Linkage of NAMPT promoter variants to eNAMPT secretion, plasma eNAMPT levels, and ARDS severity

Background and objectives: eNAMPT (extracellular nicotinamide phosphoribosyltransferase), a novel DAMP and TLR4 ligand, is a druggable ARDS therapeutic target with NAMPT promoter SNPs associated with ARDS severity. This study assesses the previously unknown influence of NAMPT promoter SNPs on NAMPT...

Full description

Bibliographic Details
Main Authors: Heather Lynn, Xiaoguang Sun, Nancy G. Casanova, Christian Bime, Vivian Reyes Hernon, Clayton Lanham, Radu C. Oita, Nikolas Ramos, Belinda Sun, Dawn K. Coletta, Sara M. Camp, Jason H. Karnes, Nathan A. Ellis, Joe G.N. Garcia
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Therapeutic Advances in Respiratory Disease
Online Access:https://doi.org/10.1177/17534666231181262
_version_ 1797689433620742144
author Heather Lynn
Xiaoguang Sun
Nancy G. Casanova
Christian Bime
Vivian Reyes Hernon
Clayton Lanham
Radu C. Oita
Nikolas Ramos
Belinda Sun
Dawn K. Coletta
Sara M. Camp
Jason H. Karnes
Nathan A. Ellis
Joe G.N. Garcia
author_facet Heather Lynn
Xiaoguang Sun
Nancy G. Casanova
Christian Bime
Vivian Reyes Hernon
Clayton Lanham
Radu C. Oita
Nikolas Ramos
Belinda Sun
Dawn K. Coletta
Sara M. Camp
Jason H. Karnes
Nathan A. Ellis
Joe G.N. Garcia
author_sort Heather Lynn
collection DOAJ
description Background and objectives: eNAMPT (extracellular nicotinamide phosphoribosyltransferase), a novel DAMP and TLR4 ligand, is a druggable ARDS therapeutic target with NAMPT promoter SNPs associated with ARDS severity. This study assesses the previously unknown influence of NAMPT promoter SNPs on NAMPT transcription, eNAMPT secretion, and ARDS severity. Methods and design: Human lung endothelial cells (ECs) transfected with NAMPT promoter luciferase reporters harboring SNPs G-1535A, A-1001 C, and C-948A, were exposed to LPS or LPS/18% cyclic stretch (CS) and NAMPT promoter activity, NAMPT protein expression, and secretion assessed. NAMPT genotypes and eNAMPT plasma measurements (Days 0/7) were assessed in two ARDS cohorts (DISCOVERY n  = 428; ALVEOLI n  = 103). Results: Comparisons of minor allelic frequency (MAF) in both ARDS cohorts with the 1000 Human Genome Project revealed the G-1535A and C-948A SNPs to be significantly associated with ARDS in Blacks compared with controls and trended toward significance in non-Hispanic Whites. LPS-challenged and LPS/18% CS–challenged EC harboring the -1535G wild-type allele exhibited significantly increased NAMPT promoter activity (compared with -1535A) with the -1535G/-948A diplotype exhibiting significantly increased NAMPT promoter activity, NAMPT protein expression, and eNAMPT secretion compared with the -1535A/-948 C diplotype. Highly significant increases in Day 0 eNAMPT plasma values were observed in both DISCOVERY and ALVEOLI ARDS cohorts (compared with healthy controls). Among subjects surviving to Day 7, Day 7 eNAMPT values were significantly increased in Day 28 non-survivors versus survivors. The protective -1535A SNP allele drove -1535A/-1001A and -1535A/-948 C diplotypes that confer significantly reduced ARDS risk (compared with -1535G, -1535G/-1001 C, -1535G/-948A), particularly in Black ARDS subjects. NAMPT SNP comparisons within the two ARDS cohorts did not identify significant association with either APACHE III scores or plasma eNAMPT levels. Conclusion: NAMPT SNPs influence promoter activity, eNAMPT protein expression/secretion, plasma eNAMPT levels, and ARDS severity. NAMPT genotypes are a potential tool for stratification in eNAMPT-focused ARDS clinical trials.
first_indexed 2024-03-12T01:45:32Z
format Article
id doaj.art-849ab1d49b8642a68a02692ad67fb7cb
institution Directory Open Access Journal
issn 1753-4666
language English
last_indexed 2024-03-12T01:45:32Z
publishDate 2023-07-01
publisher SAGE Publishing
record_format Article
series Therapeutic Advances in Respiratory Disease
