Korean J Pediatr Gastroenterol Nutr.  2010 Dec;13(Suppl 1):S25-S31. 10.5223/kjpgn.2010.13.Suppl1.S25.

Update on Genetic Studies of Functional Gastrointestinal Disorders

Affiliations
  • 1Department of Pediatrics, Eulji General Hospital, College of Medicine, Eulji University, Seoul, Korea. eomjie@eulji.ac.kr

Abstract

Childhood functional gastrointestinal disorders are defined as a variable combination of often age-dependent, chronic, or recurrent gastrointestinal symptoms not explained by structural or biochemical abnormalities. A better understanding of genetic background of these disorders would help to better identify their complex biology and make it possible to identify subgroups of patients who respond to customized therapies. Family and twin studies have shown a genetic component in irritable bowel syndrome. Candidate gene studies have identified a few genetic polymorphisms that may be associated with functional dyspepsia and irritable bowel syndrome. Studies of associations of spontaneous genetic variations and altered functions may provide novel insights of the mechanisms contributing to the disease.

Keyword

Irritable bowel syndrome; Functional dyspepsia; Candidate genes; Intermediate phenotypes

MeSH Terms

Biology
Dyspepsia
Gastrointestinal Diseases
Genetic Variation
Humans
Irritable Bowel Syndrome
Polymorphism, Genetic

