Tomiyasu Arisawa, Masakatsu Nakamura, Toshimi Otsuka, Wu Jing, Naoko Sakurai, Hikaru Takano, Tasuku Hayashi, Masafumi Ota, Tomoe Nomura, Ranji Hayashi, Takeo Shimasaki, Department of Gastroenterology, Kanazawa Medical University, Ishikawa 920-0293, Japan.
World J Gastroenterol. 2017 Aug 7;23(29):5364-5370. doi: 10.3748/wjg.v23.i29.5364.
To investigate whether single nucleotide polymorphisms in maf protein K (), which encodes the , lead to increased susceptibility to ulcerative colitis in the Japanese population.
This case control study examined the associations between single nucleotide polymorphisms (rs4268033 G>A, rs3735656 T>C and rs10226620 C>T) and ulcerative colitis susceptibility in 174 patients with ulcerative colitis (UC) cases, and 748 subjects without no lower abdominal symptoms, diarrhea or hematochezia (controls). In addition, as the second controls, we set 360 subjects, who have an irregular bowel movement without abnormal lower endoscopic findings (IBM controls).
The genotype frequency of rs4268033 AA and allelic frequency of the rs4268033A allele were significantly higher in the UC cases than in both controls ( = 0.0005 and < 0.0001, = 0.015 and 0.0027 controls and IBM controls, respectively). Logistic regression analysis after adjustment for age and gender showed that the rs4268033 AA and rs3735656 CC genotypes were significantly associated with susceptibility to UC development (OR = 2.63, 95%CI: 1.61-4.30, = 0.0001 and OR = 1.81; 95%CI: 1.12-2.94, = 0.015, respectively). Similar findings were observed by the comparison with IBM controls. In addition, the rs4268033 AA genotype was significantly associated with all phenotypes of UC except early onset. There was no significant association between rs10226620 and ulcerative colitis.
Our results provide the first evidence that genetic polymorphisms are significantly associated with susceptibility to UC development. In particular, rs4268033 is closely associated with an increased risk for the development of UC.
研究 maf 蛋白 K()中的单核苷酸多态性是否导致日本人群溃疡性结肠炎易感性增加。
本病例对照研究探讨了 174 例溃疡性结肠炎(UC)患者与 748 例无下腹症状、腹泻或血便(对照组)的 maf 蛋白 K 单核苷酸多态性(rs4268033 G>A、rs3735656 T>C 和 rs10226620 C>T)与溃疡性结肠炎易感性之间的关联。此外,作为第二个对照组,我们设定了 360 例无异常下内镜发现的不规则肠道运动(IBM 对照组)的受试者。
UC 病例的 rs4268033 AA 基因型频率和 rs4268033A 等位基因频率明显高于两个对照组(=0.0005 和<0.0001,=0.015 和 0.0027,对照组和 IBM 对照组)。年龄和性别调整后的 logistic 回归分析显示,rs4268033 AA 和 rs3735656 CC 基因型与 UC 发病易感性显著相关(OR=2.63,95%CI:1.61-4.30,=0.0001 和 OR=1.81;95%CI:1.12-2.94,=0.015)。与 IBM 对照组的比较也观察到了类似的发现。此外,rs4268033 AA 基因型与 UC 的所有表型均显著相关,除了早发性。rs10226620 与溃疡性结肠炎无显著相关性。
我们的研究结果首次提供了证据,表明 遗传多态性与 UC 发病易感性显著相关。特别是 rs4268033 与 UC 的发病风险增加密切相关。