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Open Access Research article

Possible role of EMID2 on nasal polyps pathogenesis in Korean asthma patients

Charisse Flerida Arnejo Pasaje1, Joon Seol Bae1, Byung-Lae Park2, Hyun Sub Cheong2, Jeong-Hyun Kim1, An-Soo Jang3, Soo-Taek Uh4, Choon-Sik Park3* and Hyoung Doo Shin12*

Author Affiliations

1 Department of Life Science, Sogang University, Seoul, 121-742, Republic of Korea

2 Department of Genetic Epidemiology, SNP Genetics, Inc., Seoul, 153-803, Republic of Korea

3 Division of Allergy and Respiratory Medicine, Soonchunhyang University Seoul Hospital, Seoul, 140-743, Republic of Korea

4 Genome Research Center for Allergy and Respiratory Diseases, Division of Allergy and Respiratory Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, 420-767, Republic of Korea

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BMC Medical Genetics 2012, 13:2  doi:10.1186/1471-2350-13-2

Published: 4 January 2012

Abstract

Background

Since subepithelial fibrosis and protruded extracellular matrix are among the histological characteristics of polyps, the emilin/multimerin domain-containing protein 2 (EMID2) gene is speculated to be involved in the presence of nasal polyps in asthma and aspirin-hypersensitive patients.

Methods

To investigate the association between EMID2 and nasal polyposis, 49 single-nucleotide polymorphisms (SNPs) were genotyped in 467 asthmatics of Korean ancestry who were stratified further into 114 aspirin exacerbated respiratory disease (AERD) and 353 aspirin-tolerant asthma (ATA) subgroups. From pairwise comparison of the genotyped polymorphisms, 14 major haplotypes (frequency > 0.05) were inferred and selected for association analysis. Differences in the frequency distribution of EMID2 variations between polyp-positive cases and polyp-negative controls were determined using logistic analyses.

Results

Initially, 13 EMID2 variants were significantly associated with the presence of nasal polyps in the overall asthma group (P = 0.0008-0.05, OR = 0.54-1.32 using various modes of genetic inheritance). Although association signals from 12 variants disappeared after multiple testing corrections, the relationship between EMID2_BL1_ht2 and nasal polyposis remained significant via a codominant mechanism (Pcorr = 0.03). On the other hand, the nominal associations observed between the genetic variants tested for the presence of nasal polyps in AERD (P = 0.003-0.05, OR = 0.25-1.82) and ATA (P = 0.01-0.04, OR = 0.46-10.96) subgroups disappeared after multiple comparisons, suggesting lack of associations.

Conclusions

These preliminary findings suggest that EMID2_BL1_ht2 may be a susceptibility marker of inflammation of the nasal passages among Korean asthma patients.