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Human Molecular Genetics, 2000, Vol. 9, No. 4 549-559
© 2000 Oxford University Press

Genetic variants of IL-13 signalling and human asthma and atopy

A. Heinzmann1,+, X.-Q. Mao2,+, M. Akaiwa3,+, R.T. Kreomer4, P.-S. Gao2, K. Ohshima5, R. Umeshita3,6, Y. Abe3, S. Braun1, T. Yamashita7, M.H. Roberts2, R. Sugimoto3, K. Arima3, Y. Arinobu3, B. Yu3, S. Kruse6, T. Enomoto8, Y. Dake8, M. Kawai9, S. Shimazu10, S. Sasaki11, C.N. Adra12, M. Kitaichi13, H. Inoue14, K. Yamauchi14, N. Tomichi15, F. Kurimoto7, N. Hamasaki3, J.M. Hopkin2, K. Izuhara3, T. Shirakawa2, and K.A. Deichmann1,§

1University Children’s Hospital, University of Freiburg, Freiburg, Germany, 2Experimental Medicine Unit, University of Wales Swansea, Swansea, UK, 3Department of Clinical Chemistry and Laboratory Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan, 4Department of Chemistry, Queen Mary Westfield College, University of London, London, UK, 5Department of Pathology, School of Medicine, Fukuoka University, Fukuoka, Japan, 6R&D Institute, UNITIKA Ltd, Uji, Japan, 7Mitsubishi-Kagaku BCL, Tokyo, Japan, 8Department of Otolaryngology, Japanese Red Cross Society, Wakayama Medical Centre, Wakayama, Japan, 9Kyoto Preventive Medical Centre, Kyoto, Japan, 10Department of Paediatrics, National Wakayama Hospital, Wakayama, Japan, 11Department of Paediatrics, Osaka Medical College, Takatsuki, Japan, 12Departments of Medicine and Pathology, Division of Hematology/Oncology, Beth Israel Deaconess Medical Centre, Harvard Medical School, Boston, MA 02215, USA, 13Department of Laboratory Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan, 143rd Department of Medicine, Iwate Medical University, Morioka, Japan and 15Department of Pathology, Iwate Prefecture Central Hospital, Morioka, Japan

Received 8 October 1999; Revised and Accepted 15 December 1999.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Asthma and atopy show epidemiological association and are biologically linked by T-helper type 2 (Th2) cytokine-driven inflammatory mechanisms. IL-4 operates through the IL-4 receptor (IL-4R, a heterodimer of IL-4R{alpha} and either {gamma}c or IL-13R{alpha}1) and IL-13 operates through IL-13R (a heterodimer of IL-4R{alpha} and IL-13R{alpha}1) to promote IgE synthesis and IgE-based mucosal inflammation which typify atopy. Recent animal model data suggest that IL-13 is a central cytokine in promoting asthma, through the stimulation of bronchial epithelial mucus secretion and smooth muscle hyper-reactivity. We investigated the role of common genetic variants of IL-13 and IL-13R{alpha}1 in human asthma, considering IgE levels. A novel variant of human IL-13, Gln110Arg, on chromosome 5q31, associated with asthma rather than IgE levels in case–control populations from Britain and Japan [peak odds ratio (OR) = 2.31, 95% CI 1.33–4.00]; the variant also predicted asthma and higher serum IL-13 levels in a general, Japanese paediatric population. Immunohistochemistry demonstrated that both subunits of IL-13R are prominently expressed in bronchial epithelium and smooth muscle from asthmatic subjects. Detailed molecular modelling analyses indicate that residue 110 of IL-13, the site of the charge-modifying variants Arg and Gln, is important in the internal constitution of the ligand and crucial in ligand–receptor interaction. A non-coding variant of IL-13R{alpha}1, A1398G, on chromosome Xq13, associated primarily with high IgE levels (OR = 3.38 in males, 1.10 in females) rather than asthma. Thus, certain variants of IL-13 signalling are likely to be important promoters of human asthma; detailed functional analysis of their actions is needed.


