A methodology to establish a database to study gene environment interactions for childhood asthma.

A methodology to establish a database to study gene environment interactions for childhood asthma.
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DOI:
10.1186/1471-2288-10-107
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发表时间:
2010-12-06
影响因子:
4
通讯作者:
Macgregor D
Macgregor D
中科院分区:
医学3区
文献类型:
--
作者:
Turner SW;Ayres JG;Macfarlane TV;Mehta A;Mehta G;Palmer CN;Cunningham S;Adams T;Aniruddhan K;Bell C;Corrigan D;Cunningham J;Duncan A;Hunt G;Leece R;MacFadyen U;McCormick J;McLeish S;Mitra A;Miller D;Waxman E;Webb A;Wojcik S;Mukhopadhyay S;Macgregor D

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基因-环境相互作用可能解释儿童哮喘的某些异质性。在这里,我们描述的方法和经验,在建立一个数据库的儿童哮喘,旨在研究基因环境的相互作用(PAGES -儿科哮喘基因环境研究)。2008年至2011年期间,从15家医院招募了接受呼吸儿科医生护理的哮喘儿童。填写哮喘调查问卷并邮寄。在常规的诊所访问中,收集唾液用于DNA提取。一部分儿童的详细表型包括肺量测定、支气管扩张反应(BDR)、皮肤点刺反应、呼出一氧化氮和唾液可替宁。完成饮食和生活质量问卷。数据被输入到一个专门建立的数据库。迄今为止,已邀请1 045名儿童参加,并收集了501名儿童(48%)的数据。参与者的平均年龄(SD)为8.6(3.9)岁,57%为男性。已收集了436名儿童的DNA。对172名儿童进行了肺功能测定,平均%预测(SD)FEV 1 97%(15),中位数(IQR)BDR为5%(2,9)。不同中心之间的年龄、社会经济状况、严重程度和%FEV1存在差异(p≤0.024)。未参与的原因包括父母没有时间参与,儿童没有到诊所就诊,以及少数儿童拒绝参与。建立一个全国性的数据库来研究哮喘儿童人群中的基因-环境相互作用是可行的;从不同中心招募的个体存在参与障碍和一些不同的特征。本研究的招募仍在继续,预计将扩大目前对哮喘异质性的理解。
Gene-environment interactions are likely to explain some of the heterogeneity in childhood asthma. Here, we describe the methodology and experiences in establishing a database for childhood asthma designed to study gene-environment interactions (PAGES - Paediatric Asthma Gene Environment Study). Children with asthma and under the care of a respiratory paediatrician are being recruited from 15 hospitals between 2008 and 2011. An asthma questionnaire is completed and returned by post. At a routine clinic visit saliva is collected for DNA extraction. Detailed phenotyping in a proportion of children includes spirometry, bronchodilator response (BDR), skin prick reactivity, exhaled nitric oxide and salivary cotinine. Dietary and quality of life questionnaires are completed. Data are entered onto a purpose-built database. To date 1045 children have been invited to participate and data collected in 501 (48%). The mean age (SD) of participants is 8.6 (3.9) years, 57% male. DNA has been collected in 436 children. Spirometry has been obtained in 172 children, mean % predicted (SD) FEV1 97% (15) and median (IQR) BDR is 5% (2, 9). There were differences in age, socioeconomic status, severity and %FEV1 between the different centres (p≤0.024). Reasons for non-participation included parents not having time to take part, children not attending clinics and, in a small proportion, refusal to take part. It is feasible to establish a national database to study gene-environment interactions within an asthmatic paediatric population; there are barriers to participation and some different characteristics in individuals recruited from different centres. Recruitment to our study continues and is anticipated to extend current understanding of asthma heterogeneity.
DOI: 10.1177/003591577206500320
发表时间: 1972-01-01
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