Genetic variants in cellular transport do not affect mesalamine response in ulcerative colitis
Mesalamine is commonly used to treat ulcerative colitis (UC). Although mesalamine acts topically, in vitro data suggest that intracellular transport is required for its beneficial effect. Genetic variants in mucosal transport proteins may affect this uptake, but the clinical relevance of these varia...
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description | Mesalamine is commonly used to treat ulcerative colitis (UC). Although mesalamine acts topically, in vitro data suggest that intracellular transport is required for its beneficial effect. Genetic variants in mucosal transport proteins may affect this uptake, but the clinical relevance of these variants has not been studied. The aim of this study was to determine whether variants in genes involved in cellular transport affect the response to mesalamine in UC.
Subjects with UC from a 6-week clinical trial using multiple doses of mesalamine were genotyped using a genome-wide array that included common exome variants. Analysis focused on cellular transport gene variants with a minor allele frequency >5%. Mesalamine response was defined as improvement in Week 6 Physician's Global Assessment (PGA) and non-response as a lack of improvement in Week 6 PGA. Quality control thresholds included an individual genotyping rate of >90%, SNP genotyping rate of >98%, and exclusion for subjects with cryptic relatedness. All included variants met Hardy-Weinberg equilibrium (p>0.001).
457 adults with UC were included with 280 responders and 177 non-responders. There were no common variants in transporter genes that were associated with response to mesalamine. The genetic risk score of responders was similar to that of non-responders (p = 0.18). Genome-wide variants demonstrating a trend towards mesalamine response included ST8SIA5 (p = 1x10-5).
Common transporter gene variants did not affect response to mesalamine in adult UC. The response to mesalamine may be due to rare genetic events or environmental factors such as the intestinal microbiome. |
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Subjects with UC from a 6-week clinical trial using multiple doses of mesalamine were genotyped using a genome-wide array that included common exome variants. Analysis focused on cellular transport gene variants with a minor allele frequency >5%. Mesalamine response was defined as improvement in Week 6 Physician's Global Assessment (PGA) and non-response as a lack of improvement in Week 6 PGA. Quality control thresholds included an individual genotyping rate of >90%, SNP genotyping rate of >98%, and exclusion for subjects with cryptic relatedness. All included variants met Hardy-Weinberg equilibrium (p>0.001).
457 adults with UC were included with 280 responders and 177 non-responders. There were no common variants in transporter genes that were associated with response to mesalamine. The genetic risk score of responders was similar to that of non-responders (p = 0.18). Genome-wide variants demonstrating a trend towards mesalamine response included ST8SIA5 (p = 1x10-5).
Common transporter gene variants did not affect response to mesalamine in adult UC. The response to mesalamine may be due to rare genetic events or environmental factors such as the intestinal microbiome.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0192806</identifier><identifier>PMID: 29579042</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acids ; Adults ; Biology and Life Sciences ; Care and treatment ; Colon ; Development and progression ; Engineering and Technology ; Environmental factors ; Gastroenterology ; Gene expression ; Gene frequency ; Genes ; Genetic aspects ; Genetic diversity ; Genetic variance ; Genetic variation ; Genetics ; Genomes ; Genotyping ; Health aspects ; Hepatology ; Hospitals ; Inflammatory bowel disease ; Intestine ; Medicine and Health Sciences ; Mesalamine ; Microbiomes ; Mucosa ; Nutrition ; Patient outcomes ; Pediatrics ; Proteins ; Quality control ; Research and Analysis Methods ; Single-nucleotide polymorphism ; Transport ; Tumor necrosis factor-TNF ; Ulcerative colitis</subject><ispartof>PloS one, 2018-03, Vol.13 (3), p.e0192806-e0192806</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Moran et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Moran et al 2018 Moran et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-13c50f77a07a27dada49caee903c9614c21b79ef76d58a512f93026ff956ea0e3</citedby><cites>FETCH-LOGICAL-c692t-13c50f77a07a27dada49caee903c9614c21b79ef76d58a512f93026ff956ea0e3</cites><orcidid>0000-0003-1966-3499</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868763/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868763/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2101,2927,23865,27923,27924,53790,53792,79471,79472</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29579042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Bandapalli, Obul Reddy</contributor><creatorcontrib>Moran, Christopher J</creatorcontrib><creatorcontrib>Huang, Hailiang</creatorcontrib><creatorcontrib>Rivas, Manuel</creatorcontrib><creatorcontrib>Kaplan, Jess L</creatorcontrib><creatorcontrib>Daly, Mark J</creatorcontrib><creatorcontrib>Winter, Harland S</creatorcontrib><title>Genetic variants in cellular transport do not affect mesalamine response in ulcerative colitis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Mesalamine is commonly used to treat ulcerative colitis (UC). Although mesalamine acts topically, in vitro data suggest that intracellular transport is required for its beneficial effect. Genetic variants in mucosal transport proteins may affect this uptake, but the clinical relevance of these variants has not been studied. The aim of this study was to determine whether variants in genes involved in cellular transport affect the response to mesalamine in UC.