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Atopy is a common immune disorder characterized by raised IgE levels. It is a key predisposition to bronchial asthma between 3 and 20 years of age (1,2). Bronchial hyper-responsiveness (BHR), an exaggerated bronchospastic response to specific and non-specific substances, represents a physiological hallmark of asthma induced by T-helper type 2 (Th2) cytokines such as IL-4, -5, -9, -10 and -13 (1,2). The studies on Th2 cytokines in relation to asthma, however, have focused on IL-4 and IL-5. This is due to the crucial role of these two cytokines in generation of Th2 responses in a variety of animal models: IL-4 is essential for the maturation of naïve T cells towards Th2 cells, and the production of IgE (2,3), whereas IL-5 regulates activation and tissue recruitment of eosinophils (4). However, a variety of studies have shown that IL-4 and IL-5, alone and in combination, cannot fully account for the development of asthma (5,6); in BALB/c mice, BHR to methacholine is mediated by T cells, but is independent of IL-4 and IL-5. Other molecules must be involved in the development of BHR, and hence asthma.

IL-13 is a 12 kDa protein product and shares several biological profiles with IL-4 (1,2), including IgE production, CD23 and MHC class II expression, inhibition of antibody-dependent cell-mediated cytotoxicity with downregulation of IgG type I receptor (Fc{gamma}RI), and suppression of type I interferon. Although IL-4 and IL-13 possess many similar biological activities (1,2), IL-13 shows some unique activities. Unlike IL-4-deficient mice, IL-13-null mice fail to generate goblet cells, responsible for mucus overproduction in asthma, fail to recover basic IgE levels after stimulation with IL-4 and fail to expel helminths (7). IL-13 operates through IL-13R, a heterodimer of IL-4R{alpha} and IL-13R{alpha}1 chains (13). Transgenic mice, with the promoter of the Clara cell 10 kDa protein (CC10) driving IL-13 expression selectively in the lungs, exhibit BHR to methacholine in addition to bronchial eosinophil prominence, epithelial cell hyperplasia, mucus cell metaplasia, hyperproduction of mucus, deposition of Charcot–Leyden-like crystals and subepithelial airway fibrosis (8); these features are typical of Th2 inflammation-induced asthmatic airways. These findings suggest that IL-13 is crucial for allergen-induced BHR in experimental animals, and may be relevant to human asthma (9,10). Significantly higher IL-13 levels have been found in asthmatic patients with and without atopy (11,12). One report has related a polymorphism within the promoter region of IL-13 with allergic asthma in a Dutch population (13).

Here we report a variant of the human IL-13 gene, Gln110Arg, which specifically associates with both allergic and non-allergic asthma in case–control studies in both British and Japanese subjects. Our computer modelling suggests that residue 110 is relevant to the internal constitution of the ligand, and is likely to play a crucial role in ligand–receptor interaction. Using immunohistochemical techniques we show that functional IL-13R is specifically expressed on bronchial smooth muscle and epithelium in human asthmatic airways. These findings point to the importance of IL-13 in human asthma. In contrast, we show that a variant of IL-13R{alpha}1, A1398G, on chromosome Xq13 (14) associates primarily with high IgE levels in the British subjects, a result that parallels our previous findings for variants of IL-4R{alpha} in Japanese (15,16) and German (17) subjects. Thus, certain variants of IL-13 may promote the development of atopy, with high IgE levels, and asthma of diverse types across different ethnic groups.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Genetic association study of an IL-13 variant in case–control populations
A single-strand conformation polymorphism (SSCP) analysis among >200 atopic subjects identified different electrophoretic patterns in exon 4 of IL-13 (Fig. 1A); subsequent direct sequencing identified an A4464G variant (18) (Fig. 1B) indicating replacement of Arg by Glu at position 110 of the mature protein. Despite intensive screening we could not find any further common variants. We went on to test for a genetic association between Gln110Arg and clinical asthma and IgE levels in two populations (Table 1). The genotype frequencies were concordant with Hardy–Weinberg equilibrium. No significant differences in genotype frequencies were seen between two control populations: PArg = 0.92, PGln = 0.08 in a British population, and PArg = 0.90, PGln = 0.10 in a Japanese population. In a case–control study of British subjects, the Gln110 significantly associated with asthma, especially chronic unremitting asthma. In a second case–control study of Japanese subjects, Gln110 associated with atopic [odds ratio (OR) = 1.85, 95% CI: 1.05–3.24, P = 0.033] and also non-atopic (‘intrinsic’) asthma (OR = 1.77, 95% CI 1.01–3.10, P = 0.047); the overall OR for asthma was 1.81 (95% CI 1.11–2.93, P = 0.017). There was no association between Gln110 and serum IgE levels in either population.




