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Journal ArticleDOI

Omeprazole inhibits IL-4 and IL-13 signaling signal transducer and activator of transcription 6 activation and reduces lung inflammation in murine asthma.

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TLDR
The interaction among the 17q12-21 variants, childhood smoke exposure, and pediatric asthma in a white population is confirmed and the data show no age-of-onset effect; however, this study does not refute earlier findings suggesting such an effect.
Abstract
interaction was lacking. Of 10 SNPs evaluated, only rs8079416 was nominally significant at a P value of .01. There was no interaction with age or smoke exposure. This continues to suggest that the tagging SNPs are not linked strongly to the causal variant or that the causal variant is rare in this population. In conclusion, we confirm the interaction among the 17q12-21 variants, childhood smoke exposure, and pediatric asthma in a white population. However, our data show no age-of-onset effect. Although this study does not refute earlier findings suggesting such an effect, further prospective exploration of interaction between the 17q12-21 variants and age of onset is warranted. James H. Flory, MD, MS Patrick M. Sleiman, PhD Jason D. Christie, MD, MS Kiran Annaiah, MSc Jonathan Bradfield, BS Cecilia E. Kim, BA Joseph Glessner, MSc Marcin Imielinski, MD, PhD Hongzhe Li, PhD Edward C. Frackelton, BA Hou Cuiping, PhD George Otieno, MSc Kelly Thomas, BA Ryan Smith, BA Wendy Glaberson, BA Maria Garris, BA Rosetta Chiavacci, MSc Julian Allen, MD Jonathan Spergel, MD, PhD Robert Grundmeier, MD, PhD Michael Grunstein, MD, PhD Michael Magnusson, MD, PhD Struan F. A. Grant, PhD Klaus Bønnelykke, MD Hans Bisgaard, MD Hakon Hakonarson, MD, PhD From the Center for Applied Genomics, the Division of Pulmonary Medicine, the Division of Allergy and Immunology, the Department of Bioinformatics, and the Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pa; the Center for Clinical Epidemiology and Biostatistics, Department of Medicine, University of Pennsylvania, Philadelphia, Pa; and the Department of Health Sciences of the University of Copenhagen, Copenhagen, Denmark. E-mail: hakonarson@ CHOP.EDU. Disclosure of potential conflict of interest: J. H. Flory has received nonprofit grants from FOCUS, the University of Pennsylvania, and the National Institutes of Health. J. D. Christie receives grant support from the National Institutes of Health and has provided legal consultation/expert witness testimony in cases related to mesothelioma in brake workers. J. Allen receives grant support from the National Institutes of Health. J. Spergel receives grant support from Ception and is on the speakers’ bureau for Schering-Plough and AstraZeneca. R. Grundmeier receives grant support from the Agency for Healthcare Research and Quality. M. Magnusson has provided legal consultation/expert witness testimony in cases related to medical malpractice. S. F. A. Grant receives grant support from the National Institutes of Health. H. Bisgaard has been a consultant to and paid lecturer for and holds sponsored grants from Aerocrine, Altana, GlaxoSmithKline, Merck, MedImmune, NeoLab, and Pfizer and has provided legal consultation/expert witness testimony on behalf of NeoLab. The rest of the authors have declared that they have no conflict of interest.

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Journal ArticleDOI

Omeprazole blocks eotaxin-3 expression by oesophageal squamous cells from patients with eosinophilic oesophagitis and GORD

TL;DR: Oesophageal squamous cells from GORD and EoE patients express similar levels of eotaxin-3 when stimulated by Th2 cytokines, and omeprazole blocks that eosinophil-reducing expression.

ORIGINAL ARTICLES—ALIMENTARY TRACT Esophageal Eosinophilic Infiltration Responds to Proton Pump Inhibition in Most Adults

TL;DR: In this article, the authors evaluated the prevalence of eosinophilic esophagitis before and after proton pump inhibitor (PPI) therapy and assessed the accuracy of EEI and pH monitoring analyses.
Journal ArticleDOI

Omeprazole Blocks STAT6 Binding to the Eotaxin-3 Promoter in Eosinophilic Esophagitis Cells

TL;DR: PPIs, in concentrations achieved in blood with conventional dosing, significantly inhibit IL-4-stimulated eotaxin-3 expression in EoE esophageal cells and block STAT6 binding to the promoter.
References
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Endogenous airway acidification. Implications for asthma pathophysiology.

TL;DR: It is demonstrated that the pH of deaerated exhaled airway vapor condensate is over two log orders lower in patients with acute asthma than in control subjects and normalizes with corticosteroid therapy, and suggested that regulation of airway pH has a previously unsuspected role in asthma pathophysiology.
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Efficacy of soluble IL-4 receptor for the treatment of adults with asthma

TL;DR: These promising data suggest that IL-4R is safe and effective in the treatment of moderate persistent asthma.
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Intratracheal IL-13 induces eosinophilic esophagitis by an IL-5, eotaxin-1, and STAT6-dependent mechanism

TL;DR: IL-13 delivery to the lung induces EE by an IL-5, eotaxin-1, and STAT6-dependent mechanism, which further establish an intimate connection between respiratory and esophageal inflammation.
Journal ArticleDOI

Efficacy of esomeprazole for treatment of poorly controlled asthma.

TL;DR: Despite a high prevalence of asymptomatic gastroesophageal reflux among patients with poorly controlled asthma, treatment with proton-pump inhibitors does not improve asthma control.
Journal ArticleDOI

Sites of Reaction of the Gastric H,K-ATPase with Extracytoplasmic Thiol Reagents

TL;DR: It is concluded that binding of these sided reagents to cysteine 813 in the loop between transmembrane (TM)5 and TM6 is sufficient for inhibition of ATPase activity and acid transport by the gastric acid pump.
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