|Title||Native American Ancestry and Air Pollution Interact to Impact Bronchodilator Response in Puerto Rican Children with Asthma.|
|Publication Type||Journal Article|
|Year of Publication||2021|
|Authors||Contreras, MG, Keys, K, Magaña, J, Goddard, PC, Risse-Adams, O, Zeiger, AM, C Y Mak, A, Samedy-Bates, L-A, Neophytou, AM, Lee, E, Thakur, N, Elhawary, JR, Hu, D, Huntsman, S, Eng, C, Hu, T, Burchard, EG, White, MJ|
|Date Published||2021 Winter|
Objective: Asthma is the most common chronic disease in children. Short-acting bronchodilator medications are the most commonly prescribed asthma treatment worldwide, regardless of disease severity. Puerto Rican children display the highest asthma morbidity and mortality of any US population. Alarmingly, Puerto Rican children with asthma display poor bronchodilator drug response (BDR). Reduced BDR may explain, in part, the increased asthma morbidity and mortality observed in Puerto Rican children with asthma. Gene-environment interactions may explain a portion of the heritability of BDR. We aimed to identify gene-environment interactions associated with BDR in Puerto Rican children with asthma.
Setting: Genetic, environmental, and psycho-social data from the Genes-environments and Admixture in Latino Americans (GALA II) case-control study.
Participants: Our discovery dataset consisted of 658 Puerto Rican children with asthma; our replication dataset consisted of 514 Mexican American children with asthma.
Main Outcome Measures: We assessed the association of pairwise interaction models with BDR using ViSEN (Visualization of Statistical Epistasis Networks).
Results: We identified a non-linear interaction between Native American genetic ancestry and air pollution significantly associated with BDR in Puerto Rican children with asthma. This interaction was robust to adjustment for age and sex but was not significantly associated with BDR in our replication population.
Conclusions: Decreased Native American ancestry coupled with increased air pollution exposure was associated with increased BDR in Puerto Rican children with asthma. Our study acknowledges BDR's phenotypic complexity, and emphasizes the importance of integrating social, environmental, and biological data to further our understanding of complex disease.
|Alternate Journal||Ethn Dis|
|PubMed Central ID||PMC7843041|
|Grant List||R01 ES015794 / ES / NIEHS NIH HHS / United States |
T34 GM008574 / GM / NIGMS NIH HHS / United States
R01 HL141992 / HL / NHLBI NIH HHS / United States
K01 HL140218 / HL / NHLBI NIH HHS / United States
R01 HL141845 / HL / NHLBI NIH HHS / United States
R01 HL135156 / HL / NHLBI NIH HHS / United States
U01 HG009080 / HG / NHGRI NIH HHS / United States
R01 HL128439 / HL / NHLBI NIH HHS / United States
R21 ES024844 / ES / NIEHS NIH HHS / United States
R56 MD013312 / MD / NIMHD NIH HHS / United States
R01 HL117004 / HL / NHLBI NIH HHS / United States
P60 MD006902 / MD / NIMHD NIH HHS / United States
RL5 GM118984 / GM / NIGMS NIH HHS / United States
R01 MD010443 / MD / NIMHD NIH HHS / United States