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Figure 1. Detection of the Gln110Arg variant of IL-13. (A) SSCP gel for IL-13 exon 4. Lanes 1, 3, 5, 6, 10 and 12, wild-type; lanes 4, 9 and 13, mutant; lanes 2, 7 and 11, heterozygous. DNA markers were run in the left-hand lane. (B) Sequence of the wild-type (top) and mutant (bottom) alleles of IL-13 exon 4. The arrow indicates the G to A change.

 

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Table 1. Odds ratio (95% CI) for IL-13 and its receptor genes, IL-4R and IL-13RA1, by asthma, total serum IgE, ASE and atopy in the Japanese and the British populations
 
Genetic association study of the IL-13 variant in a general population in relation to serum IL-13 levels
To test the relationship between the Gln110Arg of IL-13 and serum IL-13 levels we conducted a population-based survey of genotype frequencies among Japanese schoolchildren aged between 12 and 13 years (19). A significantly higher frequency of the Gln110 allele was seen among asthmatic children than that among non-asthmatic subjects. Those homozygous for Gln110 had significantly higher levels of serum IL-13 than those homozygous for Arg110.

Genetic association study of an IL-13R{alpha}1 variant in case–control populations
We have searched for single nucleotide polymorphisms (SNPs) by SSCP in the coding region of IL-13RA1 on the X chromosome (14); all three SNPs discovered were silent and only one of them, A1398G, was relatively common (20). This variant showed marginal association with high IgE levels (OR = 2.88, 95% CI 1.11–7.86, P = 0.021, Pc = 0.06) but not with asthma in the British population; no association was seen with either high IgE levels or asthma in the Japanese population (Table 1). Since male subjects are hemizygous at IL-13RA1, we calculated adjusted OR by sex. In the Japanese population, there was no significant difference in OR (1.66 versus 1.21) between male and female subjects for atopy. In the British population, OR was 3.39 (Fisher’s exact test, P = 0.015) in males, and 1.10 in female (Fisher’s exact test, P = 0.680) for atopy.

Genetic interaction among variants of IL-4 and IL-13 signalling
To test whether variants of IL-4 and IL-13 and of their receptor genes, IL-4R or IL-13RA1, might interact in the development of asthma and atopy, we conducted simple factorial analysis of variance (ANOVA): there was no significant genetic interaction between these variants of ligand and receptors in the development of asthma or atopy in either the British or the Japanese populations (Table 2). In the development of asthma, the Gln110 variant of IL-13 is a significant factor in both populations; atopy associates with either an IL-13RA1 variant in the British population or an IL-4R variant in the Japanese population (15,16); in our German population, atopy is also mainly related to IL-4R variants (OR = 0.36, P = 0.0042 for the combination with Pro478 and Arg551) (17).


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Table 2. Simple factorial ANOVA analysis for genetic variants in the development of asthma and atopy in the British and the Japanese populations
 
Computer modelling of IL-13 and its receptor
To address the biological activity of the Gln110 variant of IL-13, molecular modelling was conducted on the basis of sequence alignment between IL-4 and IL-13 (20). Firstly, the modelling suggested that the replacement of Arg with Gln at position 110 may allow Arg10 to become closer to Gln110 with electrostatic interaction within IL-13 itself (Fig. 2A); this may result in subsequent change of electrostatic potential around glutamic acids at positions 11 and 14, and the former is believed to be important for IL-13 binding to the receptor on the basis of IL-4 homology (20).



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Figure 2. Ribbon diagrams of the IL-13 computer model. (A) The effect of replacement at position 110 on the internal constitution of the IL-13 ligand. (Left) Wild-type, Arg110; (right) mutant, Gln110. The blue and pink portions represents {alpha}-helices or ß-sheets, respectively. Numbering is based on the mature peptide. (B–E) Modelling of IL-13 in relation to its receptors, IL-4R{alpha} and IL-13R{alpha}1 chains. Two models (1 or 2) are shown; the differences between the two depend on whether the IL-13 helix AC interfaces with IL-4R{alpha} [model 1 (B and C)] or IL-13R{alpha}1 [model 2 (D and E)]. ß-sheets are shown in blue, and {alpha}-helices in red. (B) R110 of the IL-13 is predicted to interact with loop BC of the IL-4R{alpha} (magenta). (C) Close-up of the interaction: R110 faces H131 of IL-4R{alpha}. (D) R110 is predicted to interact with loop C'E of the IL-13R{alpha}1 (magenta). (E) Close-up of the interaction: R110 faces E267 of IL-13R{alpha}1. Note that backbone atoms of V270 are also shown.

