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Gastroenterology:9号染色体变异与女性IBS风险

2018-04-08 zhangfan MedSci原创

研究发现9q32.1染色体突变与女性肠易激综合征风险显著相关,表明性激素和自主神经功能障碍在肠易激综合征的病理过程中发挥了重要作用

遗传因素是导致肠易激综合征(IBS)的潜在风险因素之一,但目前尚无大规模研究证实这一观点。近日研究人员在英国开展大规模队列研究,考察DNA变异与IBS风险的相关性。

研究考察了9576名IBS确诊患者的7287191个单核苷酸多态性数据,研究同时招募336499名对照志愿者。在这之后研究人员招募2045名IBS患者和以及来自欧洲、美国以及瑞典的近10000名志愿者进行研究结果的验证

研究发现与女性初潮年龄相关的9q31.2 (SNP rs10512344; P=3.57×10-8)染色体以及13个其他位点的基因变异与IBS风险相关。性别分层分析证实,9q32.1突变仅与女性IBS风险相关,特别是便秘型IBS和女性排便困难相关。9q32.1位点与8个功能基因相关,包含延伸复合体蛋白1基因(ELP1和IKBKAP),而该基因突变在家族性自主神经失调患者中较为常见。

研究发现9q32.1染色体突变与女性肠易激综合征风险显著相关,表明性激素和自主神经功能障碍在肠易激综合征的病理过程中发挥了重要作用。

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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Tue Apr 10 05:55:39 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1307657, encodeId=dcef130e6576a, content=<a href='/topic/show?id=04ab931993' target=_blank style='color:#2F92EE;'>#IBS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9319, encryptionId=04ab931993, topicName=IBS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Tue Apr 10 00:32:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1331670, encodeId=58b813316e082, content=<a href='/topic/show?id=d85a6181e4d' target=_blank style='color:#2F92EE;'>#染色体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61817, encryptionId=d85a6181e4d, topicName=染色体)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKnILSXam1GxPwj04ylEzibYLFA2eGl5Ev02klt80JA0xejMPqrn0mYHNNnLEgyqYTPbicXpY3tn6SA/132, createdBy=38fd2500059, createdName=新生儿张玉军, createdTime=Tue Apr 10 00:32:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1342477, encodeId=60bb13424e79b, content=<a href='/topic/show?id=34cb381023e' target=_blank style='color:#2F92EE;'>#变异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38102, encryptionId=34cb381023e, topicName=变异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=78c32500188, createdName=12498dabm77暂无昵称, createdTime=Tue Apr 10 00:32:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504399, encodeId=1ef315043994a, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Tue Apr 10 00:32:00 CST 2018, time=2018-04-10, status=1, ipAttribution=)]
    2019-01-01 许安
  5. 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  6. 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style='color:#2F92EE;'>#染色体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61817, encryptionId=d85a6181e4d, topicName=染色体)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKnILSXam1GxPwj04ylEzibYLFA2eGl5Ev02klt80JA0xejMPqrn0mYHNNnLEgyqYTPbicXpY3tn6SA/132, createdBy=38fd2500059, createdName=新生儿张玉军, createdTime=Tue Apr 10 00:32:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1342477, encodeId=60bb13424e79b, content=<a href='/topic/show?id=34cb381023e' target=_blank style='color:#2F92EE;'>#变异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38102, encryptionId=34cb381023e, topicName=变异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=78c32500188, createdName=12498dabm77暂无昵称, createdTime=Tue Apr 10 00:32:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504399, encodeId=1ef315043994a, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Tue Apr 10 00:32:00 CST 2018, time=2018-04-10, status=1, ipAttribution=)]
    2018-04-10 秀红

    学习了

    0

  7. 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createdName=12498dabm77暂无昵称, createdTime=Tue Apr 10 00:32:00 CST 2018, time=2018-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504399, encodeId=1ef315043994a, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Tue Apr 10 00:32:00 CST 2018, time=2018-04-10, status=1, ipAttribution=)]
    2018-04-10 柳叶一刀
  8. 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  9. 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  10. 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精神心理疾病及肠胃感染是肠易激综合征主要风险因素。非特异性胃肠道感染易导致感染后肠易激综合征并引发慢性疲劳

Gut:IBS患者粪便中细菌谱可预测对低FODMAP饮食的反应性!

由此可见,低FODMAP饮食,而不是传统的IBS饮食,可能对肠道菌群有显著的影响。对低FODMAP饮食干预的反应可由粪便中的细菌谱所预测。

Gastroenterology: 减少碳水化合物的摄入可以减少肠易激综合征的症状

据报道,一些肠易激综合征(IBS)患者减少碳水化合物(FODMAP)的摄入可以减少肠易激综合征的症状,本项研究进行了一项RCT实验验证了此设想。

J Gastroen Hepatol:饮食习惯与青春期肠易激综合征之间的关系

汤泡饭、咀嚼不足、牙齿脱落率高、辛辣和油炸食物导致青春期少女肠易激综合征风险增加

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