Reference

1. Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. 2006. 130:1527–1537.
Article
2. Whorwell PJ, McCallum M, Creed FH, Roberts CT. Non-colonic features of irritable bowel syndrome. Gut. 1986. 27:37–40.
Article
3. Bellentani S, Baldoni P, Petrella S, Tata C, Armocida C, Marchegiano P, et al. The Local IBS Study Group. A simple score for the identification of patients at high risk of organic diseases of the colon in the family doctor consulting room. Fam Pract. 1990. 7:307–312.
Article
4. Locke GR 3rd, Zinsmeister AR, Talley NJ, Fett SL, Melton LJ 3rd. Familial association in adults with functional gastrointestinal disorders. Mayo Clin Proc. 2000. 75:907–912.
Article
5. Levy RL, Whitehead WE, Von Korff MR, Feld AD. Intergenerational transmission of gastrointestinal illness behavior. Am J Gastroenterol. 2000. 95:451–456.
Article
6. Kanazawa M, Endo Y, Whitehead WE, Kano M, Hongo M, Fukudo S. Patients and nonconsulters with irritable bowel syndrome reporting a parental history of bowel problems have more impaired psychological distress. Dig Dis Sci. 2004. 49:1046–1053.
Article
7. Saito YA, Zimmerman JM, Harmsen WS, De Andrade M, Locke GR 3rd, Petersen GM, et al. Irritable bowel syndrome aggregates strongly in families: a family-based case-control study. Neurogastroenterol Motil. 2008. 20:790–797.
Article
8. Buonavolontà R, Coccorullo P, Turco R, Boccia G, Greco L, Staiano A. Familial aggregation in children affected by functional gastrointestinal disorders. J Pediatr Gastroenterol Nutr. 2010. 50:500–505.
Article
9. Morris-Yates A, Talley NJ, Boyce PM, Nandurkar S, Andrews G. Evidence of a genetic contribution to functional bowel disorder. Am J Gastroenterol. 1998. 93:1311–1317.
Article
10. Levy RL, Jones KR, Whitehead WE, Feld SI, Talley NJ, Corey LA. Irritable bowel syndrome in twins: heredity and social learning both contribute to etiology. Gastroenterology. 2001. 121:799–804.
Article
11. Lembo T, Zaman MS, chavez NF, Crueger R, Jones MP, Talley NJ. Concordance of IBS among monozygotic and dizygotic twins. Gastroenterology. 2001. 120:A66.
12. Bengtson MB, Rønning T, Vatn MH, Harris JR. Irritable bowel syndrome in twins: genes and environment. Gut. 2006. 55:1754–1759.
Article
13. Mohammed I, Cherkas LF, Riley SA, Spector TD, Trudgill NJ. Genetic influences in irritable bowel syndrome: a twin study. Am J Gastroenterol. 2005. 100:1340–1344.
Article
14. Chen JJ, Li Z, Pan H, Murphy DL, Tamir H, Koepsell H, et al. Maintenance of serotonin in the intestinal mucosa and ganglia of mice that lack the high-affinity serotonin transporter: abnormal intestinal motility and the expression of cation transporters. J Neurosci. 2001. 21:6348–6361.
Article
15. Kim HJ, Camilleri M, Carlson PJ, Cremonini F, Ferber I, Stephens D, et al. Association of distinct α2 adrenoceptor and serotonin-transporter polymorphisms associated with constipation and somatic symptoms in functional gastrointestinal disorders. Gut. 2004. 53:829–837.
Article
16. Pata C, Erdal ME, Derici E, Yazar A, Kanik A, Ulu O. Serotonin transporter gene polymorphism in irritable bowel syndrome. Am J Gastroenterol. 2002. 97:1780–1784.
Article
17. Van Kerkhoven LA, Laheij RJ, Jansen JB. Meta-analysis: a functional polymorphism in the gene encoding for activity of the serotonin transporter protein is not associated with the irritable bowel syndrome. Aliment Pharmacol Ther. 2007. 26:979–986.
Article
18. Park JM, Choi MG, Park JA, Oh JH, Cho YK, Lee IS, et al. Serotonin transporter gene polymorphism and irritable bowel syndrome. Neurogastroenterol Motil. 2006. 18:995–1000.
Article
19. Wang BM, Wang YM, Zhang WM, Zhang QY, Liu WT, Jiang K, et al. Serotonin transporter gene polymorphism in irritable bowel syndrome. Zhonghua Nei Ke Za Zhi. 2004. 43:439–441.
20. Yeo A, Boyd P, Lumsden S, Saunders T, Handley A, Stubbins M, et al. Association between a functional polymorphism in the serotonin transporter gene and diarrhoea predominant irritable bowel syndrome in women. Gut. 2004. 53:1452–1458.
Article
21. Li Y, Nie Y, Xie J, Tang W, Liang P, Sha W, et al. The association of serotonin transporter genetic polymorphisms and irritable bowel syndrome and its influence on tegaserod treatment in Chinese patients. Dig Dis Sci. 2007. 52:2942–2949.
Article
22. Kohen R, Jarrett ME, Cain KC, Jun SE, Navaja GP, Symonds S, et al. The serotonin transporter polymorphism rs25531 is associated with irritable bowel syndrome. Dig Dis Sci. 2009. 01. 01.
Article
23. Pata C, Erdal E, Yazc K, Camdeviren H, Ozkaya M, Ulu O. Association of the -1438 G/A and 102 T/C polymorphism of the 5-HT2A receptor gene with irritable bowel syndrome 5-HT2A gene polymorphism in irritable bowel syndrome. J Clin Gastroenterol. 2004. 38:561–566.
Article
24. Kapeller J, Houghton LA, Mönnikes H, Walstab J, Möller D, Bönisch H, et al. First evidence for an association of a functional variant in the microRNA-510 target site of the serotonin receptor-type 3E gene with diarrhea predominant irritable bowel syndrome. Hum Mol Genet. 2008. 17:2967–2977.
Article
25. Camilleri CE, Carlson PJ, Camilleri M, Castillo EJ, Locke GR 3rd, Geno DM, et al. A study of candidate genotypes associated with dyspepsia in a U.S. community. Am J Gastroenterol. 2006. 101:581–592.
Article
26. van Lelyveld N, Linde JT, Schipper M, Samsom M. Candidate genotypes associated with functional dyspepsia. Neurogastroenterol Motil. 2008. 20:767–773.
Article