 
Further molecular modelling focused on the interaction of IL-13 with IL-4R{alpha} and IL-13R{alpha}1, and was conducted on the basis of multiple alignment of cytokine receptors (Fig. 2B–E). Two alternative models (model 1, Fig. 2B; model 2, Fig. 2D) showed that Arg110 is likely to have direct interaction with one or other of the component receptor chains. Closer inspection of Arg110 in model 1 showed that this residue was located in proximity to His131 of IL-4R{alpha} (Fig. 2C). As both residues are positively charged, this predicted a repulsive interaction. A Gln110 mutant would abolish this expulsion and thus enhance receptor binding of IL-13 with consequent upregulation of IL-13 signalling. In model 2, Arg110 lies close to Glu267 and Val270 of IL-13R{alpha}1, implying an attractive interaction (Fig. 2E). A Gln110 mutant would lead to reduced binding. In the light of the association of Gln110 with asthma, model 1 may be more plausible. However, model 2 remains interesting since such a mutation might lead to an alternative binding mode or induce reversal of model 2 binding mode to a model 1 binding mode. In either case, computer modelling strongly suggests that Arg110 is directly involved in interactions with its receptor, and that charge changing variants (Arg, Gln) are likely to display different biological properties.

Immunohistochemical assay with bronchial specimens
Only in murine studies has the existence of IL-13R been demonstrated in airways (1,2). Therefore, we conducted immunohistochemistry on pulmonary specimens from normal controls and asthmatic subjects, using monoclonal antibodies to both IL-13R{alpha}1 and IL-4R{alpha} (Fig. 3A–G). Both components were present prominently in smooth muscle cells and epithelial cells of the bronchus, but not in fibroblasts (Fig. 3A–D). Within alveolar tissue, neither epithelial cells nor pulmonary macrophages showed either component (Fig. 3A–E). Specificity of signal was confirmed by demonstration that the signal was not elicited by the treatment without the primary antibody (Fig. 3). Thus, the data suggest that functional IL-13R is specifically expressed in epithelial and muscle cells of the human bronchus.




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Figure 3. Alkaline phosphatase staining of a human lung probed with anti-IL-13R{alpha}1 antibody (A and B) or anti-IL-4R{alpha} antibody (C and D). (A and C) Staining in normal bronchiolus. Bar, 220 µm in (A), 100 µm in (C). (B and D) Staining in asthmatic bronchiolus. Bars, 25µm. (E–G) Without (left) and with (right) anti-IL-13R{alpha}1 monoclonal antibody staining. (E) Bronchial epiterium; (F) BSMC; (G) alveolar space. AC, alveolar cells; BEC, bronchial epithelial cells; BSMC, bronchial smooth muscle cells.

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Our data suggest an important role for genetic variants of IL-13 in the development of asthma, independently of IL-4, in humans. Many groups have identified linkage of both asthma and IgE levels to chromosome 5q31 (21,22) where IL-4, IL-13 and IL-5 cluster is localized. Although IL-4 is crucial for the development of Th2 cells (13), and hence high IgE levels (2326), IL-4 may not be a sufficient inducer for asthma itself. No functional polymorphism in IL-5 has been identified in relation to either asthma (27) or eosinophilia (28).

We have identified a novel coding variant of the human IL-13, Gln110Arg, that associates with asthma in both British and Japanese populations. Our computer modelling suggests that Gln at position 110 impacts on ligand–receptor interaction, through enhanced charge attraction to IL-13R. This in turn may enhance signalling, but detailed functional studies are now needed to test this. The genetic association of IL-13 with asthma across different ethnic populations, which is independent of IL-4, supports the candidacy of IL-13 as a major locus for asthma on chromosome 5q31. Moreover, we found a genetic association of the Gln110Arg variant of IL-13 with both atopic and non-atopic (intrinsic) asthma—a finding concordant with clinical reports on the significant elevation of IL-13 levels in both types of asthmatic subject (11,12). These findings extend the observation of association between a promoter polymorphism of IL-13 and allergic asthma in a Dutch population (13), and support the contention that IL-13 may be a key promoter of bronchial asthma in humans.

