Skip to main content
Top
Published in: Sleep and Breathing 3/2022

16-10-2021 | Bronchial Asthma | Sleep Breathing Physiology and Disorders • Review

Association between YKL-40 and asthma: a systematic meta-analysis

Authors: Yihan Jin, Jie Song, Fang Xu, Di Zhang, Jinfang He, Jiakun Zheng, Yanan Zhang, Jintong Li, Yikun Guo, Mengjiao Xu, Xiangfeng Yu, Yanbin Liu, Qinghua Liu, Jun Yan

Published in: Sleep and Breathing | Issue 3/2022

Login to get access

Abstract

Purpose

Many studies have shown that chitinase-3-like protein 1 (CHI3L1), also known as YKL-40, is associated with asthma. The purpose of this meta-analysis was to evaluate the role of serum YKL-40 in the diagnosis and differential diagnosis of asthma, severity grading, and determination of disease state.

Methods

The PubMed, Ovid, and Cochrane databases were searched. A total of 17 articles involving 5696 subjects were included in this meta-analysis.

Results

The results showed that the level of YKL-40 was significantly higher in asthmatic patients than in the normal group regardless of age and residential location, and increased with severity and acute exacerbation (p < 0.05). YKL-40 levels were significantly different between chronic obstructive pulmonary disease (COPD) and asthma, and also between asthma-COPD overlap syndrome (ACO) and asthma (p < 0.05).

