Verlaan M, Drenth J P H, Truninger K, Koudova M, Schulz H-U, Bargetzi M, Künzli B, Friess H, Cerny M, Kage A, Landt O, te Morsche R H M, Rosendahl J, Luck W, Nickel R, Halangk J, Becker M, Macek M, Jansen J B M J, Witt H
J Med Genet. 2005 Oct;42(10):e62. doi: 10.1136/jmg.2005.032599.
Xenobiotic mediated cellular injury is thought to play a major role in the pathogenesis of pancreatic diseases. Genetic variations that reduce the expression or activity of detoxifying phase II biotransformation enzymes such as the UDP-glucuronosyltransferases might be important in this respect. Recently, a UGT1A7 low detoxification activity allele, UGT1A7*3, has been linked to pancreatic cancer and alcoholic chronic pancreatitis.
To investigate whether UGT1A7 polymorphisms contribute to the risk of pancreatitis and pancreatic cancer.
Genetic polymorphisms in the UGT1A7 gene were assessed in a large cohort of patients with different types of pancreatitis and pancreatic cancer originating from the Czech Republic (n = 93), Germany (n = 638), Netherlands (n = 136), and Switzerland (n = 106), and in healthy (n = 1409) and alcoholic (n = 123) controls from the same populations. Polymorphisms were determined by melting curve analysis using fluorescence resonance energy transfer probes. In addition, 229 Dutch subjects were analysed by restriction fragment length polymorphism.
The frequencies of UGT1A7 genotypes did not differ between patients with acute or chronic pancreatitis or pancreatic adenocarcinoma and alcoholic and healthy controls.
The data suggest that, in contrast to earlier studies, UGT1A7 polymorphisms do not predispose patients to the development of pancreatic cancer and pancreatitis.
异生物素介导的细胞损伤被认为在胰腺疾病的发病机制中起主要作用。降低解毒II相生物转化酶(如尿苷二磷酸葡萄糖醛酸基转移酶)表达或活性的基因变异在这方面可能很重要。最近,一种UGT1A7低解毒活性等位基因UGT1A7*3已与胰腺癌和酒精性慢性胰腺炎相关联。
研究UGT1A7基因多态性是否会增加胰腺炎和胰腺癌的发病风险。
在来自捷克共和国(n = 93)、德国(n = 638)、荷兰(n = 136)和瑞士(n = 106)的一大群患有不同类型胰腺炎和胰腺癌的患者中,以及来自相同人群的健康对照者(n = 1409)和酒精性肝病患者(n = 123)中,评估UGT1A7基因的遗传多态性。使用荧光共振能量转移探针通过熔解曲线分析确定多态性。此外,对229名荷兰受试者进行了限制性片段长度多态性分析。
急性或慢性胰腺炎、胰腺腺癌患者与酒精性肝病患者及健康对照者之间,UGT1A7基因型频率无差异。
数据表明,与早期研究不同,UGT1A7基因多态性不会使患者易患胰腺癌和胰腺炎。