA methylation (DNAm) contributes to asthma pathogenesis, the influence of DNAm on BDR and FeNO is scarcely investigated. This study aims to identify DNAm markers in whole blood associated either with BDR or FeNO in pediatric asthma. We analyzed 121 samples from children with moderate-to-severe asthma. The association of genome-wide DNAm with BDR and FeNO has been assessed using regression models, adjusting for age, sex, ancestry, and tissue heterogeneity. Cross-tissue validation was assessed in 50 nasal samples. Differentially methylated regions (DMRs) and enrichment in traits and biological pathways were assessed. A false discovery rate (FDR) < 0.1 and a genome-wide significance threshold of <i>p</i> < 9 × 10<sup>−8</sup> were used to control for false-positive results. The CpG cg12835256 (<i>PLA2G12A</i>) was genome-wide associated with FeNO in blood samples (coefficient= −0.015, <i>p</i> = 2.53 × 10<sup>−9</sup>) and nominally associated in nasal samples (coefficient = −0.015, <i>p</i> = 0.045). Additionally, three CpGs were suggestively associated with BDR (FDR < 0.1). We identified 12 and four DMRs associated with FeNO and BDR (FDR < 0.05), respectively. An enrichment in allergic and inflammatory processes, smoking, and aging was observed. We reported novel associations of DNAm markers associated with BDR and FeNO enriched in asthma-related processes.https://www.mdpi.com/2227-9059/11/3/676epigeneticbiomarkermethylationasthmaFeNOBDR
spellingShingle Mario Martin-Almeida
Javier Perez-Garcia
Esther Herrera-Luis
Carlos Rosa-Baez
Mario Gorenjak
Anne H. Neerincx
Olaia Sardón-Prado
Antoaneta A. Toncheva
Susanne Harner
Christine Wolff
Susanne Brandstetter
Elisa Valletta
Mahmoud I. Abdel-Aziz
Simone Hashimoto
Vojko Berce
Paula Corcuera-Elosegui
Javier Korta-Murua
Heike Buntrock-Döpke
Susanne J. H. Vijverberg
Joris C. Verster
Nikki Kerssemakers
Anna M Hedman
Catarina Almqvist
Jesús Villar
Aletta D. Kraneveld
Uroš Potočnik
Michael Kabesch
Anke H. Maitland-van der Zee
Maria Pino-Yanes
on behalf of the SysPharmPediA Consortium
Epigenome-Wide Association Studies of the Fractional Exhaled Nitric Oxide and Bronchodilator Drug Response in Moderate-to-Severe Pediatric Asthma
Biomedicines
epigenetic
biomarker
methylation
asthma
FeNO
BDR
title Epigenome-Wide Association Studies of the Fractional Exhaled Nitric Oxide and Bronchodilator Drug Response in Moderate-to-Severe Pediatric Asthma
title_full Epigenome-Wide Association Studies of the Fractional Exhaled Nitric Oxide and Bronchodilator Drug Response in Moderate-to-Severe Pediatric Asthma
title_fullStr Epigenome-Wide Association Studies of the Fractional Exhaled Nitric Oxide and Bronchodilator Drug Response in Moderate-to-Severe Pediatric Asthma
title_full_unstemmed Epigenome-Wide Association Studies of the Fractional Exhaled Nitric Oxide and Bronchodilator Drug Response in Moderate-to-Severe Pediatric Asthma
title_short Epigenome-Wide Association Studies of the Fractional Exhaled Nitric Oxide and Bronchodilator Drug Response in Moderate-to-Severe Pediatric Asthma
title_sort epigenome wide association studies of the fractional exhaled nitric oxide and bronchodilator drug response in moderate to severe pediatric asthma
topic epigenetic
biomarker
methylation
asthma
FeNO
BDR
url https://www.mdpi.com/2227-9059/11/3/676
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