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IL1RL1 asthma risk variants regulate airway type 2 inflammation
Erin D. Gordon, Joe Palandra, Agata Wesolowska-Andersen, Lando Ringel, Cydney L. Rios, Marrah E. Lachowicz-Scroggins, Louis Z. Sharp, Jamie L. Everman, Hannah J. MacLeod, Jae W. Lee, Robert J. Mason, Michael A. Matthay, Richard T. Sheldon, Michael C. Peters, Karl H. Nocka, John V. Fahy, Max A. Seibold
Erin D. Gordon, Joe Palandra, Agata Wesolowska-Andersen, Lando Ringel, Cydney L. Rios, Marrah E. Lachowicz-Scroggins, Louis Z. Sharp, Jamie L. Everman, Hannah J. MacLeod, Jae W. Lee, Robert J. Mason, Michael A. Matthay, Richard T. Sheldon, Michael C. Peters, Karl H. Nocka, John V. Fahy, Max A. Seibold
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Research Article Immunology Pulmonology

IL1RL1 asthma risk variants regulate airway type 2 inflammation

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Abstract

Genome-wide association studies of asthma have identified genetic variants in the IL1RL1 gene, but the molecular mechanisms conferring risk are unknown. IL1RL1 encodes the ST2 receptor (ST2L) for IL-33 and an inhibitory decoy receptor (sST2). IL-33 promotes type 2 inflammation, which is present in some but not all asthmatics. We find that two single nucleotide polymorphisms (SNPs) in IL1RL1 — rs1420101 and rs11685480 — are strongly associated with plasma sST2 levels, though neither is an expression quantitative trait locus (eQTL) in whole blood. Rather, rs1420101 and rs11685480 mark eQTLs in airway epithelial cells and distal lung parenchyma, respectively. We find that the genetically determined plasma sST2 reservoir, derived from the lung, neutralizes IL-33 activity, and these eQTL SNPs additively increase the risk of airway type 2 inflammation among asthmatics. These risk variants define a population of asthmatics at risk of IL-33–driven type 2 inflammation.

Authors

Erin D. Gordon, Joe Palandra, Agata Wesolowska-Andersen, Lando Ringel, Cydney L. Rios, Marrah E. Lachowicz-Scroggins, Louis Z. Sharp, Jamie L. Everman, Hannah J. MacLeod, Jae W. Lee, Robert J. Mason, Michael A. Matthay, Richard T. Sheldon, Michael C. Peters, Karl H. Nocka, John V. Fahy, Max A. Seibold

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Figure 3

Differences in airway epithelial cell and distal lung tissue expression genetics is driven by differential promoter usage.

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Differences in airway epithelial cell and distal lung tissue expression ...
In cultured airway epithelial cells, rs1420101 (blue) — but not rs11685480 (red) or rs1921622 (black) — is associated with sST2 gene expression (n = 127) (A) and sST2 secreted protein levels (n = 141) (B) in both the unstimulated and IL-13–stimulated conditions. White non-Hispanic subjects are indicated with a circle, while the entire cohort is indicated with a square. SNP regression coefficient and the corresponding 95% CIs are plotted. Additive linear regression models were used. *P < 0.05, **P < 0.01. (C) In contrast, both rs1420101 (blue) and rs11685480 (red) are associated with sST2 gene expression in distal lung parenchymal tissue in GTEx cadaveric donors (n = 237). SNP regression coefficient and the corresponding 95% CIs are plotted with P value listed below. Additive linear regression models were used. (D) Schema showing that sST2 transcripts can be derived from either the IL1RL1 distal or proximal promoters. sST2 transcripts derived from the distal promoter will contain exon 1a, while those derived from the proximal promoter will contain exon 1b. Primers were designed to specifically amplify exon 1a and exon 1b, as indicated by black arrowheads. (E) Cultured human airway epithelial cells (n = 6) and cultured human lung endothelial cells (n = 3) use the proximal promoter, while human alveolar epithelial cells (n = 7) use both promoters. *P < 0.05, ***P < 0.001 using 2-tailed paired t test.

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