spelling doaj.art-849ab1d49b8642a68a02692ad67fb7cb2023-09-09T06:03:22ZengSAGE PublishingTherapeutic Advances in Respiratory Disease1753-46662023-07-011710.1177/17534666231181262Linkage of NAMPT promoter variants to eNAMPT secretion, plasma eNAMPT levels, and ARDS severityHeather LynnXiaoguang SunNancy G. CasanovaChristian BimeVivian Reyes HernonClayton LanhamRadu C. OitaNikolas RamosBelinda SunDawn K. ColettaSara M. CampJason H. KarnesNathan A. EllisJoe G.N. GarciaBackground and objectives: eNAMPT (extracellular nicotinamide phosphoribosyltransferase), a novel DAMP and TLR4 ligand, is a druggable ARDS therapeutic target with NAMPT promoter SNPs associated with ARDS severity. This study assesses the previously unknown influence of NAMPT promoter SNPs on NAMPT transcription, eNAMPT secretion, and ARDS severity. Methods and design: Human lung endothelial cells (ECs) transfected with NAMPT promoter luciferase reporters harboring SNPs G-1535A, A-1001 C, and C-948A, were exposed to LPS or LPS/18% cyclic stretch (CS) and NAMPT promoter activity, NAMPT protein expression, and secretion assessed. NAMPT genotypes and eNAMPT plasma measurements (Days 0/7) were assessed in two ARDS cohorts (DISCOVERY n  = 428; ALVEOLI n  = 103). Results: Comparisons of minor allelic frequency (MAF) in both ARDS cohorts with the 1000 Human Genome Project revealed the G-1535A and C-948A SNPs to be significantly associated with ARDS in Blacks compared with controls and trended toward significance in non-Hispanic Whites. LPS-challenged and LPS/18% CS–challenged EC harboring the -1535G wild-type allele exhibited significantly increased NAMPT promoter activity (compared with -1535A) with the -1535G/-948A diplotype exhibiting significantly increased NAMPT promoter activity, NAMPT protein expression, and eNAMPT secretion compared with the -1535A/-948 C diplotype. Highly significant increases in Day 0 eNAMPT plasma values were observed in both DISCOVERY and ALVEOLI ARDS cohorts (compared with healthy controls). Among subjects surviving to Day 7, Day 7 eNAMPT values were significantly increased in Day 28 non-survivors versus survivors. The protective -1535A SNP allele drove -1535A/-1001A and -1535A/-948 C diplotypes that confer significantly reduced ARDS risk (compared with -1535G, -1535G/-1001 C, -1535G/-948A), particularly in Black ARDS subjects. NAMPT SNP comparisons within the two ARDS cohorts did not identify significant association with either APACHE III scores or plasma eNAMPT levels. Conclusion: NAMPT SNPs influence promoter activity, eNAMPT protein expression/secretion, plasma eNAMPT levels, and ARDS severity. NAMPT genotypes are a potential tool for stratification in eNAMPT-focused ARDS clinical trials.https://doi.org/10.1177/17534666231181262
spellingShingle Heather Lynn
Xiaoguang Sun
Nancy G. Casanova
Christian Bime
Vivian Reyes Hernon
Clayton Lanham
Radu C. Oita
Nikolas Ramos
Belinda Sun
Dawn K. Coletta
Sara M. Camp
Jason H. Karnes
Nathan A. Ellis
Joe G.N. Garcia
Linkage of NAMPT promoter variants to eNAMPT secretion, plasma eNAMPT levels, and ARDS severity
Therapeutic Advances in Respiratory Disease
title Linkage of NAMPT promoter variants to eNAMPT secretion, plasma eNAMPT levels, and ARDS severity
title_full Linkage of NAMPT promoter variants to eNAMPT secretion, plasma eNAMPT levels, and ARDS severity
title_fullStr Linkage of NAMPT promoter variants to eNAMPT secretion, plasma eNAMPT levels, and ARDS severity
title_full_unstemmed Linkage of NAMPT promoter variants to eNAMPT secretion, plasma eNAMPT levels, and ARDS severity
title_short Linkage of NAMPT promoter variants to eNAMPT secretion, plasma eNAMPT levels, and ARDS severity
title_sort linkage of nampt promoter variants to enampt secretion plasma enampt levels and ards severity
url https://doi.org/10.1177/17534666231181262
work_keys_str_mv AT heatherlynn linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT xiaoguangsun linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT nancygcasanova linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT christianbime linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT vivianreyeshernon linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT claytonlanham linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT raducoita linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT nikolasramos linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT belindasun linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT dawnkcoletta linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT saramcamp linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT jasonhkarnes linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT nathanaellis linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity
AT joegngarcia linkageofnamptpromotervariantstoenamptsecretionplasmaenamptlevelsandardsseverity