Yonal Oya, Eren Fatih, Yılmaz Yusuf, Atuğ Özlen, Över Hülya Hamzaoğlu
Department of Gastroenterology, Marmara University Faculty of Medicine, İstanbul, Turkey.
Turk J Gastroenterol. 2014 Dec;25(6):639-43. doi: 10.5152/tjg.2014.6568.
BACKGROUND/AIMS: The endocannabinoid system can exert beneficial effects on gastrointestinal inflammation, and cannabinoid receptor-2 (CB2) agonists may represent a new therapeutic approach in inflammatory bowel disease (IBD). A functional CB2 Q63R polymorphism (rs35761398) in the CNR2 gene has been shown to affect the immunomodulating properties of the CB2 receptor. We sought to investigate whether the functional CB2 Q63R polymorphism (rs35761398) is associated with IBD susceptibility in a Turkish clinical sample.
A total of 202 IBD patients, comprising 101 Crohn's disease (CD) patients and 101 ulcerative colitis (UC) patients, and 101 healthy controls were included in the study. The CB2 Q63R polymorphism was genotyped using real-time PCR.
There were no significant differences in the genotype frequencies of the three study groups. The odds ratio of the minor Q allele for CD relative to the common R allele was not significant (OR =1.02, 95% CI =0.67-1.56, p=0.99). Similarly, the odds ratio of the minor Q allele for UC relative to the common R allele did not reach statistical significance (OR =1.10, 95% CI =0.72-1.68, p=0.75). Moreover, the genotype frequencies did not show any significant association with the disease extent in either CD (p= 0.71) or UC patients (p=0.59).
These pilot findings suggest that CB2 Q63R polymorphism does not play a major role in genetic susceptibility to IBD or in its disease phenotypes among Turkish subjects.
背景/目的:内源性大麻素系统可对胃肠道炎症产生有益影响,大麻素受体2(CB2)激动剂可能代表炎症性肠病(IBD)的一种新治疗方法。已证明CNR2基因中的功能性CB2 Q63R多态性(rs35761398)会影响CB2受体的免疫调节特性。我们试图研究功能性CB2 Q63R多态性(rs35761398)是否与土耳其临床样本中的IBD易感性相关。
本研究共纳入202例IBD患者,包括101例克罗恩病(CD)患者和101例溃疡性结肠炎(UC)患者,以及101例健康对照。使用实时PCR对CB2 Q63R多态性进行基因分型。
三个研究组的基因型频率无显著差异。CD患者中次要Q等位基因相对于常见R等位基因的优势比不显著(OR = 1.02,95% CI = 0.67 - 1.56,p = 0.99)。同样,UC患者中次要Q等位基因相对于常见R等位基因的优势比未达到统计学显著性(OR = 1.10,95% CI = 0.72 - 1.68,p = 0.75)。此外,基因型频率在CD患者(p = 0.71)或UC患者(p = 0.59)中均未显示与疾病严重程度有任何显著关联。
这些初步研究结果表明,在土耳其人群中,CB2 Q63R多态性在IBD的遗传易感性或疾病表型中不发挥主要作用。