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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Respir+Crit+Care+Med
2014 ; 190
(12
): 1363-72
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Gene expression in relation to exhaled nitric oxide identifies novel asthma
phenotypes with unique biomolecular pathways
#MMPMID25338189
Modena BD
; Tedrow JR
; Milosevic J
; Bleecker ER
; Meyers DA
; Wu W
; Bar-Joseph Z
; Erzurum SC
; Gaston BM
; Busse WW
; Jarjour NN
; Kaminski N
; Wenzel SE
Am J Respir Crit Care Med
2014[Dec]; 190
(12
): 1363-72
PMID25338189
show ga
RATIONALE: Although asthma is recognized as a heterogeneous disease associated
with clinical phenotypes, the molecular basis of these phenotypes remains poorly
understood. Although genomic studies have successfully broadened our
understanding in diseases such as cancer, they have not been widely used in
asthma studies. OBJECTIVES: To link gene expression patterns to clinical asthma
phenotypes. METHODS: We used a microarray platform to analyze bronchial airway
epithelial cell gene expression in relation to the asthma biomarker fractional
exhaled nitric oxide (FeNO) in 155 subjects with asthma and healthy control
subjects from the Severe Asthma Research Program (SARP). MEASUREMENTS AND MAIN
RESULTS: We first identified a diverse set of 549 genes whose expression
correlated with FeNO. We used k-means to cluster the patient samples according to
the expression of these genes, identifying five asthma clusters/phenotypes with
distinct clinical, physiological, cellular, and gene transcription
characteristics-termed "subject clusters" (SCs). To then investigate differences
in gene expression between SCs, a total of 1,384 genes were identified that
highly differentiated the SCs at an unadjusted P value < 10(-6). Hierarchical
clustering of these 1,384 genes identified nine gene clusters or "biclusters,"
whose coexpression suggested biological characteristics unique to each SC.
Although genes related to type 2 inflammation were present, novel pathways,
including those related to neuronal function, WNT pathways, and actin
cytoskeleton, were noted. CONCLUSIONS: These findings show that bronchial
epithelial cell gene expression, as related to the asthma biomarker FeNO, can
identify distinct asthma phenotypes, while also suggesting the presence of
underlying novel gene pathways relevant to these phenotypes.