Little is known about why asthma develops, how it constricts the airway or why response to treatments varies between patients. Now, a team of researchers at Weill Cornell Medical College, Columbia University Medical Center and SUNY Downstate Medical Center has revealed the roots of a common type of childhood asthma, showing that it is very different from other asthma cases, according to the May 2013 paper, “Impaired sphingolipid synthesis in the respiratory tract induces airway hyperreactivity.”
Researchers find common childhood asthma unconnected to allergens or inflammation. Discovery of origins of a unique form of asthma may lead to a precision medicine approach to treatment. Little is known about why asthma develops, how it constricts the airway or why response to treatments varies between patients. Now, a team of researchers at Weill Cornell Medical College, Columbia University Medical Center and SUNY Downstate Medical Center has revealed the roots of a common type of childhood asthma, showing that it is very different from other asthma cases.
Little is known about why asthma develops, but the roots of one type of childhood asthma at last has been revealed
Their report, in Science Translational Medicine reveals that an over-active gene linked in 20 to 30 percent of patients with childhood asthma interrupts the synthesis of lipid molecules (known as sphingolipids) that are part of cell membranes found all over the body.
Do reduced production of sphingolipids (a loss of these lipids) show a link to asthma (bronchial hyerreactivity)? Although the researchers do not yet understand why asthma results from reduced production of sphingolipids, their experiments clearly show a link between loss of these lipids and bronchial hyperreactivity, a key feature of asthma. Sphingolipids are a class of lipids containing a backbone of sphingoid bases, a set of aliphatic amino alcohols that includes sphingosine.
And lipids are fats. Lipids make up a group of naturally occurring molecules that include fats, waxes, sterols, fat-soluble vitamins (such as vitamins A, D, E, and K), monoglycerides, diglycerides, triglycerides, phospholipids, and others. The main biological functions of lipids include energy storage, signaling, and acting as structural components of cell membranes, according to the Lipid – Wikipedia site
In the latest study, what makes this pathway unique, investigators say, is that it is not related to allergens and, the investigators discovered, has nothing to do with inflammation
“Usually asthma is thought to be an inflammatory disease or a reaction to an allergen. Our model shows that asthma can result from having too little of a type of sphingolipids. This is a completely new pathway for asthma pathogenesis,” says the study’s senior author, Dr. Stefan Worgall, chief of the Pediatric Pulmonology, Allergy and Immunology Division at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, according to the May 23, 2013 news release, Researchers find common childhood asthma unconnected to allergens or inflammation.
This is very good news, he adds. “Our findings are not only valuable in understanding the pathogenesis of this complex disease, but provide a basis to develop novel therapies, especially asthma agents based on a patient’s genotype,” says Dr. Worgall, who is also a distinguished professor of pediatric pulmonology, professor of pediatrics and associate professor of genetic medicine at Weill Cornell Medical College.
Precision Medicine for Asthma
Asthma is a significant health problem affecting about 7 million children in the United States. Nearly 10 percent of American children 0–17 years of age have asthma, making it the most common serious respiratory childhood disease. Its prevalence is even higher among inner-city children, says Dr. Worgall, according to the news release. Besides causing suffering, disability and alarm, the economic toll is significant. In 2009, asthma caused 640,000 emergency room visits and 157,000 hospitalizations, plus 10.5 million missed school days.
“Yet while it has become increasingly evident that asthma takes several forms, treatment of the disorder is uniform,” he says in the news release. “Most therapies are designed to reduce inflammation, but they do not help all sufferers.”
The notion that asthma has different forms gained ground after several genome-wide association studies (GWAS) found variation in a gene, later identified as ORMDL3, in to up to 30 percent of asthma cases. In 2007, over-production of the gene’s protein was connected to childhood asthma, and this gene has been the most consistent genetic factor identified so far for asthma. Is sphingolipid production linked to asthma?
In 2010, a study in yeast found that ORMDL3 protein inhibits sphingolipid de-novo synthesis
This finding prompted the researchers to investigate whether sphingolipid production is connected to asthma. Their study shows that this is indeed true in mouse models of the disease. Using mouse models, the researchers found that inhibition of an enzyme, serine palmitoyl-CoA transferase (SPT), which is critical to sphingolipid synthesis, produced asthma in mice and in human airways, as it did in mice that had a genetic defect in SPT.
The airway hyperactivity seen in the mice was not linked to increased inflammation, and the scientists saw a decreased response of the lung and airways to magnesium — which is often used in emergency rooms to relieve chest tightness of patients with asthma attacks.
“In our mouse models, we found that magnesium was not effective at inducing airway relaxation, suggesting the same would be true for humans whose asthma is linked to ORMDL3,” says the study’s first author, Dr. Tilla S. Worgall, in the news release. Dr. Worgall is an assistant professor in the Department of Pathology and Cell Biology and a member of the Institute of Human Nutrition at Columbia University Medical Center.
The association of decreased de novo sphingolipid synthesis with alterations in cellular magnesium homeostasis provides a clue into the mechanism of asthma
“Therefore, therapies that circumvent the effect of the ORMDL3 genotype may be effective treatments for asthma sufferers. We are now working towards developing these new therapies,” Dr. Worgall explains in the news release. You can check out the original paper, “Impaired sphingolipid synthesis in the respiratory tract induces airway hyperreactivity.”
Additional authors include Arul Veerappan, Biin Sung, Evan Weiner, Rheeshma Bholah and Dr. Randy B. Silver from Weill Cornell Medical College; Benjamin I. Kim from Columbia University Medical Center; and Dr. Xian-Cheng Jiang from SUNY Downstate Medical Center (formally known as The State University of New York at Brooklyn).
The study has been funded by the Department of Pediatrics at Weill Cornell Medical College, and the Department of Pathology and Cell Biology and Institute of Human Nutrition at Columbia University Medical Center. This research was also supported by the Irving Institute for Clinical and Translational Research at CUMC, which is supported by the National Institutes of Health (NIH) Clinical and Translational Science Award (CTSA) program, through grant UL1 TR000040. The authors declare no financial or other conflicts of interest.