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FältnamnIndikatorerMetadata
00005571naa a2201297 4500
001oai:prod.swepub.kib.ki.se:139220169
003SwePub
008240811s2018 | |||||||||||000 ||eng|
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1392201692 URI
024a https://doi.org/10.1136/gutjnl-2017-3144542 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Rosendahl, J4 aut
2451 0a Genome-wide association study identifies inversion in the CTRB1-CTRB2 locus to modify risk for alcoholic and non-alcoholic chronic pancreatitis
264 c 2017-07-28
264 1b BMJ,c 2018
520 a Alcohol-related pancreatitis is associated with a disproportionately large number of hospitalisations among GI disorders. Despite its clinical importance, genetic susceptibility to alcoholic chronic pancreatitis (CP) is poorly characterised. To identify risk genes for alcoholic CP and to evaluate their relevance in non-alcoholic CP, we performed a genome-wide association study and functional characterisation of a new pancreatitis locus.Design1959 European alcoholic CP patients and population-based controls from the KORA, LIFE and INCIPE studies (n=4708) as well as chronic alcoholics from the GESGA consortium (n=1332) were screened with Illumina technology. For replication, three European cohorts comprising 1650 patients with non-alcoholic CP and 6695 controls originating from the same countries were used.ResultsWe replicated previously reported risk loci CLDN2-MORC4, CTRC, PRSS1-PRSS2 and SPINK1 in alcoholic CP patients. We identified CTRB1-CTRB2 (chymotrypsin B1 and B2) as a new risk locus with lead single-nucleotide polymorphism (SNP) rs8055167 (OR 1.35, 95% CI 1.23 to 1.6). We found that a 16.6 kb inversion in the CTRB1-CTRB2 locus was in linkage disequilibrium with the CP-associated SNPs and was best tagged by rs8048956. The association was replicated in three independent European non-alcoholic CP cohorts of 1650 patients and 6695 controls (OR 1.62, 95% CI 1.42 to 1.86). The inversion changes the expression ratio of the CTRB1 and CTRB2 isoforms and thereby affects protective trypsinogen degradation and ultimately pancreatitis risk.ConclusionAn inversion in the CTRB1-CTRB2 locus modifies risk for alcoholic and non-alcoholic CP indicating that common pathomechanisms are involved in these inflammatory disorders.
700a Kirsten, H4 aut
700a Hegyi, E4 aut
700a Kovacs, P4 aut
700a Weiss, FU4 aut
700a Laumen, H4 aut
700a Lichtner, P4 aut
700a Ruffert, C4 aut
700a Chen, JM4 aut
700a Masson, E4 aut
700a Beer, S4 aut
700a Zimmer, C4 aut
700a Seltsam, K4 aut
700a Alguel, H4 aut
700a Buehler, F4 aut
700a Bruno, MJ4 aut
700a Bugert, P4 aut
700a Burkhardt, R4 aut
700a Cavestro, GM4 aut
700a Cichoz-Lach, H4 aut
700a Farre, A4 aut
700a Frank, J4 aut
700a Gambaro, G4 aut
700a Gimpfl, S4 aut
700a Grallert, H4 aut
700a Griesmann, H4 aut
700a Gruetzmann, R4 aut
700a Hellerbrand, C4 aut
700a Hegyi, P4 aut
700a Hollenbach, M4 aut
700a Iordache, S4 aut
700a Jurkowska, G4 aut
700a Keim, V4 aut
700a Kiefer, F4 aut
700a Krug, S4 aut
700a Landt, O4 aut
700a Leo, M4 aut
700a Lerch, MM4 aut
700a Levy, P4 aut
700a Loeffler, M4 aut
700a Loehr, Mu Karolinska Institutet4 aut
700a Ludwig, M4 aut
700a Macek, M4 aut
700a Malats, N4 aut
700a Malecka-Panas, E4 aut
700a Malerba, G4 aut
700a Mann, K4 aut
700a Mayerle, J4 aut
700a Mohr, S4 aut
700a Morsche, RHM4 aut
700a Motyka, M4 aut
700a Mueller, S4 aut
700a Mueller, T4 aut
700a Noethen, MM4 aut
700a Pedrazzoli, S4 aut
700a Pereira, SP4 aut
700a Peters, A4 aut
700a Pfuetzer, R4 aut
700a Real, FX4 aut
700a Rebours, V4 aut
700a Ridinger, M4 aut
700a Rietschel, M4 aut
700a Roesmann, E4 aut
700a Saftoiu, A4 aut
700a Schneider, A4 aut
700a Schulz, HU4 aut
700a Soranzo, N4 aut
700a Soyka, M4 aut
700a Simon, P4 aut
700a Skipworth, J4 aut
700a Stickel, F4 aut
700a Strauch, K4 aut
700a Stumvoll, M4 aut
700a Testoni, PA4 aut
700a Toenjes, A4 aut
700a Werner, L4 aut
700a Werner, J4 aut
700a Wodarz, N4 aut
700a Ziegler, M4 aut
700a Masamune, A4 aut
700a Moessner, J4 aut
700a Ferec, C4 aut
700a Michl, P4 aut
700a Drenth, JPH4 aut
700a Witt, H4 aut
700a Scholz, M4 aut
700a Sahin-Toth, M4 aut
710a Karolinska Institutet4 org
773t Gutd : BMJg 67:10, s. 1855-1863q 67:10<1855-1863x 1468-3288x 0017-5749
856u https://gut.bmj.com/content/gutjnl/67/10/1855.full.pdf
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:139220169
8564 8u https://doi.org/10.1136/gutjnl-2017-314454

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