Channing Division of Network Medicine Asthma Study Populations

CAMP

The Childhood Asthma Management Program (CAMP) started as a longitudinal clinical trial of mild-to-moderate persistent asthma. A group of 1,041 children aged 5-12 at entry was initially followed for an average of 4.5 years and treated with asthma medications in three arms: nedocromil, budesonide, and as needed beta agonist. There are over 1,000 clinical phenotypic variables, and the subjects have now been followed for 16 years. DNA and RNA samples are available on most subjects. Serum is also stored.

Costa Rica Asthma

Initially, 1,200 trios were collected to mirror the CAMP protocol and selection criteria. A set of 8 extended pedigrees were also collected, and both DNA and RNA on whole blood and serum are stored.

SHARP

This is a collection of asthmatic subjects from over 20 NHLBI asthma clinical trials in both children and adults. Extensive phenotypic data are available with treatment response, lung function, and medication use. Many subjects have bronchodilator and bronchoconstrictor testing. DNA is available on all and RNA on a subset through ABRIDGE. Serum is also available.

EVE

This is a collection of over 6,000 child and adult asthmatics from across the US. GWAS genotype data are available. DNA and RNA samples are available on a subset through ABRIDGE (see below).

ABRIDGE

This population is a subset of EVE in which DNA and RNA were collected; most have CD4 cells stimulated and unstimulated with antigen. There are about 100 lung tissue RNA samples and 200 expectorated sputum RNA samples; all subjects have CD4 cells and whole blood RNA and DNA.

VDAART

This is a randomized controlled trial of vitamin D given to 900 pregnant women beginning between 12-18 weeks of pregnancy, with follow-up of their children to see if they develop asthma. Longitudinal DNA and RNA have been collected on the mother and will be collected on the infant as well. Intestinal microbiome samples are being longitudinally collected. Multiple serum samples are available on both mother and infant.

Crimson

16,000 asthmatics and matched controls with DNA samples on all subjects and detailed information from the electronic medical record at Mass General Brigham. Useful for checking the relevance of any genetic findings in other populations and for assessing the relationship of genomics to health outcomes such as drug treatment, hospitalizations, and emergency room visits.

ALA Clinical Trials

DNA samples have been obtained on approximately 2,000 subjects participating in asthma clinical trials through the American Lung Association network.

VIVA

This is a birth cohort study of 10,000 mothers and their infants at a large HMO. The primary focus of the study is on maternal diet during pregnancy and its relationship to fetal outcomes such as hypertension, asthma, and obesity. DNA samples are available on a subset of about 5,000 subjects.

Home Allergens

This is a birth cohort of 1,000 mothers, fathers, and children followed from early pregnancy until age 16 to assess the relationship of early-life allergen exposure on asthma development. Peripheral blood lymphocytes have been stimulated with a variety of environmental antigens, and RNA obtained. Cytokines have been measured on these samples. The environmental microbiome is also being measured.

Fetal Lung Development Tissues

Over 500 human fetal lung samples and over 1,000 mouse lung samples have had RNA extracted and arrayed to assess the gene expression signature of the developing fetal lung. While the human samples lack detailed information on most environmental exposures, all samples have had cotinine assayed to determine if mothers smoked during pregnancy and the effects of maternal smoking on the transcriptomic signature of the developing lung. DNA is also available and is being used to define the eQTLs of the developing lung.

Normal Controls

400 normal age and gender-matched control subjects with GWAS and RNA have been screened to use as a comparison group for the family-based case data collected in CAMP and Costa Rica Asthma. The protocols for DNA, RNA, and phenotyping are identical to what occurs in CAMP and Costa Rica.