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2023 Fiscal Year Final Research Report

Potential role of club cell secretory protein (CC16) in development of obese asthma: findings from a birth cohort and animal studies

Research Project

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Project/Area Number 20K10425
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58020:Hygiene and public health-related: including laboratory approach
Research InstitutionHokkaido University

Principal Investigator

Goudarzi Houman  北海道大学, 医学研究院, 准教授 (40713607)

Co-Investigator(Kenkyū-buntansha) 池田 敦子  北海道大学, 環境健康科学研究教育センター, 特任教授 (00619885)
今野 哲  北海道大学, 医学研究院, 教授 (20399835)
Project Period (FY) 2020-04-01 – 2024-03-31
KeywordsAsthma / Obesity / Birth cohort / General population / Adult asthma / circulatory CC16 / Experimental studies / CC16 polymorphism
Outline of Final Research Achievements

1) Adult asthma cohort: BMI was significantly and monotonously associated with reduced circulating CC16 levels in adults. Mediation analysis revealed that CC16 mediates effects of BMI on airway hyperresponsiveness, asthma severity, and required dose of inhaled corticosteroid. Also, serum CC16 was inversely associated with sputum eosinophils and blood periostin as T2 biomarkers. Patients with the lowest tertile of serum CC16 levels at baseline had a -14.3 mL decline in FEV1 than those with the highest tertile over 5 years of follow-up. 2) Hokkaido Birth cohort: Plasma CC16 was inversely associated with asthma prevalence, and T2 biomarkers(FeNO and blood eosinophils). 3) Experimental studies: The percentage of CC16-expressing cells was reduced in the small airways of both mice and humans with obesity. Obesity reduced circulating CC16 levels but not surfactant protein SP-A and SP-D levels in the mice.

Free Research Field

Pulmonary Medicine, epidemiology

Academic Significance and Societal Importance of the Research Achievements

We showed the effects of reduced human CC16 in development of obese asthma and Th2 inflammation in children and adults for first time. CC16 levels is useful for risk stratification for prevention of progressive airway inflammation, and optimization of asthma treatment especially obese individuals.

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Published: 2025-01-30  

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