1. Airflow Obstruction in Adults with Williams Syndrome and Mice with Elastin Insufficiency
- Author
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Elise K. Kronquist, Maninder Kaur, Leah M. Gober, Russell H. Knutsen, Yi-Ping Fu, Zu-Xi Yu, Danielle R. Donahue, Marcus Y. Chen, Sharon Osgood, Neelam Raja, Mark D. Levin, Amisha Barochia, and Beth A. Kozel
- Subjects
Williams Beuren syndrome ,pulmonary function tests ,air trapping ,obstructive pulmonary disease ,Medicine (General) ,R5-920 - Abstract
Williams–Beuren syndrome (WS) results from the deletion of 25–27 coding genes, including elastin (ELN), on human chromosome 7q11.23. Elastin provides recoil to tissues; emphysema and chronic obstructive pulmonary disease have been linked to its destruction. Consequently, we hypothesized that elastin insufficiency would predispose to obstructive features. Twenty-two adults with WS (aged 18–55) and controls underwent pulmonary function testing, 6 min walk, and chest computed tomography (CT). Lung and airspace dimensions were assessed in Eln+/− and control mice via microCT and histology. The forced expiratory volume in 1 s (FEV1) and the ratio of FEV1 to forced vital capacity (FVC) were lower in adults with WS (p < 0.0001 and p < 0.05, respectively). The FEV1/FVC ratio was more frequently below the lower limit of normal in cases (p < 0.01). The ratio of residual volume to total lung capacity (RV/TLC, percent predicted) was higher in cases (p < 0.01), suggesting air trapping. People with WS showed reduced exercise capacity (p < 0.0001). In Eln+/− mice, ex vivo lung volumes were increased (p < 0.0001), with larger airspaces (p < 0.001). Together these data show that elastin insufficiency impacts lung physiology in the form of increased air trapping and obstruction, suggesting a role for lung function monitoring in adults with WS.
- Published
- 2022
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