Conclusion

YKL-40 may act as a potential serological marker for the diagnosis of asthma, assessment of severity, indicator of the disease state, and differential diagnosis of COPD, ACO, and asthma.
Literature
1.
go back to reference Boot RG, Blommaart EF, Swart E et al (2001) Identification of a novel acidic mammalian chitinase distinct from chitotriosidase[J]. J Biol Chem 276(9):6770–6778PubMedCrossRef Boot RG, Blommaart EF, Swart E et al (2001) Identification of a novel acidic mammalian chitinase distinct from chitotriosidase[J]. J Biol Chem 276(9):6770–6778PubMedCrossRef
3.
go back to reference Leung TF, Ching KW, Sy HY et al (2010) CHIA confers susceptibility to childhood eczema[J]. Br J Dermatol 163(6):1360–1362PubMedCrossRef Leung TF, Ching KW, Sy HY et al (2010) CHIA confers susceptibility to childhood eczema[J]. Br J Dermatol 163(6):1360–1362PubMedCrossRef
4.
go back to reference Lin HW, Chiang YC, Sun NY et al (2019) CHI3L1 results in poor outcome of ovarian cancer by promoting properties of stem-like cells[J]. Endocr Relat Cancer 26(1):73–88PubMedCrossRef Lin HW, Chiang YC, Sun NY et al (2019) CHI3L1 results in poor outcome of ovarian cancer by promoting properties of stem-like cells[J]. Endocr Relat Cancer 26(1):73–88PubMedCrossRef
5.
go back to reference Furuhashi K, Suda T, Nakamura Y et al (2010) Increased expression of YKL-40, a chitinase-like protein, in serum and lung of patients with idiopathic pulmonary fibrosis[J]. Respir Med 104(8):1204–1210PubMedCrossRef Furuhashi K, Suda T, Nakamura Y et al (2010) Increased expression of YKL-40, a chitinase-like protein, in serum and lung of patients with idiopathic pulmonary fibrosis[J]. Respir Med 104(8):1204–1210PubMedCrossRef
6.
go back to reference Kuepper M, Bratke K, Virchow JC (2008) Chitinase-like protein and asthma[J]. N Engl J Med 358(10):1073–1075, 1075PubMedCrossRef Kuepper M, Bratke K, Virchow JC (2008) Chitinase-like protein and asthma[J]. N Engl J Med 358(10):1073–1075, 1075PubMedCrossRef
9.
go back to reference Gomez JL, Crisafi GM, Holm CT et al (2015) Genetic variation in chitinase 3-like 1 (CHI3L1) contributes to asthma severity and airway expression of YKL-40[J]. J Allergy Clin Immunol 136(1):51–58PubMedPubMedCentralCrossRef Gomez JL, Crisafi GM, Holm CT et al (2015) Genetic variation in chitinase 3-like 1 (CHI3L1) contributes to asthma severity and airway expression of YKL-40[J]. J Allergy Clin Immunol 136(1):51–58PubMedPubMedCentralCrossRef
10.
go back to reference Kim SH, Choi H, Yoon MG et al (2015) Dipeptidyl-peptidase 10 as a genetic biomarker for the aspirin-exacerbated respiratory disease phenotype[J]. Ann Allergy Asthma Immunol 114(3):208–213PubMedCrossRef Kim SH, Choi H, Yoon MG et al (2015) Dipeptidyl-peptidase 10 as a genetic biomarker for the aspirin-exacerbated respiratory disease phenotype[J]. Ann Allergy Asthma Immunol 114(3):208–213PubMedCrossRef
11.
go back to reference Chupp GL, Lee CG, Jarjour N et al (2007) A chitinase-like protein in the lung and circulation of patients with severe asthma[J]. N Engl J Med 357(20):2016–2027PubMedCrossRef Chupp GL, Lee CG, Jarjour N et al (2007) A chitinase-like protein in the lung and circulation of patients with severe asthma[J]. N Engl J Med 357(20):2016–2027PubMedCrossRef
12.
go back to reference Tang H, Fang Z, Sun Y et al (2010) YKL-40 in asthmatic patients, and its correlations with exacerbation, eosinophils and immunoglobulin E[J]. Eur Respir J 35(4):757–760PubMedCrossRef Tang H, Fang Z, Sun Y et al (2010) YKL-40 in asthmatic patients, and its correlations with exacerbation, eosinophils and immunoglobulin E[J]. Eur Respir J 35(4):757–760PubMedCrossRef
13.
14.
go back to reference Konradsen JR, James A, Nordlund B et al (2013) The chitinase-like protein YKL-40: a possible biomarker of inflammation and airway remodeling in severe pediatric asthma[J]. J Allergy Clin Immunol 132(2):328–335PubMedCrossRef Konradsen JR, James A, Nordlund B et al (2013) The chitinase-like protein YKL-40: a possible biomarker of inflammation and airway remodeling in severe pediatric asthma[J]. J Allergy Clin Immunol 132(2):328–335PubMedCrossRef
15.
go back to reference Kim HR, Jun CD, Lee KS et al (2012) Levels of YKL-40 in pleural effusions and blood from patients with pulmonary or pleural disease[J]. Cytokine 58(3):336–343PubMedCrossRef Kim HR, Jun CD, Lee KS et al (2012) Levels of YKL-40 in pleural effusions and blood from patients with pulmonary or pleural disease[J]. Cytokine 58(3):336–343PubMedCrossRef
