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Pediatr Pulmonol. 2015 Feb;50(2):179-86. doi: 10.1002/ppul.23026. Epub 2014 Apr 19.

Mannose-binding lectin 2 gene polymorphism and lung damage in primary ciliary dyskinesia.

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Department of Pediatrics, University Hospital of Pisa, Pisa, Italy.



Mannose-binding lectin (MBL) plays an important role in innate immunity and has been reported to be associated with the age-related decline in lung function in cystic fibrosis.


MBL polymorphisms are associated with lung function decline in Primary Ciliary Dyskinesia (PCD).


We performed sputum microbiology, spirometry pre- and post-administration of salbutamol, ciliary motion analysis, ultrastructural assessment of cilia, ciliogenesis in culture, and chest high resolution computed tomography in children with a clinical history of respiratory tract infections and/or presence of bronchiectasis suggestive of PCD or secondary ciliary dyskinesia (SCD). All subjects were evaluated for single nucleotide polymorphisms in the gene encoding MBL-2.


The diagnosis of PCD was established in 45 subjects, while in the remaining 53 the diagnosis was SCD. A significant bronchodilator response was observed only in PCD associated with the MBL2-3 genotype, which is known to be associated with low/undetectable MBL serum levels. Also, bronchiectasis severity was significantly greater in subjects with MBL2-3 in both PCD and SCD. No other association was found between MBL genotypes and clinical findings.


MBL plays a relatively minor role as a disease modifier in PCD. A similar finding in SCD supports the likely significance of this result.


bronchiectasis; genetic polymorphisms; innate immunity; lung function; primary ciliary dyskinesia

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