title: Family-based transmission disequilibrium test (TDT) and case-control association studies reveal surfactant protein A (SP-A) susceptibility alleles for respiratory distress syndrome (RDS) and possible race differences.
abstract: A key cause of respiratory distress syndrome (RDS) in the prematurely born infant is deficiency of pulmonary surfactant, a lipoprotein complex. Both low levels of surfactant protein A (SP-A) and SP-A alleles have been associated with RDS. Using the candidate gene approach, we performed family-based linkage studies to discern linkage of SP-A to RDS and identify SP-A susceptibility or protective alleles. Moreover, we performed case-control studies of whites and blacks to detect association between RDS and SP-A alleles. Transmission disequilibrium test (TDT) analysis revealed that the frequency of transmission (from parent to the offspring with RDS) of alleles 6A(2) and 1A(0) and of 1A(0)/6A(2) haplotype in RDS was increased, whereas transmission of alleles 1A(5) and 6A(4) and of haplotype 1A(5)/6A(4) was decreased. Extended TDT analysis further strengthened the observations made. The case-control studies showed that in whites or blacks with RDS the frequencies of specific genotypes, 1A(0) and 6A(2) or 1A(0), were increased, respectively, but the frequency of specific 6A(3) genotypes was increased in certain white subgroups and decreased in blacks. Regression analysis revealed gestational age (GA) and 6A(3) genotypes are significant factors in blacks with RDS. In whites with RDS, GA and antenatal steroids are important factors. The data together indicate linkage between SP-A and RDS; certain SP-A alleles/haplotypes are susceptibility (1A(0), 6A(2), 1A(0)/6A(2)) or protective (1A(5), 6A(4), 1A(5)/6A(4)) factors for RDS. Some differences between blacks and whites with regard to SP-A alleles may exist.
authors.affiliation: Department of Cellular and Molecular Physiology, The Pennsylvania State University College of Medicine, Hershey, PA 17033, USA. jfloros@psu.edu
authors.forename: J
authors.initials: J
authors.lastname: Floros
authors.forename: R
authors.initials: R
authors.lastname: Fan
authors.forename: A
authors.initials: A
authors.lastname: Matthews
authors.forename: S
authors.initials: S
authors.lastname: DiAngelo
authors.forename: J
authors.initials: J
authors.lastname: Luo
authors.forename: H
authors.initials: H
authors.lastname: Nielsen
authors.forename: M
authors.initials: M
authors.lastname: Dunn
authors.forename: I H
authors.initials: IH
authors.lastname: Gewolb
authors.forename: J
authors.initials: J
authors.lastname: Koppe
authors.forename: L
authors.initials: L
authors.lastname: van Sonderen
authors.forename: L
authors.initials: L
authors.lastname: Farri-Kostopoulos
authors.forename: M
authors.initials: M
authors.lastname: Tzaki
authors.forename: M
authors.initials: M
authors.lastname: Rämet
authors.forename: J
authors.initials: J
authors.lastname: Merrill
mesh_terms: D000483:Alleles; D044383:Black People; D016022:Case-Control Studies; D005192:Family Health; D005260:Female; D005819:Genetic Markers; D020022:Genetic Predisposition to Disease; D005838:Genotype; D006239:Haplotypes; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008957:Models, Genetic; D011510:Proteolipids / Q000737:chemistry* / Q000235:genetics*; D037662:Pulmonary Surfactant-Associated Protein A; D037661:Pulmonary Surfactant-Associated Proteins; D011663:Pulmonary Surfactants / Q000737:chemistry* / Q000235:genetics*; D012044:Regression Analysis; D012127:Respiratory Distress Syndrome, Newborn / Q000208:ethnology* / Q000235:genetics* / Q000378:metabolism; D012737:Sex Factors; D044465:White People
chemical_list: D005819:Genetic Markers; D011510:Proteolipids; D037662:Pulmonary Surfactant-Associated Protein A; D037661:Pulmonary Surfactant-Associated Proteins; D011663:Pulmonary Surfactants