LAUSR

To the Editor, Airway epithelial cells (AECs) play a critical role in lung tissue homeostasis and disease. In asthma, AECs can promote the development of airway inflammation and remodeling through the secretion and regulation of a wide array of mediators, such as arachidonic acid metabolites, growth factors, cytokines, and chemokines. As discussed in a recent review, the dysregulation of metabolic pathways in AECs is highly relevant to asthma. Even though glutamine metabolism is key to multiple biochemical pathways, it has remained understudied. In the present study, we sought to identify genes related to glutamine metabolism that are differentially expressed in patients with severe or T helper 2 (Th2)‐high asthma when compared to healthy controls (HCs). Our group performed a secondary analysis of two publicly available microarray datasets involving fresh bronchial brushing samples. We selected these two datasets as they were available in the National Center for Biotechnology Information's Gene Expression Omnibus (accession numbers GSE43696 and GSE67472), had well‐documented clinical description of asthmatics and airway sampling procedures, included samples from HCs, and were supported by peer‐reviewed PubMed‐indexed publications. In addition, both datasets had sufficient samples from asthmatics and HCs, which enabled us to generate a list of differentially expressed genes after false discovery rate (FDR) significance adjustment. The first dataset (GSE43696) included 38 individuals with severe asthma and 20 HCs. Subjects were determined to have severe asthma based on inhaled or oral corticosteroid use and/or airflow limitation. These samples were processed using the Whole Human Genome Microarray 4� 44 K (Agilent). The second dataset (GSE67472) included 40 patients with Th2‐high asthma and 43 HCs. Subjects were determined to have Th2‐high asthma based on the expression levels of three interleukin (IL)‐13‐inducible genes in AECs: periostin, serine peptidase inhibitor B2 (SERPINB2), and chloride channel Ca‐activated 1 (CLCA1). In this case, the samples were processed using the Human Genome U133 Plus 2.0 Array (Affimetrix). For comparisons between the asthmatic and HC groups, we performed moderated Benjamini‐Hochberg t‐tests (with FDR significance adjustment) and identified all the differentially expressed genes (p‐value <0.05). Finally, to identify the genes involved in glutamine metabolism we performed a literature search in PubMed and the Molecular Signatures Database (MSigDB). We included genes involved in the anabolic, catabolic, and transport processes of glutamine. We identified 11 genes that were differentially expressed in both cohorts and showed the same directionality in asthmatics versus HCs (Table 1). Within this group of genes involved in glutamine metabolism, the ones that were upregulated in the AECs of asthmatics from both datasets include pyrroline‐5‐carboxylate reductase 1 (PYCR1), glutathione peroxidase 7 (GPX7), glutamic‐oxaloacetic transaminase 1 (GOT1), glutamic‐oxaloacetic transaminase 2 (GOT2), phosphoserine aminotransferase 1 (PSAT1), solute carrier family 7 member 11 (SLC7A11), nitric oxide synthase 2 (NOS2), solute carrier family 39 member 8 (SLC39A8), and sirtuin 7 (SIRT7). The two genes that were downregulated in AECs of the asthmatics from both datasets were glutaminase (GLS) and O‐linked N‐acetylglucosamine (GlcNAc) transferase (OGT). Glutamine has pleiotropic effects on cell metabolism. Strikingly, our results shows that there are multiple genes involved in glutamine metabolism that are differentially expressed in asthmatic AECs (Figure 1). For instance, in both datasets, we identified lower levels of GLS expression in AECs of asthmatics versus HCs. This is consistent with a prior report that demonstrated, through immunohistochemistry, decreased levels of GLS in the lung biopsy of a patient with severe asthma. Importantly, GLS catalyzes the first obligatory step in glutaminolysis to generate glutamate and ammonia. The ammonia generated through this reaction can serve as a buffer for airway pH. Increased airway acidity can promote the conversion of nitrite to nitric oxide (NO) and accelerate eosinophil necrosis, which can trigger airway inflammation in asthma. Therefore, decreased levels of GLS could significantly contribute to lung inflammation. Glutaminolysis is also involved in the generation of proline, an important structural amino acid that has been associated with extracellular matrix remodeling. The aldehyde dehydrogenase 18 family, member A1 (ALDH18A1) gene encodes the enzyme pyrroline‐ 5‐carboxylate synthase (P5CS), which catalyzes the conversion of