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Polymorphisms and haplotypes of TOLLIP and MUC5B are associated with susceptibility and survival in patients with fibrotic hypersensitivity pneumonitis

dc.contributor.authorMota, P.C.
dc.contributor.authorSoares, M.L.
dc.contributor.authorFerreira, A.C.
dc.contributor.authorF. Santos, Rita
dc.contributor.authorCavaleiro Rufo, J
dc.contributor.authorVasconcelos, D.
dc.contributor.authorCarvalho, A.
dc.contributor.authorGuimarães, S.
dc.contributor.authorVasques-Novo, F.
dc.contributor.authorCardoso, C.
dc.contributor.authorMelo, N.
dc.contributor.authorAlexandre, A.T.
dc.contributor.authorCoelho, D.
dc.contributor.authorNovais-Bastos, H.
dc.contributor.authorMorais, A.
dc.date.accessioned2024-11-19T09:43:48Z
dc.date.available2024-11-19T09:43:48Z
dc.date.issued2024-02-02
dc.description.abstractHypersensitivity pneumonitis (HP) is an interstitial lung disease with diverse clinical features that can present a fibrotic phenotype similar to idiopathic pulmonary fibrosis (IPF) in genetically predisposed individuals. While several single nucleotide polymorphisms (SNPs) have been associated with IPF, the genetic factors contributing to fibrotic HP (fHP) remain poorly understood. This study investigated the association of MUC5B and TOLLIP variants with susceptibility, clinical presentation and survival in Portuguese patients with fH. A case-control study was undertaken with 97 fHP patients and 112 controls. Six SNPs residing in the MUC5B and TOLLIP genes and their haplotypes were analyzed. Associations with risk, survival, and clinical, radiographic, and pathological features of fHP were probed through comparisons among patients and controls. MUC5B rs35705950 and three neighboring TOLLIP variants (rs3750920, rs111521887, and rs5743894) were associated with increased susceptibility to fHP. Minor allele frequencies were greater among fHP patients than in controls (40.7% vs 12.1%, P<0.0001; 52.6% vs 40.2%, P = 0.011; 22.7% vs 13.4%, P = 0.013; and 23.2% vs 12.9%, P = 0.006, respectively). Haplotypes formed by these variants were also linked to fHP susceptibility. Moreover, carriers of a specific haplotype (G-T-G-C) had a significant decrease in survival (adjusted hazard ratio 6.92, 95% CI 1.73–27.64, P = 0.006). Additional associations were found between TOLLIP rs111521887 and rs5743894 variants and decreased lung function at baseline, and the MUC5B SNP and radiographic features, further highlighting the influence of genetic factors in fHP. These findings suggest that TOLLIP and MUC5B variants and haplotypes may serve as valuable tools for risk assessment and prognosis in fibrotic hypersensitivity pneumonitis, potentially contributing to its patient stratification, and offer insights into the genetic factors influencing the clinical course of the condition.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMota, P. C., Soares, M. L., Ferreira, A. C., Santos, R. F., Rufo, J. C., Vasconcelos, D., Carvalho, A., Guimarães, S., Vasques-Nóvoa, F., Cardoso, C., Melo, N., Alexandre, A. T., Coelho, D., Novais-Bastos, H., & Morais, A. (2024). Polymorphisms and haplotypes of TOLLIP and MUC5B are associated with susceptibility and survival in patients with fibrotic hypersensitivity pneumonitis. Pulmonology. https://doi.org/10.1016/j.pulmoe.2024.01.002pt_PT
dc.identifier.doi10.1016/j.pulmoe.2024.01.002pt_PT
dc.identifier.eissn2531-0437
dc.identifier.urihttp://hdl.handle.net/10400.22/26406
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relationThis work was supported by the Portuguese Society of Pulmonology (SPP) (SPP/Bolsa Novartis 2012 grant); Boehringer- Ingelheim (Unrestricted Research Grant); Funda¸c~ao para a Ci^encia e a Tecnologia, I.P. (PTDC/MEC-RES/0158/2020 grant); and Funda¸c~ao Am elia de Mello and D. Jos e de Mello. JCR is funded by Funda¸c~ao para a Ci^encia e a Tecnologia through the Stimulus for Scientific Employment Individual Support (2020.01350.CEECIND).pt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S2531043724000072?via%3Dihubpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectHypersensitivity pneumonitispt_PT
dc.subjectMUC5Bpt_PT
dc.subjectTOLLIPpt_PT
dc.subjectGenetic variantspt_PT
dc.subjectHaplotypespt_PT
dc.subjectSusceptibilitypt_PT
dc.subjectSurvivalpt_PT
dc.subjectFibrosispt_PT
dc.titlePolymorphisms and haplotypes of TOLLIP and MUC5B are associated with susceptibility and survival in patients with fibrotic hypersensitivity pneumonitispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titlePulmonologypt_PT
person.familyNameSantos
person.familyNameCavaleiro Rufo
person.givenNameAna Rita
person.givenNameJoão
person.identifierR-00F-QED
person.identifier.ciencia-id0911-4138-0C3A
person.identifier.ciencia-id0F14-AD98-862F
person.identifier.orcid0000-0003-0139-0285
person.identifier.orcid0000-0003-1175-242X
person.identifier.ridK-7994-2013
person.identifier.scopus-author-id56549851500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationd71931b8-d869-4334-993c-ba14ad713f01
relation.isAuthorOfPublication762b2c6e-6710-4061-bc68-74084b460ccf
relation.isAuthorOfPublication.latestForDiscovery762b2c6e-6710-4061-bc68-74084b460ccf

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