Association of polymorphism of TLR4 and CD14 genes with gastroduodenal diseases in Japan |
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Authors: | T Tahara T Arisawa T Shibata I Hirata H Nakano |
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Institution: | (1) Department of Gastroenterology, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake Aichi, 470-1192, Japan |
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Abstract: | Background: Host genetic factors may play a key role in determining the long-term outcome of the Helicobacter pylori infection. Toll like
receptor 4(TLR4) and CD14-mediated recognition of lipo-polysaccharide (LPS) is required for efficient recognition of Gram-negative
bacterial infections.
Aims: We investigated the effects of common polymorphisms of TLR4 Asp299Gly, Thr399Ile and CD14 promoter –C159T on the risk of gastric
cancer including its subtypes and clinicopathologic features. We also investigated the effects of these polymorphisms on histologic
degree of H. pylori induced gastritis.
Subjects: The study was performed in 149 gastric cancer(GC) cases mean age 64.0 ±12.4, M:F = 109:40] and 94 patients without evidence
of GC (mean age 64.1 ±12.3, M:F = 65:25, Peptic ulcer diseases = 43.6 %, gastritis = 56.4 %) as the control group.
Methods: TLR4 Asp299Gly, Thr399Ile and CD14 promoter – C159T were determined by PCR-RFLP in all the patients. Gastritis scores of non-cancerous
gastric mucosa were assessed according to the updated Sydney system in H. pylori-positive subjects(n = 174).
Results: The frequencies of CD14-260 TT and T carrier were significantly lower in patents with intestinal type gastric cancer than
in controls (OR = 0.31;95 % CI = 0.12–0.78, OR = 0.38; 95 % CI = 0.18–0.81, respectively) Compared with patients older than
61 years, the atrophy score in antrum was significantly lower in TT and CT patients.TLR4 Asp299Gly, Thr399Ile were not detected
in all the patients.
Conclusion: Our data suggest that CD14 promoter-159TT and T carrier were associated with lower risk of developing gastric mucosal atrophy
in H. pylori infected patients more than 61 years of age, and these genotypes may reduce the risk of intestinal type gastric cancer and
TLR4 Asp299Gly, Thr399Ile are very rare in the Japanese population.
Received 12 July 2006; accepted 17 August 2006 |
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Keywords: | Gastric cancer H pylori TLR4 CD14 polymorphism |
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