16.
go back to reference Duru S, Yuce G, Ulasli SS et al (2013) The relationship between serum YKL-40 levels and severity of asthma[J]. Iran J Allergy Asthma Immunol 12(3):247–253PubMed Duru S, Yuce G, Ulasli SS et al (2013) The relationship between serum YKL-40 levels and severity of asthma[J]. Iran J Allergy Asthma Immunol 12(3):247–253PubMed
18.
go back to reference Shirai T, Hirai K, Gon Y et al (2019) Combined assessment of serum periostin and YKL-40 may identify asthma-COPD overlap[J]. J Allergy Clin Immunol Pract 7(1):134–145PubMedCrossRef Shirai T, Hirai K, Gon Y et al (2019) Combined assessment of serum periostin and YKL-40 may identify asthma-COPD overlap[J]. J Allergy Clin Immunol Pract 7(1):134–145PubMedCrossRef
19.
go back to reference Han SS, Lee WH, Hong Y et al (2016) Comparison of serum biomarkers between patients with asthma and with chronic obstructive pulmonary disease[J]. J Asthma 53(6):583–588PubMedCrossRef Han SS, Lee WH, Hong Y et al (2016) Comparison of serum biomarkers between patients with asthma and with chronic obstructive pulmonary disease[J]. J Asthma 53(6):583–588PubMedCrossRef
20.
go back to reference El BN, Osman HM, Abdelaal AA et al (2018) Increased expression of serum periostin and YKL40 in children with severe asthma and asthma exacerbation[J]. J Investig Med 66(8):1102–1108CrossRef El BN, Osman HM, Abdelaal AA et al (2018) Increased expression of serum periostin and YKL40 in children with severe asthma and asthma exacerbation[J]. J Investig Med 66(8):1102–1108CrossRef
21.
go back to reference Gon Y, Maruoka S, Ito R et al (2017) Utility of serum YKL-40 levels for identification of patients with asthma and COPD[J]. Allergol Int 66(4):624–626PubMedCrossRef Gon Y, Maruoka S, Ito R et al (2017) Utility of serum YKL-40 levels for identification of patients with asthma and COPD[J]. Allergol Int 66(4):624–626PubMedCrossRef
22.
go back to reference Santos CB, Davidson J, Covar RA et al (2014) The chitinase-like protein YKL-40 is not a useful biomarker for severe persistent asthma in children[J]. Ann Allergy Asthma Immunol 113(3):263–266PubMedCrossRef Santos CB, Davidson J, Covar RA et al (2014) The chitinase-like protein YKL-40 is not a useful biomarker for severe persistent asthma in children[J]. Ann Allergy Asthma Immunol 113(3):263–266PubMedCrossRef
23.
go back to reference James AJ, Reinius LE, Verhoek M et al (2016) Increased YKL-40 and chitotriosidase in asthma and chronic obstructive pulmonary disease[J]. Am J Respir Crit Care Med 193(2):131–142PubMedCrossRef James AJ, Reinius LE, Verhoek M et al (2016) Increased YKL-40 and chitotriosidase in asthma and chronic obstructive pulmonary disease[J]. Am J Respir Crit Care Med 193(2):131–142PubMedCrossRef
24.
go back to reference Rathcke CN, Johansen JS, Vestergaard H (2006) YKL-40, a biomarker of inflammation, is elevated in patients with type 2 diabetes and is related to insulin resistance[J]. Inflamm Res 55(2):53–59PubMedCrossRef Rathcke CN, Johansen JS, Vestergaard H (2006) YKL-40, a biomarker of inflammation, is elevated in patients with type 2 diabetes and is related to insulin resistance[J]. Inflamm Res 55(2):53–59PubMedCrossRef
25.
go back to reference Bara I, Ozier A, Girodet PO et al (2012) Role of YKL-40 in bronchial smooth muscle remodeling in asthma[J]. Am J Respir Crit Care Med 185(7):715–722PubMedCrossRef Bara I, Ozier A, Girodet PO et al (2012) Role of YKL-40 in bronchial smooth muscle remodeling in asthma[J]. Am J Respir Crit Care Med 185(7):715–722PubMedCrossRef
26.
go back to reference Tang H, Sun Y, Shi Z et al (2013) YKL-40 induces IL-8 expression from bronchial epithelium via MAPK (JNK and ERK) and NF-kappaB pathways, causing bronchial smooth muscle proliferation and migration[J]. J Immunol 190(1):438–446PubMedCrossRef Tang H, Sun Y, Shi Z et al (2013) YKL-40 induces IL-8 expression from bronchial epithelium via MAPK (JNK and ERK) and NF-kappaB pathways, causing bronchial smooth muscle proliferation and migration[J]. J Immunol 190(1):438–446PubMedCrossRef
27.
go back to reference Iwata T, Kuwajima M, Sukeno A et al (2009) YKL-40 secreted from adipose tissue inhibits degradation of type I collagen[J]. Biochem Biophys Res Commun 388(3):511–516PubMedCrossRef Iwata T, Kuwajima M, Sukeno A et al (2009) YKL-40 secreted from adipose tissue inhibits degradation of type I collagen[J]. Biochem Biophys Res Commun 388(3):511–516PubMedCrossRef