There is strong evidence that IL-13 is crucial for the induction of an asthma-like phenotype in animal models, independent of IL-4 (9,10), but which is dependent on IL-4R{alpha}, a common component of IL-4R and IL-13R. T cell-deficient mice are capable of inducing an asthma-like phenotype on administration of IL-13 (9), suggesting that IL-13 may operate through mechanisms other than those that are classically implicated in Th2 cell-induced immune reactions (10). One possible explanation is that IL-13R is predominantly expressed in bronchial tissues, and that higher production of IL-13 in high risk genotypes induces hypertrophic change of the bronchial smooth muscle, subepithelial fibrosis and goblet cell hyperplasia through IL-13R. To investigate this possibility, we stained airway specimens from normal controls and asthmatic subjects with anti-IL-13R{alpha}1 and anti-IL-4R{alpha} monoclonal antibodies. In asthmatic airways, in contrast to alveolar tissue, both components of IL-13R are significantly expressed. To date, two types of specific IL-13 receptor unit have been identified: IL-13R{alpha}1 (29) and IL-13R{alpha}2 (30). IL-13R{alpha}2 is considered to be a ‘decoy’ receptor (31,32), whereas the heterodimer consisting of IL-13R{alpha}1 and IL-4R{alpha} acts as the functional receptor for human IL-13 (1,2). Human IL-4R{alpha} is constitutively expressed in airway epithelial cells (33,34), and is essential for mucus production (79). Although human IL-4 induces goblet cell hyperplasia in vivo (35), Th2 cells derived from IL-4-null mice cannot activate goblet cells even after transfection into IL-4R{alpha}-null mice, suggesting that, in the absence of IL-4, IL-13 may be critical for goblet cell activity through IL-13R in airways (79). Also, IL-13 transgenic mice show BHR to methacholine, and subepithelial fibrosis, whereas IL-4 transgenic mice do not (8). The immunohistochemical findings in human lung specimens suggest that functional IL-13R is expressed in bronchial tissues in asthmatic subjects, and support the idea that IL-13 may play a key role in the development of asthma.

IL-13 and IL-4 have overlapping effector profiles (13). This overlap is probably due to shared use of IL-4R{alpha}, and the IL-13R{alpha}1 chains in the multimeric receptor complex (13). Chromosome 16p11.2/12, where the IL-4R{alpha} gene is encoded, has also been shown to be linked to atopy (36). We have previously identified a common extracellular variant, Ile50Val of the IL-4R{alpha}, which associates strongly with atopic asthma in the Japanese but not in the British population (Table 1) (15,16). Furthermore, we showed that Ile50 strongly and specifically associated with atopic rather than intrinsic or non-atopic asthma: it upregulated cellular IgE synthesis when tested by transfection into B cell lines. Another cytoplasmic variant of IL-4R{alpha}, Arg551Gln, associates with atopy (17); in our German population this variant was in tight linkage disequilibrium with Pro478Ser and the latter may change the structure of the receptor, leading to altered phosphorylation patterns of signal molecules, and hence lower IgE levels (17).

We now show that a variant of IL-13RA1 on the X chromosome (14) showed association with IgE levels, but not with asthma, in British male subjects; significantly, the OR for high IgE levels was 3.38 in males, but 1.10 in females. This is the first indication of X-linked inheritance of an atopic immune disorder with high IgE levels, and further illustrates the heterogeneity of its genetic basis. It may also, in part, explain the previously noted transmission of atopy through non-affected mothers (37,38). The functional role of this variant remains unknown; it may be in linkage disequilibrium with so far unidentified polymorphisms in the regulating or coding parts of IL-13RA1 or variants of IL-13RA2 (30) close by on the X chromosome (14). Further studies are needed to clarify these points.