27. Aggarwal A, Cutts TF, Abell TL, Cardoso S, Familoni B, Bremer J, et al. Predominant symptoms in irritable bowel syndrome correlate with specific autonomic nervous system abnormalities. Gastroenterology. 1994. 106:945–950.
Article
28. Bharucha AE, Camilleri M, Zinsmeister AR, Hanson RB. Adrenergic modulation of human colonic motor and sensory function. Am J Physiol. 1997. 273:G997–G1006.
29. Thumshirn M, Camilleri M, Choi MG, Zinsmeister AR. Modulation of gastric sensory and motor functions by nitrergic and alpha2-adrenergic agents in humans. Gastroenterology. 1999. 116:573–585.
Article
30. Viramontes BE, Malcolm A, Camilleri M, Szarka LA, McKinzie S, Burton DD, et al. Effects of an alpha(2)-adrenergic agonist on gastrointestinal transit, colonic motility, and sensation in humans. Am J Physiol Gastrointest Liver Physiol. 2001. 281:G1468–G1476.
31. Kim HJ, Camilleri M, Carlson PJ, Cremonini F, Ferber I, Stephens D, et al. Association of distinct alpha(2) adrenoceptor and serotonin transporter polymorphisms with constipation and somatic symptoms in functional gastrointestinal disorders. Gut. 2004. 53:829–837.
Article
32. van der Veek PP, van den Berg M, de Kroon YE, Verspaget HW, Masclee AA, et al. Role of tumor necrosis factor-alpha and interleukin-10 gene polymorphisms in irritable bowel syndrome. Am J Gastroenterol. 2005. 100:2510–2516.
Article
33. Gonsalkorale WM, Perrey C, Pravica V, Whorwell PJ, Hutchinson IV. Interleukin 10 genotypes in irritable bowel syndrome: evidence for an inflammatory component. Gut. 2003. 52:91–93.
Article
34. Miller LJ. G protein-coupled receptor structures, molecular associations, and modes of regulation. Ann N Y Acad Sci. 2008. 1144:1–5.
Article
35. Holtmann G, Talley NJ. Hypothesis driven research and molecular mechanisms in functional dyspepsia: the beginning of a beautiful friendship in research and practice? Am J Gastroenterol. 2006. 101:593–595.
Article
36. Baumgart D, Naber C, Haude M, Oldenburg O, Erbel R, Heusch G, et al. G protein beta3 subunit 825T allele and enhanced coronary vasoconstriction on alpha(2)-adrenoceptor activation. Circ Res. 1999. 85:965–969.
Article
37. Holtmann G, Siffert W, Haag S, Mueller N, Langkafel M, Senf W, et al. G-protein beta 3 subunit 825 CC genotype is associated with unexplained (functional) dyspepsia. Gastroenterology. 2004. 126:971–979.
Article
38. Oshima T, Nakajima S, Yokoyama T, Toyoshima F, Sakurai J, Tanaka J, et al. The G-protein beta3 subunit 825 TT genotype is associated with epigastric pain syndrome-like dyspepsia. BMC Med Genet. 2010. 11:13.
39. Tahara T, Arisawa T, Shibata T, Wang F, Nakamura M, Sakata M, et al. Homozygous 825T allele of the GNB3 protein influences the susceptibility of Japanese to dyspepsia. Dig Dis Sci. 2008. 53:642–646.
Article
40. Andresen V, Camilleri M, Kim HJ, Stephens DA, Carlson PJ, Talley NJ, et al. Is there an association between GNbeta3-C825T genotype and lower functional gastrointestinal disorders? Gastroenterology. 2006. 130:1985–1994.
Article
41. Saito YA, Locke GR 3rd, Zimmerman JM, Holtmann G, Slusser JP, de Andrade M, et al. A genetic association study of 5-HTT LPR and GNbeta3 C825T polymorphisms with irritable bowel syndrome. Neurogastroenterol Motil. 2007. 19:465–470.
Article
42. Lee HJ, Lee SY, Choi JE, Kim JH, Sung IK, Park HS, et al. G protein beta3 subunit, interleukin-10, and tumor necrosis factor-alpha gene polymorphisms in Koreans with irritable bowel syndrome. Neurogastroenterol Motil. 2010. 22:758–763.
Article
43. Saito YA, Strege PR, Tester DJ, Locke GR 3rd, Talley NJ, Bernard CE, et al. Sodium channel mutation in irritable bowel syndrome: evidence for an ion channelopathy. Am J Physiol Gastrointest Liver Physiol. 2009. 296:G211–G218.
Article
44. Gottesman II, Gould TD. The endophenotype concept in psychiatry: etymology and strategic intentions. Am J Psychiatry. 2003. 160:636–645.
Article
45. Mayer EA. The challenge of studying the biology of complex, symptom-based GI disorders. Gastroenterology. 2008. 134:1826–1827.
Article
46. Meyer-Lindenberg A, Weinberger DR. Intermediate phenotypes and genetic mechanisms of psychiatric disorders. Nat Rev Neurosci. 2006. 7:818–827.
Article
47. Camilleri M, Busciglio I, Carlson P, McKinzie S, Burton D, Baxter K, et al. Candidate genes and sensory functions in health and irritable bowel syndrome. Am J Physiol Gastrointest Liver Physiol. 2008. 295:G219–G225.
Article
48. Fukudo S, Kanazawa M, Mizuno T, Hamaguchi T, Kano M, Watanabe S, et al. Impact of serotonin transporter gene polymorphism on brain activation by colorectal distention. Neuroimage. 2009. 47:946–951.
Article
49. Camilleri M, Carlson P, McKinzie S, Grudell A, Busciglio I, Burton D, et al. Genetic variation in endocannabinoid metabolism, gastrointestinal motility and sensation. Am J Physiol Gastrointest Liver Physiol. 2008. 294:G13–G19.
Article
50. Camilleri M, Atanasova E, Carlson PJ, Ahmad U, Kim HJ, Viramontes BE, et al. Serotonin transporter polymorphism pharmacogenetics in diarrhea-predominant irritable bowel syndrome. Gastroenterology. 2002. 123:425–432.
Article
51. Li Y, Nie Y, Xie J, Tang W, Liang P, Sha W, et al. The association of serotonin transporter genetic polymorphisms and irritable bowel syndrome and its influence on tegaserod treatment in Chinese patients. Dig Dis Sci. 2007. 52:2942–2949.
Article
52. Camilleri M, Busciglio I, Carlson P, McKinzie S, Burton D, Baxter K, et al. Pharmacogenetics of low dose clonidine in irritable bowel syndrome. Neurogastroenterol Motil. 2009. 21:399–410.
Article
Full Text Links
  • KJPGN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr