Obese asthma phenotypes display distinct plasma biomarker profiles.

asthma body mass index inflammation obesity plasma biomarker

Journal

Clinical and translational allergy
ISSN: 2045-7022
Titre abrégé: Clin Transl Allergy
Pays: England
ID NLM: 101576043

Informations de publication

Date de publication:
Mar 2023
Historique:
revised: 06 02 2023
received: 13 11 2022
accepted: 13 03 2023
medline: 29 3 2023
entrez: 28 3 2023
pubmed: 29 3 2023
Statut: ppublish

Résumé

Obese asthma is a complex phenotype and further characterization of the pathophysiology is needed. This study aimed to explore inflammation-related plasma biomarkers in lean and overweight/obese asthmatics. We elucidated levels of inflammation-related plasma proteins in obese asthma phenotypes in the population-based cohort BAMSE (Swedish: Children, Allergy, Milieu, Stockholm, Epidemiology) using data from 2069 24-26-year-olds. Subjects were divided into lean asthma (n = 166), lean controls (n = 1440), overweight/obese asthma (n = 73) and overweight/obese controls (n = 390). Protein levels (n = 92) were analysed using the Olink Proseek Multiplex Inflammation panel. Of the 92 included proteins, 41 were associated with lean and/or overweight/obese asthma. The majority of proteins associated with overweight/obese asthma also associated with overweight/obesity among non-asthmatics. Beta-nerve growth factor (BetaNGF), interleukin 10 (IL-10), and matrix metalloproteinase 10 (MMP10) were associated only with lean asthma while C-C motif chemokine 20 (CCL20), fibroblast growth factor 19 (FGF19), interleukin 5 (IL-5), leukemia inhibitory factor (LIF), tumor necrosis factor ligand superfamily member 9 (TNFRSF9), and urokinase-type plasminogen activator (uPA) were associated only with overweight/obese asthma. Overweight/obesity modified the association between asthma and 3 of the proteins: fibroblast growth factor 21 (FGF21), interleukin 4 (IL-4), and urokinase-type plasminogen activator (uPA). In the overweight/obese group, interleukin-6 (IL-6) was associated with non-allergic asthma but not allergic asthma. These data indicate distinct plasma protein phenotypes in lean and overweight/obese asthmatics which, in turn, can impact upon therapeutic approaches.

Sections du résumé

BACKGROUND BACKGROUND
Obese asthma is a complex phenotype and further characterization of the pathophysiology is needed. This study aimed to explore inflammation-related plasma biomarkers in lean and overweight/obese asthmatics.
METHODS METHODS
We elucidated levels of inflammation-related plasma proteins in obese asthma phenotypes in the population-based cohort BAMSE (Swedish: Children, Allergy, Milieu, Stockholm, Epidemiology) using data from 2069 24-26-year-olds. Subjects were divided into lean asthma (n = 166), lean controls (n = 1440), overweight/obese asthma (n = 73) and overweight/obese controls (n = 390). Protein levels (n = 92) were analysed using the Olink Proseek Multiplex Inflammation panel.
RESULTS RESULTS
Of the 92 included proteins, 41 were associated with lean and/or overweight/obese asthma. The majority of proteins associated with overweight/obese asthma also associated with overweight/obesity among non-asthmatics. Beta-nerve growth factor (BetaNGF), interleukin 10 (IL-10), and matrix metalloproteinase 10 (MMP10) were associated only with lean asthma while C-C motif chemokine 20 (CCL20), fibroblast growth factor 19 (FGF19), interleukin 5 (IL-5), leukemia inhibitory factor (LIF), tumor necrosis factor ligand superfamily member 9 (TNFRSF9), and urokinase-type plasminogen activator (uPA) were associated only with overweight/obese asthma. Overweight/obesity modified the association between asthma and 3 of the proteins: fibroblast growth factor 21 (FGF21), interleukin 4 (IL-4), and urokinase-type plasminogen activator (uPA). In the overweight/obese group, interleukin-6 (IL-6) was associated with non-allergic asthma but not allergic asthma.
CONCLUSION CONCLUSIONS
These data indicate distinct plasma protein phenotypes in lean and overweight/obese asthmatics which, in turn, can impact upon therapeutic approaches.

Identifiants

pubmed: 36973952
doi: 10.1002/clt2.12238
pmc: PMC10032201
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12238

Subventions

Organisme : Region Stockholm, ALF project, Clinical postdoctoral appointment (SK), and database maintenance
Organisme : Hjärt-Lungfonden
Organisme : European Academy of Allergy and Clinical Immunology, Medium-Term Research Fellowship (NHP)
Organisme : Thermo Fisher Scientific, reagents for the allergen-specific IgE analyses
Organisme : Insamlingsstiftelsen Cancer- och Allergifonden
Organisme : H2020 European Research Council
ID : 757919
Organisme : European Respiratory Society (NHP)
ID : LTRF202101-00861
Organisme : Svenska Forskningsrådet Formas
ID : 2016-01646
Organisme : Forskningsrådet om Hälsa, Arbetsliv och Välfärd
ID : 2017-00526
Organisme : Vetenskapsrådet
ID : 2016-03086
Organisme : Vetenskapsrådet
ID : 2018-02524
Organisme : Vetenskapsrådet
ID : 2019-01060
Organisme : Vetenskapsrådet
ID : 2020-02170
Organisme : Astma- och Allergiförbundet

Informations de copyright

© 2023 The Authors. Clinical and Translational Allergy published by John Wiley & Sons Ltd on behalf of European Academy of Allergy and Clinical Immunology.

Références

Allergy. 2017 Mar;72(3):473-482
pubmed: 27624865
J Allergy Clin Immunol. 2009 Jun;123(6):1391-400.e17
pubmed: 19443020
Sleep Med Rev. 2022 Feb;61:101564
pubmed: 34902822
J Allergy Clin Immunol. 2016 Nov;138(5):1309-1318.e11
pubmed: 27177781
Eur Respir J. 2021 Mar 4;57(3):
pubmed: 33184115
J Allergy Clin Immunol. 2018 Mar;141(3):1096-1104
pubmed: 28624608
Eur Respir J. 2020 Jan 2;55(1):
pubmed: 31515408
Am J Respir Crit Care Med. 2023 Feb 15;207(4):406-415
pubmed: 36409973
J Allergy Clin Immunol. 2018 Apr;141(4):1169-1179
pubmed: 29627041
Cardiovasc Diabetol. 2019 Oct 1;18(1):127
pubmed: 31575375
Clin Transl Allergy. 2020 May 25;10:15
pubmed: 32489587
Eur Respir J. 2012 Dec;40(6):1324-43
pubmed: 22743675
Clin Transl Allergy. 2022 Aug 17;12(8):e12188
pubmed: 35990418
Lancet Respir Med. 2016 Jul;4(7):574-584
pubmed: 27283230
Clin Exp Allergy. 2018 Jul;48(7):814-824
pubmed: 29665127
J Clin Med. 2021 Jan 06;10(2):
pubmed: 33418879
J Allergy Clin Immunol. 2004 Jan;113(1):59-65
pubmed: 14713908
Thorax. 2018 Jun;73(6):538-545
pubmed: 29382799
Cell Immunol. 2017 Feb;312:1-14
pubmed: 28077237
J Eur Acad Dermatol Venereol. 2022 May;36(5):698-704
pubmed: 35032357
Clin Exp Allergy. 2013 Jan;43(1):36-49
pubmed: 23278879
Pharmacol Ther. 2021 Sep;225:107839
pubmed: 33774068
Clin Exp Allergy. 2023 Feb;53(2):186-197
pubmed: 36104952
Eur Respir J. 2016 Oct;48(4):1108-1117
pubmed: 27587551
PLoS One. 2016 Mar 02;11(3):e0150042
pubmed: 26934051
J Endocrinol Invest. 2021 Mar;44(3):599-608
pubmed: 32681464
Eur J Clin Invest. 2018 Sep;48(9):e12997
pubmed: 29995306
Allergy. 2019 Oct;74(10):1835-1851
pubmed: 30953574
Sci Rep. 2021 May 31;11(1):11391
pubmed: 34059769
Eur Respir J. 2019 Dec 12;54(6):
pubmed: 31624112
Proc Natl Acad Sci U S A. 2020 Feb 11;117(6):2751-2760
pubmed: 31980524
Sci Transl Med. 2022 Apr 20;14(641):eabl8146
pubmed: 35442706
Allergy. 2019 Jun;74(6):1102-1112
pubmed: 30667542
Thorax. 2021 May;76(5):503-507
pubmed: 33184098
Clin Nutr. 2017 Jun;36(3):861-868
pubmed: 27188262
Am J Respir Cell Mol Biol. 2006 Oct;35(4):503-11
pubmed: 16728704

Auteurs

Sophia Björkander (S)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.

Susanna Klevebro (S)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden.

Natalia Hernandez-Pacheco (N)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
CIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain.

Maura Kere (M)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.

Sandra Ekström (S)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Centre for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.

Maria Sparreman Mikus (M)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Marianne van Hage (M)

Department of Medicine, Solna, Division of Immunology and Allergy, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.

Anna James (A)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Inger Kull (I)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden.

Anna Bergström (A)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Centre for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden.

Jenny Mjösberg (J)

Department of Medicine Huddinge, Centre for Infectious Medicine, Karolinska Institutet, Stockholm, Sweden.

Christopher Andrew Tibbitt (CA)

Department of Medicine Huddinge, Centre for Infectious Medicine, Karolinska Institutet, Stockholm, Sweden.

Erik Melén (E)

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Sachs' Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden.
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Classifications MeSH