期刊
ALLERGY
卷 73, 期 1, 页码 196-205出版社
WILEY
DOI: 10.1111/all.13263
关键词
allergen challenge; allergic rhinitis; environmental exposure unit; epigenetics; pollen
资金
- Clinical Teachers' Association of Queen's University (CTAQ) Endowment Fund
- Allergy Research Unit, Kingston General Hospital, Kingston, Ontario, Canada
- John Alexander Stewart Award, Department of Medicine, Queen's University
- Ontario Ministry of Research and Innovation Award
- AllerGen N.C.E. Canadian Allergy and Immune Diseases Advanced Training Initiative (CAIDATI) Award
- Mining for Miracles PDF fellowship from the Child and Family Research Institute
BackgroundEpigenetic alterations may represent new therapeutic targets and/or biomarkers of allergic rhinitis (AR). Our aim was to examine genome-wide epigenetic changes induced by controlled pollen exposure in the environmental exposure unit (EEU). Methods38 AR sufferers and eight nonallergic controls were exposed to grass pollen for 3 hours on two consecutive days. We interrogated DNA methylation at baseline and 3 hours in peripheral blood mononuclear cells (PBMCs) using the Infinium Methylation 450K array. We corrected for demographics, cell composition, and multiple testing (Benjamini-Hochberg) and verified hits using bisulfite PCR pyrosequencing and qPCR. To extend these findings to a clinically relevant tissue, we investigated DNA methylation and gene expression of mucin 4 (MUC4), in nasal brushings from a separate validation cohort exposed to birch pollen. ResultsIn PBMCs of allergic rhinitis participants, 42 sites showed significant DNA methylation changes of 2% or greater. DNA methylation changes in tryptase gamma 1 (TPSG1), schlafen 12 (SLFN12), and MUC4 in response to exposure were validated by pyrosequencing. SLFN12 DNA methylation significantly correlated with symptoms (P < 0.05), and baseline DNA methylation pattern was found to be predictive of symptom severity upon grass allergen exposure (P = 0.029). Changes in MUC4 DNA methylation in nasal brushings in the validation cohort correlated with drop in peak nasal inspiratory flow (Spearman's r = 0.314, P = 0.034), and MUC4 gene expression was significantly increased (P < 0.0001). ConclusionThis study revealed novel and rapid epigenetic changes upon exposure in a controlled allergen challenge facility, and identified baseline epigenetic status as a predictor of symptom severity.
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