28.
go back to reference Bigg HF, Wait R, Rowan AD et al (2006) The mammalian chitinase-like lectin, YKL-40, binds specifically to type I collagen and modulates the rate of type I collagen fibril formation[J]. J Biol Chem 281(30):21082–21095PubMedCrossRef Bigg HF, Wait R, Rowan AD et al (2006) The mammalian chitinase-like lectin, YKL-40, binds specifically to type I collagen and modulates the rate of type I collagen fibril formation[J]. J Biol Chem 281(30):21082–21095PubMedCrossRef
29.
go back to reference Zhu Z, Zheng T, Homer RJ et al (2004) Acidic mammalian chitinase in asthmatic Th2 inflammation and IL-13 pathway activation[J]. Science 304(5677):1678–1682PubMedCrossRef Zhu Z, Zheng T, Homer RJ et al (2004) Acidic mammalian chitinase in asthmatic Th2 inflammation and IL-13 pathway activation[J]. Science 304(5677):1678–1682PubMedCrossRef
30.
go back to reference Lee CG, Hartl D, Lee GR et al (2009) Role of breast regression protein 39 (BRP-39)/chitinase 3-like-1 in Th2 and IL-13-induced tissue responses and apoptosis[J]. J Exp Med 206(5):1149–1166PubMedPubMedCentralCrossRef Lee CG, Hartl D, Lee GR et al (2009) Role of breast regression protein 39 (BRP-39)/chitinase 3-like-1 in Th2 and IL-13-induced tissue responses and apoptosis[J]. J Exp Med 206(5):1149–1166PubMedPubMedCentralCrossRef
31.
go back to reference Matsuura H, Hartl D, Kang MJ et al (2011) Role of breast regression protein-39 in the pathogenesis of cigarette smoke-induced inflammation and emphysema[J]. Am J Respir Cell Mol Biol 44(6):777–786PubMedCrossRef Matsuura H, Hartl D, Kang MJ et al (2011) Role of breast regression protein-39 in the pathogenesis of cigarette smoke-induced inflammation and emphysema[J]. Am J Respir Cell Mol Biol 44(6):777–786PubMedCrossRef
32.
go back to reference Kanazawa J, Kitazawa H, Masuko H et al (2019) A cis-eQTL allele regulating reduced expression of CHI3L1 is associated with late-onset adult asthma in Japanese cohorts[J]. BMC Med Genet 20(1):58PubMedPubMedCentralCrossRef Kanazawa J, Kitazawa H, Masuko H et al (2019) A cis-eQTL allele regulating reduced expression of CHI3L1 is associated with late-onset adult asthma in Japanese cohorts[J]. BMC Med Genet 20(1):58PubMedPubMedCentralCrossRef
33.
go back to reference Liu L, Zhang X, Liu Y et al (2019) Chitinase-like protein YKL-40 correlates with inflammatory phenotypes, anti-asthma responsiveness and future exacerbations[J]. Respir Res 20(1):95PubMedPubMedCentralCrossRef Liu L, Zhang X, Liu Y et al (2019) Chitinase-like protein YKL-40 correlates with inflammatory phenotypes, anti-asthma responsiveness and future exacerbations[J]. Respir Res 20(1):95PubMedPubMedCentralCrossRef
34.
go back to reference Ahangari F, Sood A, Ma B et al (2015) Chitinase 3-like-1 regulates both visceral fat accumulation and asthma-like Th2 inflammation[J]. Am J Respir Crit Care Med 191(7):746–757PubMedPubMedCentralCrossRef Ahangari F, Sood A, Ma B et al (2015) Chitinase 3-like-1 regulates both visceral fat accumulation and asthma-like Th2 inflammation[J]. Am J Respir Crit Care Med 191(7):746–757PubMedPubMedCentralCrossRef
35.
go back to reference Sohn MH, Lee JH, Kim KW et al (2009) Genetic variation in the promoter region of chitinase 3-like 1 is associated with atopy[J]. Am J Respir Crit Care Med 179(6):449–456PubMedCrossRef Sohn MH, Lee JH, Kim KW et al (2009) Genetic variation in the promoter region of chitinase 3-like 1 is associated with atopy[J]. Am J Respir Crit Care Med 179(6):449–456PubMedCrossRef
36.
go back to reference Zhu Y, Yan X, Zhai C et al (2017) Association between risk of asthma and gene polymorphisms in CHI3L1 and CHIA: a systematic meta-analysis[J]. BMC Pulm Med 17(1):193PubMedPubMedCentralCrossRef Zhu Y, Yan X, Zhai C et al (2017) Association between risk of asthma and gene polymorphisms in CHI3L1 and CHIA: a systematic meta-analysis[J]. BMC Pulm Med 17(1):193PubMedPubMedCentralCrossRef
37.
go back to reference Ober C, Tan Z, Sun Y et al (2008) Effect of variation in CHI3L1 on serum YKL-40 level, risk of asthma, and lung function[J]. N Engl J Med 358(16):1682–1691PubMedPubMedCentralCrossRef Ober C, Tan Z, Sun Y et al (2008) Effect of variation in CHI3L1 on serum YKL-40 level, risk of asthma, and lung function[J]. N Engl J Med 358(16):1682–1691PubMedPubMedCentralCrossRef
