Lanzamiento Enero 2027

Ensayo controlado aleatorizado2026

Circulating Piwi-Interacting RNAs Associate With Childhood Asthma ICS Response With Vitamin D Effect Modification

Li J, Hong X, Chi M, Kho AT, Zhu Z, Zhang H, Liu T, McGeachie MJ, Celedón JC, Weiss ST, Tantisira KG, Li J

Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 0 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Natural Science Foundation of China
Organización sin fines de lucro
Guangdong Medical Research Foundation
Gobierno
National Institutes of Health
Gobierno
Sanming Project of Medicine in Shenzhen
Gobierno
Shenzhen Science and Technology Innovation Program
Gobierno
National Heart, Lung, and Blood Institute
Gobierno
NIH HHS
Gobierno
Sanming Project of Medicine in Shenzen Municipality
Universidad u hospital
Seventh Affiliated Hospital of Sun Yat-Sen University
Subvenciones
National Natural Science Foundation of China (82570048); Shenzhen Science and Technology Innovation Program (JCYJ20250604143521027); National Heart, Lung, and Blood Institute (R01HL127332); Guangdong Medical Research Foundation (A2024136); Shenzhen Science and Technology Innovation Program (JCYJ20240813150456074); National Heart, Lung, and Blood Institute (R01HL162570); Shenzhen Science and Technology Innovation Program (JCYJ20230807110302006); Sanming Project of Medicine in Shenzhen (SZSM202411013); National Institutes of Health (R01 HL139634); National Institutes of Health (R01 HL129935); National Institutes of Health (R01 HL161362)

Según 9 financiadores declarados.

Publicación

Publicado
2026-04-20 · Clin Exp Allergy · vol. 56 · número 10 · págs. 1215–1223
Editorial
Wiley
Citado
0 citas · más que el 25% de estudios similares · 0.0× el promedio de su campo
Referencias
41 trabajos
Acceso
De pago
Áreas de investigación
Asthma and respiratory diseases · Vitamin D Research Studies · Allergic Rhinitis and Sensitization
Palabras clave
piRNA, childhood asthma, inhaled corticosteroids, vitamin D deficiency, effect modification, FEV1, bronchial epithelial cells, type 2 asthma
MeSH
humans, asthma, adrenal cortex hormones, vitamin d, rna, small interfering, administration, inhalation, child, female, male, biomarkers, piwi-interacting rna

14 autores

  • Li Jiang🇺🇸🇨🇳Brigham and Women's Hospital; Harvard University; Sun Yat-sen University; The Seventh Affiliated Hospital of Sun Yat-sen University; Shenzhen University of Advanced Technology
  • Li Jiang🇺🇸🇨🇳 · autor de correspondenciaBrigham and Women's Hospital; Harvard University; Sun Yat-sen University; The Seventh Affiliated Hospital of Sun Yat-sen University; Shenzhen University of Advanced Technology
  • Xiaoning Hong🇨🇳Sun Yat-sen University; The Seventh Affiliated Hospital of Sun Yat-sen University
  • Mengshi Chi🇨🇳Sun Yat-sen University; The Seventh Affiliated Hospital of Sun Yat-sen University
  • Alvin T. Kho🇺🇸Brigham and Women's Hospital; Boston Children's Hospital; Harvard University
  • Zhongxu Zhu🇨🇳Chinese Academy of Sciences; Hangzhou Institute of Medicine, Chinese Academy of Sciences
  • Hui Zhang🇭🇰Hong Kong Polytechnic University
  • Tao Liu🇨🇳First Affiliated Hospital of Guangzhou Medical University; State Key Laboratory of Respiratory Disease; Guangzhou Institute of Respiratory Health
  • Michael J. McGeachie🇺🇸Brigham and Women's Hospital; Harvard University
  • Juan C. Celedón🇺🇸University of Pittsburgh
  • Scott T. Weiss🇺🇸Brigham and Women's Hospital; Harvard University
  • Kelan G. Tantisira🇺🇸 · autor de correspondenciaBrigham and Women's Hospital; Harvard University; University of California San Diego
  • Jiang Li🇺🇸🇨🇳 · autor de correspondenciaBrigham and Women's Hospital; Harvard University; Sun Yat-sen University; The Seventh Affiliated Hospital of Sun Yat-sen University; Shenzhen University of Advanced Technology
  • Jiang Li🇺🇸🇨🇳Brigham and Women's Hospital; Harvard University; Sun Yat-sen University; The Seventh Affiliated Hospital of Sun Yat-sen University; Shenzhen University of Advanced Technology

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Piwi-interacting RNAs (piRNAs) have been linked to type 2-high asthma phenotypes. Although vitamin D modulates inhaled corticosteroid (ICS) response via microRNAs, its potential role through piRNAs remains unknown.

Methods

Baseline plasma piRNA expression was profiled by small RNA sequencing in 492 participants from the Childhood Asthma Management Program (CAMP), with 187 children randomised to the ICS arm. Serum vitamin D levels were classified as insufficient (≤ 30 ng/mL) or sufficient (> 30 ng/mL). Linear regression was used to assess associations between piRNA expression and changes in prebronchodilator percent predicted forced expiratory volume in 1 s (FEV1%) over 4 years, including interaction analyses with vitamin D status. Replication was performed in 375 ICS-treated participants from the Genetics of Asthma in Costa Rica Study (GACRS).

Results

Fourteen piRNAs were significantly associated with FEV1% changes among vitamin D-insufficient children, six showing significant interactions with vitamin D status (p < 0.05). Four piRNAs were replicated in GACRS, with piR-36241 also confirmed in interaction analyses. Predicted targets of piR-36241 were enriched in immune- and respiratory-related pathways. piR-36241 demonstrated strong predictive performance for ICS response in vitamin D-insufficient children (AUROC = 0.84) and was detected in bronchial epithelial cells, where it was differentially expressed in asthma.

Conclusions

Circulating piRNAs are associated with ICS response in childhood asthma, with vitamin D acting as an effect modifier, which may serve as non-invasive biomarkers for ICS responsiveness, particularly in vitamin D-insufficient patients.

Trial registration

ClinicalTrials.gov Identifier: NCT00000575 and NCT00021840.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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