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  • 1
    Keywords: INHIBITOR ; Germany ; DISEASE ; RISK ; SITE ; GENE ; GENES ; PROTEIN ; ACTIVATION ; CLEAVAGE ; MUTATION ; genetics ; MUTATIONS ; Jun ; INDIVIDUALS ; heredity ; chronic pancreatitis ; RECOMBINANT ; pancreas ; VARIANT ; ENZYME ; pancreatic ; LOSSES ; odds ratio ; PROTECTS ; HEREDITARY PANCREATITIS ; HUMAN CATIONIC TRYPSINOGEN
    Abstract: Chronic pancreatitis is a common inflammatory disease of the pancreas. Mutations in the genes encoding cationic trypsinogen (PRSS1) 1 and the pancreatic secretory trypsin inhibitor (SPINK1) 2 are associated with chronic pancreatitis. Because increased proteolytic activity owing to mutated PRSS1 enhances the risk for chronic pancreatitis, mutations in the gene encoding anionic trypsinogen (PRSS2) may also predispose to disease. Here we analyzed PRSS2 in individuals with chronic pancreatitis and controls and found, to our surprise, that a variant of codon 191 (G191R) is overrepresented in control subjects: G191R was present in 220/6,459 (3.4%) controls but in only 32/2,466 (1.3%) affected individuals (odds ratio 0.37; P = 1.1 x 10(-8)). Upon activation by enterokinase or trypsin, purified recombinant G191R protein showed a complete loss of trypsin activity owing to the introduction of a new tryptic cleavage site that renders the enzyme hypersensitive to autocatalytic proteolysis. In conclusion, the G191R variant of PRSS2 mitigates intrapancreatic trypsin activity and thereby protects against chronic pancreatitis
    Type of Publication: Journal article published
    PubMed ID: 16699518
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  • 2
    Keywords: CELL ; DISEASE ; liver ; NEW-YORK ; GENE ; VARIANTS ; genetics ; DEGRADATION ; REPLICATION ; INDIVIDUALS ; HEALTHY ; heredity ; chronic pancreatitis ; pancreas ; VARIANT ; secretion ; PANCREATITIS ; ENZYME ; analysis ; USA ; LIVER-DISEASE ; HEREDITARY PANCREATITIS ; MISSENSE MUTATIONS ; FUNCTIONAL-ANALYSIS ; RATIO ; Replication studies ; CATIONIC TRYPSINOGEN GENE ; INHIBITOR GENE ; PRSS1 ; TROPICAL CALCIFIC PANCREATITIS
    Abstract: Chronic pancreatitis is a persistent inflammatory disease of the pancreas, in which the digestive protease trypsin has a fundamental pathogenetic role. Here we have analyzed the gene encoding the trypsin-degrading enzyme chymotrypsin C (CTRC) in German subjects with idiopathic or hereditary chronic pancreatitis. Two alterations in this gene, p.R254W and p.K247_R254del, were significantly overrepresented in the pancreatitis group, being present in 30 of 901 (3.3%) affected individuals but only 21 of 2,804 (0.7%) controls ( odds ratio (OR)=4.6; confidence interval (CI)=2.6 - 8.0; P=1.3x10(-7)). A replication study identified these two variants in 10 of 348 (2.9%) individuals with alcoholic chronic pancreatitis but only 3 of 432 ( 0.7%) subjects with alcoholic liver disease (OR=4.2; CI=1.2 - 15.5; P=0.02). CTRC variants were also found in 10 of 71 (14.1%) Indian subjects with tropical pancreatitis but only 1 of 84 (1.2%) healthy controls (OR=13.6; CI=1.7 - 109.2; P=0.0028). Functional analysis of the CTRC variants showed impaired activity and/or reduced secretion. The results indicate that loss-of-function alterations in CTRC predispose to pancreatitis by diminishing its protective trypsin-degrading activity
    Type of Publication: Journal article published
    PubMed ID: 18059268
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  • 3
    Keywords: Germany ; CLASSIFICATION ; DISEASE ; liver ; RISK ; GENE ; METABOLISM ; ACCUMULATION ; PATIENT ; FREQUENCY ; polymorphism ; SUSCEPTIBILITY ; VARIANTS ; FREQUENCIES ; NO ; DIFFERENCE ; genetics ; HETEROZYGOSITY ; PATHOGENESIS ; GENOTYPES ; HEREDITARY ; LENGTH ; adenocarcinoma ; pathology ; DIABETES-MELLITUS ; PREVALENCE ; heredity ; chronic pancreatitis ; MELLITUS ; pancreas ; VARIANT ; INCREASE ; PANCREATITIS ; HEREDITARY HEMOCHROMATOSIS ; IRON ; analysis ; methods ; pancreatic ; pancreatic adenocarcinoma ; GENOTYPE ; USA ; RISK-FACTOR ; FRAGMENT ; Diabetes Mellitus ; genetic analysis ; CHRONIC-PANCREATITIS ; acute pancreatitis ; ALCOHOLIC LIVER-DISEASE ; C282Y ; CYS282TYR MUTATION ; CYSTIC-FIBROSIS GENE ; H63D MUTATIONS ; hemochromatosis ; HFE ; IRON-OVERLOAD ; melting ; NONALCOHOLIC STEATOHEPATITIS
    Abstract: Purpose: The homozygous p.C282Y variant of the HFE gene is a major risk factor for hereditary hemochromatosis, a disorder of iron metabolism resulting in progressive iron accumulation in a variety of organs including the pancreas. Heterozygosity of p.C282Y and p.H63D may increase susceptibility to chronic liver and pancreatic disease. This study determines the frequencies of p.C282Y and p.H63D alterations in patients with chronic pancreatitis and pancreatic adenocarcinoma. Methods: In total, 958 patients (349 with alcoholic pancreatitis, 343 with idiopathic pancreatitis, 64 with familial chronic pancreatitis, 34 with acute pancreatitis, and 168 with pancreatic adenocarcinoma) were enrolled and compared with 681 healthy and 100 alcoholic controls. Furthermore, 45 parent-offspring trios were included for segregation analysis. Genotyping of p.C282Y and p.H63D was performed by restriction fragment length polymorphism or melting curve analyses. Results: No significant differences were found in heterozygosity for p.C282Y and p.H63D when patients with alcoholic (8.0/21.5%), idiopathic (7.3/24.5%), or familial (9.8/ 23.0%) pancreatitis, or pancreatic adenocarcinoma (5.4/28.6%) were compared with healthy (6.2/24.8%) and alcoholic (7.0/25.0%) controls. Neither genotype was associated with the presence of secondary diabetes mellitus in patients with chronic pancreatitis. Conclusion: Although hemochromatosis is associated with pancreatic pathology, the p.C282Y and p.H63D variants do not play a significant role in the pathogenesis of chronic pancreatitis or pancreatic adenocarcinoma
    Type of Publication: Journal article published
    PubMed ID: 17666895
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