In conclusion, we have identified a novel coding variant of the human IL-13, Gln110Arg, on chromosome 5q31 where genome-wide searches have identified linkage to asthma (23,24). Gln110Arg shows association with clinical asthma across different ethnic populations, including atopic (high IgE levels) and non-atopic asthma (Table 1): it associates with higher serum IL-13 levels. Immunohistochemical techniques revealed that both components of IL-13R are present in epithelial and smooth muscle cells of the human bronchus in asthma. Molecular modelling points to modification of ligand–receptor interaction by Gln110Arg substitution with increased ligand–receptor attraction. We therefore propose that Gln110Arg IL-13, the product of effector cells in asthmatics, promotes smooth muscle hyper-reactivity and mucus hyper-secretion through IL-13R in human bronchi and thus promotes clinical asthma. Our observations and conclusions are consistant with the observed central role of IL-13 in experimental asthma in animal models (9,10); detailed functional analyses on the variant are now required. In contrast, we have found that high IgE levels associate with variants of IL-4R{alpha} or IL-13R{alpha}1, with restriction amongst different ethnic groups (Table 1). A multivariate analysis shows that the associations are independent among the variants of IL-4, IL-13, IL-4R{alpha} and IL-13R{alpha}1 (Table 2). The implication of variants of IL-4 and IL-13 signalling in the development of asthma and atopy in humans provides a focus for considering novel therapeutic and preventive strategies.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Populations studied and phenotypes
Three distinct populations were studied, comprising a total of 890 subjects to whom uniform criteria were applied for assignment as clinical asthma or atopy: (i) the British case–control group included 150 young adult subjects with clinical asthma and atopy, and 150 healthy controls, all from the Oxford region (39); (ii) the Japanese case–control group included 100 young adults with clinical asthma and atopy, 100 adults with clinical asthma but no atopy (non-atopic or intrinsic asthma) and 100 young adults attending a ‘well man’ clinic as controls, all drawn from the Osaka region (40); (iii) a general childhood Japanese population of 290 schoolchildren from Wakayama Prefecture who showed negative tuberculin responses at 6 and 12 years old, of whom 46.8% showed atopy and 13.4% clinical asthma (19). All the asthmatic subjects had specialist physician-diagnosed asthma with: (i) recurrent breathlessness and chest tightness requiring on-going treatment; (ii) physician-documented wheeze; and (iii) documented labile airflow obstruction with variability in serial peak expiratory flow rates >30%. There were no heavy smokers (>20 cigarettes/day) among the subjects. Allergen-specific IgE (ASE) was detected by the CAP ELISA system (Pharmacia, Uppsala, Sweden) and the criteria for a positive titre were as used previously (39,40). A high IgE titre (CAP system) was taken as >2 SD above published normal values (39,40). Atopy was defined as high IgE levels, by the presence of a high concentration of total serum IgE, or a positive ASE against one or more highly purified aero-allergens.

SSCP analysis and direct sequencing
SSCP analysis for human IL-13 and IL-13R{alpha}1 was done as follows: searching for polymorphisms in the four exons of IL-13, we used the following primers: 5'-AAG CTG CCA CAA GAC GCC AA-3' and 5'-GCC TGC TCA TGA CCT CAT CT-3' for exon 1; 5'-GCA CTC TGC TCA CTG TCA CT-3' and 5'-AAG ATG GGG CTG AGA TGC CT-3' for exon 2; 5'-CAC AAA AGG CAG CTG CCC AA-3' and 5'-GGT GGA CAC ACA CCA TGG AT-3' for exon 3; and 5'-TGG CGT TCT ACT CAC GTG CT-3' and 5'-CAG CAC AGG CTG AGG TCT AA-3' for exon 4. The annealing temperature was 60°C in all cases. Primers for the IL-13 promoter region were: 5'-GCA ACA TAG TGA GAC CCC AT-3' and 5'-GCT ATG GGA ATT TGG GGA GT-3'; 5'-TAA GAG ACT GGT TCA TCG AA-3' and 5'-TTA AT T CCA GCG GCA GGC AA-3'; and 5'-GGG CAG CAT TGC AAA TGC CA-3' and 5'-GAT TGA GGA GCG GAT GCA TA-3'. These combinations of primers covered 739 bp of sequence upstream from the ATG codon. The annealing temperature for the first set was 63°C, whereas that for the latter two was 55°C. When searching for polymorphisms in the IL-13R{alpha}1 seven sets of primers were used for SSCP: 5'-TCC GAG GCG AGA GGC TGC AT-3' and 5'-CAC TGG GAC CCC ACT TGC AG-3' (60°C); 5'-GTA TTT TAG TCA TTT TGG CG-3' and 5'-AGT TAG TGT CGG GAC TGG TA-3' (60°C); 5'-GCA CAA CTT GAG CTA CAT GA-3' and 5'-TT CAC AGC CGA AGT TAA AGG-3' (60°C); 5'-AAA ATT AAA CCA TCC TTC AA-3' and 5'-GGA CCA TGA AAC AAG ATG TA-3' (50°C); 5'-TGA GAA TCC AGA ATT TGA GA-3' and 5'-TAA TCT TGA GCC TTT TTA GG-3' (45°C); 5'-TCA TCG TCG CAG GTG CAA TC-3' and 5'-AAT GGA GAA TGG GAA GAA TC-3' (50°C); and 5'-TCA GTG ATG GAG ATA ATT TA-3' and 5'-ATA AGA TTA ACT CCA CCA CT-3' (55°C). The annealing temperature is shown in parentheses. The amplified products were resolved on non-denaturing polyacrylamide gels under four different conditions: 10% polyacrylamide gel containing 0 or 10% glycerol at 10 or 20°C for 2 h. The gels were visualized by silver staining. Sequencing was conducted with the ‘big-dye system’ (Applied Biosystems, Warrington, UK) using downstream primers for IL-13 and IL-13R{alpha}1, and the image was visualized in the commercial POP-6 gel using an automated sequencer (ABI Prism 310 Genetic Analyser).

