Department of Pediatrics, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
Gut Liver. 2012 Apr;6(2):223-8. doi: 10.5009/gnl.2012.6.2.223. Epub 2012 Apr 17.
BACKGROUND/AIMS: Many candidate gene studies have revealed that polymorphisms of the 5'-flanking controlled SERT gene linked polymorphic region (5HTT-LPR) gene and G-protein β3 C825T gene might be associated with functional dyspepsia (FD) and irritable bowel syndrome (IBS). This study was performed to investigate polymorphisms of the 5HTT-LPR gene and G-protein β3 C825T gene in FD and IBS in Korean children. METHODS: In total, 102 patients with FD, 72 patients with IBS based on the Rome III criteria and 148 healthy controls without gastrointestinal symptoms were included in the study to analyze 5HTT-LPR and G-protein β3 C825T polymorphisms. RESULTS: 5HTT-LPR genotype analysis revealed no signifi cant differences in FD and IBS patients compared with controls. The GNβ3 C825T genotype distribution for CC, CT, and TT was 23.6%, 53.4%, and 23.0% in controls, 36.3%, 38.2%, and 25.5% in FD and 37.5%, 38.9%, and 23.6% in IBS, respectively. The CC genotype was more common in FD and IBS patients than controls (p<0.05). When the IBS patients were grouped according to IBS subtypes, CC genotype GNβ3 C825T was common in diarrhea-dominant IBS, and the TT genotype was common in constipation-dominant IBS (p<0.05). CONCLUSIONS: The CC genotype of G-protein β3 C825T may be associated with FD and diarrhea-predominant IBS. The TT genotype may be associated with constipation-predominant IBS.
背景/目的:许多候选基因研究表明,5'-侧翼控制 SERT 基因连接多态区(5-HTT-LPR)基因和 G 蛋白β3 C825T 基因的多态性可能与功能性消化不良(FD)和肠易激综合征(IBS)有关。本研究旨在探讨韩国儿童 FD 和 IBS 中 5-HTT-LPR 基因和 G 蛋白β3 C825T 基因的多态性。
方法:共纳入 102 例 FD 患者、72 例符合罗马 III 标准的 IBS 患者和 148 例无胃肠道症状的健康对照者,分析 5-HTT-LPR 和 G 蛋白β3 C825T 多态性。
结果:5-HTT-LPR 基因型分析显示,FD 和 IBS 患者与对照组无显著差异。CC、CT 和 TT 基因型在对照组、FD 和 IBS 中的分布分别为 23.6%、53.4%和 23.0%、36.3%、38.2%和 25.5%、37.5%、38.9%和 23.6%。CC 基因型在 FD 和 IBS 患者中比对照组更常见(p<0.05)。当根据 IBS 亚型对 IBS 患者进行分组时,CC 基因型 GNβ3 C825T 在腹泻型 IBS 中常见,而 TT 基因型在便秘型 IBS 中常见(p<0.05)。
结论:G 蛋白β3 C825T 的 CC 基因型可能与 FD 和腹泻型 IBS 有关。TT 基因型可能与便秘型 IBS 有关。
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