38.
go back to reference Cunningham J, Basu K, Tavendale R et al (2011) The CHI3L1 rs4950928 polymorphism is associated with asthma-related hospital admissions in children and young adults[J]. Ann Allergy Asthma Immunol 106(5):381–386PubMedCrossRef Cunningham J, Basu K, Tavendale R et al (2011) The CHI3L1 rs4950928 polymorphism is associated with asthma-related hospital admissions in children and young adults[J]. Ann Allergy Asthma Immunol 106(5):381–386PubMedCrossRef
39.
go back to reference Li K, Chen Z, Qin Y et al (2019) Plasm YKL-40 levels are associated with hypertension in patients with obstructive sleep apnea[J]. Biomed Res Int 2019:5193597PubMedPubMedCentral Li K, Chen Z, Qin Y et al (2019) Plasm YKL-40 levels are associated with hypertension in patients with obstructive sleep apnea[J]. Biomed Res Int 2019:5193597PubMedPubMedCentral
40.
go back to reference Mutlu LC, Tulubas F, Alp R et al (2017) Serum YKL-40 level is correlated with apnea hypopnea index in patients with obstructive sleep apnea syndrome[J]. Eur Rev Med Pharmacol Sci 21(18):4161–4166PubMed Mutlu LC, Tulubas F, Alp R et al (2017) Serum YKL-40 level is correlated with apnea hypopnea index in patients with obstructive sleep apnea syndrome[J]. Eur Rev Med Pharmacol Sci 21(18):4161–4166PubMed
41.
go back to reference Ragnoli B, Pochetti P, Raie A et al (2021) Interrelationship between obstructive sleep apnea syndrome and severe asthma: from endo-phenotype to clinical aspects[J]. Front Med (Lausanne) 8:640636CrossRef Ragnoli B, Pochetti P, Raie A et al (2021) Interrelationship between obstructive sleep apnea syndrome and severe asthma: from endo-phenotype to clinical aspects[J]. Front Med (Lausanne) 8:640636CrossRef
42.
go back to reference Peng J, Yu Q, Fan S et al (2021) High blood eosinophil and YKL-40 levels, as well as low CXCL9 levels, are associated with increased readmission in patients with acute exacerbation of chronic obstructive pulmonary disease[J]. Int J Chron Obstruct Pulmon Dis 16:795–806PubMedPubMedCentralCrossRef Peng J, Yu Q, Fan S et al (2021) High blood eosinophil and YKL-40 levels, as well as low CXCL9 levels, are associated with increased readmission in patients with acute exacerbation of chronic obstructive pulmonary disease[J]. Int J Chron Obstruct Pulmon Dis 16:795–806PubMedPubMedCentralCrossRef
43.
go back to reference Hozumi H, Fujisawa T, Enomoto N et al (2017) Clinical utility of YKL-40 in polymyositis/dermatomyositis-associated interstitial lung disease[J]. J Rheumatol 44(9):1394–1401PubMedCrossRef Hozumi H, Fujisawa T, Enomoto N et al (2017) Clinical utility of YKL-40 in polymyositis/dermatomyositis-associated interstitial lung disease[J]. J Rheumatol 44(9):1394–1401PubMedCrossRef
44.
go back to reference Yang X, Sheng G (2018) YKL-40 levels are associated with disease severity and prognosis of viral pneumonia, but not available in bacterial pneumonia in children[J]. BMC Pediatr 18(1):381PubMedPubMedCentralCrossRef Yang X, Sheng G (2018) YKL-40 levels are associated with disease severity and prognosis of viral pneumonia, but not available in bacterial pneumonia in children[J]. BMC Pediatr 18(1):381PubMedPubMedCentralCrossRef
45.
go back to reference Schultz NA, Johansen JS (2010) YKL-40-a protein in the field of translational medicine: a role as a biomarker in cancer patients?[J]. Cancers (Basel) 2(3):1453–1491CrossRef Schultz NA, Johansen JS (2010) YKL-40-a protein in the field of translational medicine: a role as a biomarker in cancer patients?[J]. Cancers (Basel) 2(3):1453–1491CrossRef
Metadata
Title
Association between YKL-40 and asthma: a systematic meta-analysis
Authors
Yihan Jin
Jie Song
Fang Xu
Di Zhang
Jinfang He
Jiakun Zheng
Yanan Zhang
Jintong Li
Yikun Guo
Mengjiao Xu
Xiangfeng Yu
Yanbin Liu
Qinghua Liu
Jun Yan
Publication date
16-10-2021
Publisher
Springer International Publishing
Published in
Sleep and Breathing / Issue 3/2022
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-021-02495-w

Other articles of this Issue 3/2022

Sleep and Breathing 3/2022 Go to the issue

Sleep Breathing Physiology and Disorders • Original Article

The reproducibility of clinical OSA subtypes: a population-based longitudinal study

Sleep Breathing Physiology and Disorders • Original Article

The relationship between snoring sounds and EEG signals on polysomnography