Serum IL-13 assay
Serum IL-13 was immunoassayed in the Mitsubishi Kagaku BCL laboratories by means of a commercial kit (19). To limit circadian variation in cytokine production, blood samples were obtained between 09:00 and 10:00 h. The minimal detectable level was 3.1 pg/ml.

Genotyping
DNA samples were extracted using the IsoQuick kit (Microprobe, Garden Grove, IL). For genotyping Gln110Arg of IL-13, PCR primers were: 5'-TGG CGT TCT ACT CAC GTG CT-3' and 5'-TTT CGA AGT TTC AGT AGT AC-3' (underlined bases were mutated to incorporate a restriction site). Amplified products were digested with ScaI at 25°C. For genotyping IL-13R{alpha}1, primers were: 5'-TCA GTG ATG GAG ATA ATT TA-3' and 5'-TGA GCT GCC TGT TTA TAA AT-3'. Amplification products were digested with MseI. Genotyping Ile50Val and Arg551Gln of the IL-4R{alpha} (16), –590C/T promoter of the IL-4 (41) was as described elsewhere.

Computer modelling
To assess the effect of replacement at position 110 on the internal constitution of IL-13 ligand, the modelling was conducted using the Homology module of the graphic program Insight 98 (Biosym, 1998) on a Silicon Graphic OCTANE workstation. The co-ordinate of 2.25 Å crystal structure of IL-4 (Protein Data Bank accession no. 1rcb) was used as a template for homology modelling of IL-13. The Gln110Arg variant of the IL-13 was built up using the Biopolymer module on the basis of IL-13 model structure. The two complete structures were further minimized by heating to 300 K, equilibration for 1 ps, 200 steps of steepest gradient minimization and 10 000 steps of conjugate gradient minimization to optimize the hydrogen bonds, ion pairs and hydrophobic interactions. The minimization was performed by the Discover 3 program with the CVFF forcefield.

To investigate interaction between ligand and receptors, the three-dimensional structures of IL-4R{alpha} and IL-13R{alpha}1 were generated by application of restraint- and structure-based homology modelling techniques (42). The extracellular part of IL-4R consists of two cytokine receptor domains. In contrast, IL-13R{alpha}1 has an additional fibronectin type III domain at its N-terminus. The shorter extracellular sequence of IL-4R{alpha} and comparison with the structures of the human growth hormone (hGH) and the EPOR (erythropoietin receptor) complexes indicate that, in the complex including IL-4R{alpha}1, IL-13 must bind to domains 2 and 3 of IL-13R{alpha}1. These two domains also show the cytokine receptor-specific cysteine/tryptophan/proline pattern. The structures of hGHR (43), EPOR (44) and gp130 (45) served as templates for the modelling. The crystal structure of IL-4 bound to IL-4R{alpha} has been published recently (46), but the co-ordinates have not been released yet. However, the information given about loop conformation, residue exposure and inter-protein orientation was taken into account for modelling of IL-4R{alpha} and the complex. For IL-13, an earlier prediction was considered (47). The models were refined by initial minimization (5000 steps), short molecular dynamics (40 ps) and final minimization using the Amber forcefield. Functional IL-13R is composed of IL-4R{alpha} and IL-13R{alpha}1 (13). Current knowledge about the ‘standard’ structures of Class I cytokine receptor complexes suggests that there are two faces on a cytokine interacting with its two receptor chains. One face is made up of residues predominantly located on helices A and C of the cytokine and interacts with one of the receptor chains. The other face consists of amino acids in the two long loops (loops AB and CD) and helix D of the cytokine. As it was not known whether the AC face of IL-13 interacts in the complex with IL-13R{alpha}1 or IL-4R{alpha}, two models were built. In model 1 the AC face interacts with IL-4R{alpha} (Fig. 2B and C), while interacting with IL-13R{alpha}1 in model 2 (Fig. 2D and E).

