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Table 2 Genetic associations of COPD

From: Chronic obstructive pulmonary disease: towards pharmacogenetics

Gene*

Descriptors†

 

Function

COPD phenotype

References

CHRNA3/5

rs8034191

rs1051730

  

Airflow obstruction with low FEV1; FEV1 decline

[33]

EPHX1

rs1051740

rs2234922

Tyr213His

His139Arg

Enzyme activity ↓

Enzyme activity ↑

Emphysema; UZDE; FEV1 decline

[9, 41, 86–90]

GC

rs4588

rs7041

Thr436Lys

Asp432Glu

Conversion to MAF ↓

Emphysema; airflow obstruction with low FEV1; FEV1 decline

[91–93]

GSTM1

Gene deletion

Null

No protein

Emphysema; chronic bronchitis

[94–96]

GSTP1

rs947894

Ile105Val

Enzyme activity ↑

UZDE; airflow obstruction with low FEV1; FEV1 decline

[9, 40, 95, 97–99]

HHIP

rs1828591

rs13118928

  

Airflow obstruction with low FEV1; FEV1 decline

[33, 39]

HMOX1

Microsatellite in promoter

GT(n)

Gene transcription ↑

Enzyme activity ↓

Emphysema; airflow obstruction with low FEV1; FEV1 decline

[100, 101]

IL1RN

VNTR tandem repeat

  

COPD

[40]

MMP1

rs1799750

G-1607GG

Gene transcription ↑

UZDE; FEV1 decline

[9]

MMP9

rs3918242

C-1562T

Gene transcription ↑

UZDE; airflow obstruction with low FEV1

[10, 102, 103]

SERPINA3

rs4934

rs17473

rs1800463

Ala-15Thr

Pro227Ala

Leu55Pro

Altered protein

Protein level ↓

Protein level ↓

Altered airway resistance

[104, 105]

SERPINE2

Various

N/A

N/A

Airflow obstruction with low FEV1

[37, 47]

SOD3

rs1799895

Arg213Gly

Protein level ↑

Airflow obstruction with low FEV1

[23]

SFTPB

rs1130866

rs2118177

Thr131Ile

Altered protein

Airflow obstruction with low FEV1; dyspnoea in emphysema; exacerbation frequency

[86, 87, 106]

TGFB

rs1800469

rs1982073

C-509T

C613T

Protein level ↑

Protein level ↑

Airflow obstruction with low FEV1; dyspnoea in emphysema

[40, 87, 107]

TNFA

rs1800629

G-308A

Protein level ↑

Emphysema; chronic bronchitis; airflow obstruction with low FEV1

[40, 42, 108–110]

  1. *Genes with evidence of an effect at genome-wide, meta-analysis or post-Bonferroni-correction level are in bold. †Most modern studies report these associations using the reference SNP number (rs...), but older studies often refer to the nucleotide change, whose nomenclature lists the more common allele, followed by the position of the SNP within the gene, and then the least common allele. For example, for TNFA, G-308A refers to a polymorphism at position -308 in the gene, which changes a G (guanine) residue to an A (adenine). The negative position indicates that it is in the promoter region. Alternatively, a SNP might be described by the effect it has on its protein product. This follows a similar system to that of nucleotide changes, such that, for example, in SOD3 Arg213Gly indicates a change from an arginine to a glycine residue at position 213 within the protein. Where such descriptors are common in the literature, both the rs number and these are shown. Abbreviations: GC, vitamin D binding protein; HMOX1, heme oxygenase; SFTPB, surfactant protein B; SOD, superoxide dismutase; TGFB, transforming growth factor β; UZDE, upper zone dominant emphysema.