Asthma is a ubiquitous disease with a broad range of clinical phenotypes. To better understand the complex genetic and environmental interactions underlying asthma, we compared the gene-gene interactions of four genetically distinct mouse strains that demonstrate biologically distinct responses to allergen. Using DNA microarrays and knock-out mouse studies, we showed that CCR5 plays a definitive role in the development of ovalbumin-induced allergic airway inflammatory disease. In addition, gene expression profiling data have revealed other potential novel targets for therapeuticsbased research and has enhanced the understanding of the molecular mechanisms underlying the etiology of "asthma."Keywords: airway hyperresponsiveness; asthma; CCR5; microarray; multistrain Nearly 20 million Americans are afflicted by asthma and, alarmingly, the incidence and severity of this disease is on the rise in industrialized nations. Asthma is a complex genetic disease characterized by reversible airflow obstruction as well as airway inflammation, hyperresponsiveness, and remodeling. These symptoms are the result of many biologically unique gene-gene and gene-environment interactions. Given the complexity of these interactions in humans, identification of asthma susceptibility genes has been extremely difficult.To simplify the complex genetic and environmental interactions that underlie the pathogenesis of asthma, researchers have used animal models of allergic inflammatory airway disease, where both the genetics and environment can be controlled, and DNA microarray analysis to provide a global picture of gene expression in the lung (1, 2). However, microarray-based gene expression analysis usually reveals many more candidate genes than can be reasonably pursued by functional analysis.To address this problem, we compared multiple strains of mice that exhibit specific asthma phenotypes to identify a concise list of candidate genes that regulate airway hyperresponsiveness and/or lung eosinophilia. One such candidate is CCR5, a member of the chemokine receptor family. To validate the biologic and physiologic significance of CCR5, we ovalbumin (OVA)-treated CCR5 ϩ/ϩ and CCR5 Ϫ/Ϫ mice and confirmed the genetic inference that CCR5 regulates the development of airway hyperresponsiveness, but not eosinophilic inflammation, in a mouse model of allergic airway inflammatory disease. In addition, the gene
MATERIALS AND METHODS
General ProtocolTo develop a refined list of asthma candidate genes, we used the novel approach of comparing the genetic array profile of four strains of mice that demonstrate unique phenotypic responses to OVA sensitization and challenge (Table 1). We previously showed that 129/SvIm mice display "double responsiveness" to OVA; that is, they develop both increased airway hyperresponsiveness and increased lung eosinophilia, two of the primary symptoms of allergic asthma in humans (3). In contrast, the CAST/Ei mice were nonresponders developing neither OVA-induced airway hyperresponsiveness nor eosinophilia. By setting ...