TABLE 3

Immunogenetic studies of lung dysfunction potentially relevant to pulmonary impairment after tuberculosis (TB)

Biomarker/genePolymorphismImplication on lung pathology/functionReference
TB
MMP-1MMP-1 -1607G (1G) (rs1799750)Extensive fibrosis after 1 year of TB treatment
Cavitary disease
Endobronchial TB and tracheobronchial stenosis
[145–147]
MCP-1+MMP-1MCP-1 -2518G (G/G)
(rs1024611)
MMP-1 -1607GG (2G/2G) Guanine
 insertion at this locus
Permanent lesions after TB treatment
Fibrosis
Bronchiectasis
[148]
TOLLIPTOLLIP
rs5743899 rs3750920
Decreased TOLLIP mRNA expression
Increased inflammatory cytokine expression
Increased risk for TB
[149]
COPD
 MMP-1+MMP-12MMP-1 2G+MMP-12 nsSNP
(rs652438)
Increased rate of lung function decline[150]
 MMP-9MMP-9 -1562C/TIncreased risk of COPD in a Korean population[151]
 MMP-12MMP-12
rs652438 and rs2276109
Severe (GOLD stage III) and very severe COPD (GOLD IV), lower FEV1 %[152]
 TIMP-2TIMP-2
+853G/A
-418G/C
Increased risk for COPD
Decreased transcription and stability of mRNA
[153]
 TNF-αTNF-α -308G/A
(rs1800629)
Increased risk of COPD
Increased yearly reduction in FEV1
Chronic bronchitis
Elevated TNF-α, IL-8, and myeloperoxidase in sputum
[154,155]
 IL-8IL-8
rs4073
rs2227306
rs2227307
Significant decrease in FEV1 and FVC during follow-up of COPD patients[156]
IPF
 TGF-β+TNF-αTGFβ (rs1800469)
+TNF-α (rs361525)
Additive effect on lung impairment measured as FEV1[157]
 IL-6IL-6 -174G/CDecrease in FEV1[158]
 IL-1RAIL-1RN +2018C/T (rs419598)
Variable number tandem repeat
 (VNTR)*2
rs2637988
Risk for fibrosing alveolitis and IPF
Increased susceptibility for IPF
Decreased IL-1RA mRNA levels that may predispose to IPF
[159, 160]

 TNF-αTNF-α -308G/A
(rs1800629)
Fibrosing alveolitis risk[159]
 IL-6IL-6 intron 4A/GLower carbon monoxide diffusion[161]
 TGF-βTGF-β
Codon 10T/C(rs1982073)
Codon 25G/C(rs1800471)
Decreased gas exchange in IPF patients[162, 163]

 MUC5BMUC5B rs35705950
rs868903
Associated with pulmonary fibrosis in genome-wide association
 studies
Increased MUC5B expression
[164–166]

 TOLLIPTOLLIP
rs5743890
rs111521887
rs5743894
Associated with reduced TOLLIP expression in lung tissue from
 IPF patients
rs5743890 linked to mortality in IPF patients

MMP: matrix metalloproteinase; MCP: monocyte chemoattractant protein; COPD: chronic obstructive pulmonary disease; TIMP: tissue inhibitor of metalloproteinase; TNF: tumour necrosis factor; IL: interleukin; IPF: idiopathic pulmonary fibrosis; TGF: transforming growth factor; GOLD: Global Initiative for Chronic Obstructive Lung Disease; FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity.