As part of an ongoing
longitudinal study of air pollution and
respiratory function in children, Dr. Gilliland
and colleagues, of the Respiratory Core,
investigated the effects of passive smoking
exposure on the risk of asthma. Information
on smoke exposure was obtained from questionnaires
asking simple yes/no questions about smoking
status of each parent, at various times
in the child's life. It was found that asthma
risk was associated with in-utero exposure
to maternal smoking (relative risk of about
2) but is not associated with smoking exposure
post-birth. That smoking may have an effect
on fetal development has support from a
number of studies. In particular, it is
known that detoxification of smoking contaminants
is mediated by GST-T1 and GST-M1 genes.
In order to validate the in-utero exposure
finding and to assess the potential effect
modification by the GST genes is currently
being undertaken. Dr. Langholz has designed
a counter-matched study of prevalent early
childhood asthma cases. Detailed parental
smoking histories are being obtained as
well as buccal cells in order to determine
GST-T1 and GST-M1 allelic type. |