Background
Viral respiratory infections can cause acute wheezing illnesses in children and
exacerbations of asthma.
Objective
We sought to identify variation in genes with known antiviral and
pro-inflammatory functions to identify specific associations with more severe viral
respiratory illnesses and the risk of virus-induced exacerbations during the peak fall
season.
Methods
The associations between genetic variation at 326 SNPs in 63 candidate genes
and 10 phenotypes related to viral respiratory infection and asthma control were
examined in 226 children enrolled in the RhinoGen study. Replication of asthma control
phenotypes was performed in 2,128 children in the Copenhagen Prospective Study on Asthma
in Childhood (COPSAC). Significant associations in RhinoGen were further validated using
virus-induced wheezing illness and asthma phenotypes in an independent sample of 122
children enrolled in the Childhood Origins of Asthma birth cohort study (COAST).
Results
A significant excess of P values smaller than 0.05 was observed in the analysis
of the 10 RhinoGen phenotypes. Polymorphisms in 12 genes were significantly associated
with variation in the four phenotypes showing a significant enrichment of small P
values. Six of those genes (STAT4, JAK2, MX1,
VDR, DDX58, and EIF2AK2) also
showed significant associations with asthma exacerbations in the COPSAC study or with
asthma or virus-induced wheezing phenotypes in the COAST study.
Conclusions
We identified genetic factors contributing to individual differences in
childhood viral respiratory illnesses and virus-induced exacerbations of asthma.
Defining mechanisms of these associations may provide insight into the pathogenesis of
viral respiratory infections and virus-induced exacerbations of asthma.