title: Genetic susceptibility to asthma--bronchial hyperresponsiveness coinherited with a major gene for atopy.
abstract: BACKGROUND
  Bronchial hyperresponsiveness, a risk factor for asthma, consists of a heightened bronchoconstrictor response to a variety of stimuli. The condition has a heritable component and is closely related to serum IgE levels and airway inflammation. The basis for these relations is unknown, as is the mechanism of genetic susceptibility to bronchial hyperresponsiveness. We attempted to define the interrelation between atopy and bronchial hyperresponsiveness and to investigate the chromosomal location of this component of asthma.
  
  
  METHODS
  We studied 303 children and grandchildren of 84 probands with asthma selected from a homogeneous population in the Netherlands. Ventilatory function, bronchial responsiveness to histamine, and serum total IgE were measured. The association between the last two variables was evaluated. Using analyses involving pairs of siblings, we tested for linkage between bronchial hyperresponsiveness and genetic markers on chromosome 5q31-q33, previously shown to be linked to a genetic locus regulating serum total IgE levels.
  
  
  RESULTS
  Serum total IgE levels were strongly correlated (r = 0.65, P < 0.01) in pairs of siblings concordant for bronchial hyperresponsiveness (defined as a > or = 20 percent decrease in the forced expiratory volume in one second produced by histamine [threshold dose, < or = 16 mg per milliliter]), suggesting that these traits are coinherited. However, bronchial hyperresponsiveness was not correlated with serum IgE levels (r = 0.04, P > 0.10). Analyses of pairs of siblings showed linkage of bronchial hyperresponsiveness with several genetic markers on chromosome 5q, including D5S436 (P < 0.001 for a histamine threshold value of < or = 16 mg per milliliter).
  
  
  CONCLUSIONS
  This study demonstrates that a trait for an elevated level of serum total IgE is coinherited with a trait for bronchial hyperresponsiveness and that a gene governing bronchial hyperresponsiveness is located near a major locus that regulates serum IgE levels on chromosome 5q. These findings are consistent with the existence of one or more genes on chromosome 5q31-q33 causing susceptibility to asthma.
authors.affiliation: University Hospital, Groningen, The Netherlands.
authors.forename: D S
authors.initials: DS
authors.lastname: Postma
authors.forename: E R
authors.initials: ER
authors.lastname: Bleecker
authors.forename: P J
authors.initials: PJ
authors.lastname: Amelung
authors.forename: K J
authors.initials: KJ
authors.lastname: Holroyd
authors.forename: J
authors.initials: J
authors.lastname: Xu
authors.forename: C I
authors.initials: CI
authors.lastname: Panhuysen
authors.forename: D A
authors.initials: DA
authors.lastname: Meyers
authors.forename: R C
authors.initials: RC
authors.lastname: Levitt
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001249:Asthma / Q000235:genetics* / Q000503:physiopathology; D016535:Bronchial Hyperreactivity / Q000235:genetics* / Q000276:immunology; D002648:Child; D002895:Chromosomes, Human, Pair 5; D005260:Female; D005803:Genes, Immunoglobulin; D008040:Genetic Linkage; D005819:Genetic Markers; D020022:Genetic Predisposition to Disease; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000235:genetics*; D007073:Immunoglobulin E / Q000097:blood* / Q000235:genetics; D008297:Male; D008875:Middle Aged
chemical_list: D005819:Genetic Markers; D007073:Immunoglobulin E