Immunohistochemical assay
Monoclonal antibodies to human IL-13R{alpha}1 were established using the extracellular domain of IL-13R{alpha}1 as antigen. One was designated as UU15 and is an IgG2a isotype. We immunostained human B cells, DND39 cells and human IL-13R{alpha}1-transfected DND39 cells with UU15. It has been confirmed that DND39cells do not express mRNA of human IL-13R{alpha}1. The transfectants showed strong staining, whereas parental cells did not give rise to any signal. These results confirmed that UU15 recognizes human IL-13R{alpha}1 specifically in immunohistochemistry. Monoclonal antibody to human IL-4R{alpha} was purchased from Genzyme (Cambridge, MA). Fresh human lung tissues were obtained and embedded in paraffin from patients undergoing surgery; informed consent was obtained. Asthmatic specimens were obtained from autopsy lungs. The sections were probed with UU15 by the alkaline phosphatase method. Specificity of signal was confirmed by demonstration that: (i) the signal was not elicited by the treatment without the primary antibody; and (ii) adding excess IL-13R{alpha}1 or IL-4R{alpha} to the reaction diminished the signal.

Statistics
Contingency table analysis, ORs, 95% CIs and significance values were calculated by computerized methods (SPSS program v8). If the number in the column was <10, Fisher’s exact method was used. Probability values were corrected for multiple comparison by multiplying the P values by the number of loci compared (Bonferroni correction). ANOVA and multivariate analyses were also performed using this program; two-, three-, four- and five-way step interactions were tested. Linkage disequilibrium was calculated as described (48).

Sequence database
Sequences used here for modelling were derived from the database at DDBJ/EMBL/GenBank: IL-13 (accession nos U10307, L06801, L13029), IL-4 (M23442), IL-4R{alpha} (X52425), IL-13R{alpha}1 (U62858), IL-13R{alpha}2 (X95302), EPOR (M34986, M60459), GHR (M28466), gp130 (M57230). Note that numberings in this text is on the basis of mature peptides. Protein numbering is based on the cytokine-web (http://www.psynix.co.uk/cytweb/targets/index.html ).


    ACKNOWLEDGEMENTS
 
We thank Dr H. Saitoh for his kind comments, and Ms A. Umezu and R. Kawafuchi for technical assistance. This work was supported in part by the German Science Foundation (DFG-De386/2-2), ‘Klinische Forschergruppe: Pathomechanismen der allergischen Entzuendung’ (BMFT 01GC9701/5), a Research Grant for Immunology, Allergy and Organ Transplant from the Ministry of Health and Welfare of Japan, a grant-in-aid for Scientific Research from the Ministry of Education, Science, Sports and Culture of Japan, a grant from Kanae Foundation for Life and Socio-Medical Science, a research grant from the Hokuriku Seiyaku Research Award in Allergy from the Japan Allergy Foundation, from the Mitsubishi Kagaku BCL Co. (Tokyo, Japan) and from the Ombas Co. (Tokyo, Japan). P.-S.G. is a Glaxo–Wellcome Trust fellow.


    FOOTNOTES
 
+ These authors contributed equally to this work Back

§ To whom correspondence should be addressed. T.S.—Tel: +44 1792 513046; Fax: +44 1792 513054; Email: t.shirakawa@swansea.ac.uk. K.A.D.—Tel: +49 761 270 6371; Fax: +49 761 270 6372; Email: deichmann@kkl200.ukl.uni-freiburg.de Back


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
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