Subjects with UC from a 6-week clinical trial using multiple doses of mesalamine were genotyped using a genome-wide array that included common exome variants. Analysis focused on cellular transport gene variants with a minor allele frequency >5%. Mesalamine response was defined as improvement in Week 6 Physician's Global Assessment (PGA) and non-response as a lack of improvement in Week 6 PGA. Quality control thresholds included an individual genotyping rate of >90%, SNP genotyping rate of >98%, and exclusion for subjects with cryptic relatedness. All included variants met Hardy-Weinberg equilibrium (p>0.001).
457 adults with UC were included with 280 responders and 177 non-responders. There were no common variants in transporter genes that were associated with response to mesalamine. The genetic risk score of responders was similar to that of non-responders (p = 0.18). Genome-wide variants demonstrating a trend towards mesalamine response included ST8SIA5 (p = 1x10-5).
Common transporter gene variants did not affect response to mesalamine in adult UC. The response to mesalamine may be due to rare genetic events or environmental factors such as the intestinal microbiome.</description><subject>Acids</subject><subject>Adults</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Colon</subject><subject>Development and progression</subject><subject>Engineering and Technology</subject><subject>Environmental factors</subject><subject>Gastroenterology</subject><subject>Gene expression</subject><subject>Gene frequency</subject><subject>Genes</subject><subject>Genetic aspects</subject><subject>Genetic diversity</subject><subject>Genetic variance</subject><subject>Genetic variation</subject><subject>Genetics</subject><subject>Genomes</subject><subject>Genotyping</subject><subject>Health aspects</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Inflammatory bowel disease</subject><subject>Intestine</subject><subject>Medicine and Health 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variants in cellular transport do not affect mesalamine response in ulcerative colitis</title><author>Moran, Christopher J ; Huang, Hailiang ; Rivas, Manuel ; Kaplan, Jess L ; Daly, Mark J ; Winter, Harland S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-13c50f77a07a27dada49caee903c9614c21b79ef76d58a512f93026ff956ea0e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acids</topic><topic>Adults</topic><topic>Biology and Life Sciences</topic><topic>Care and treatment</topic><topic>Colon</topic><topic>Development and progression</topic><topic>Engineering and Technology</topic><topic>Environmental factors</topic><topic>Gastroenterology</topic><topic>Gene expression</topic><topic>Gene frequency</topic><topic>Genes</topic><topic>Genetic aspects</topic><topic>Genetic diversity</topic><topic>Genetic variance</topic><topic>Genetic variation</topic><topic>Genetics</topic><topic>Genomes</topic><topic>Genotyping</topic><topic>Health aspects</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Inflammatory bowel disease</topic><topic>Intestine</topic><topic>Medicine and Health Sciences</topic><topic>Mesalamine</topic><topic>Microbiomes</topic><topic>Mucosa</topic><topic>Nutrition</topic><topic>Patient outcomes</topic><topic>Pediatrics</topic><topic>Proteins</topic><topic>Quality control</topic><topic>Research and Analysis Methods</topic><topic>Single-nucleotide polymorphism</topic><topic>Transport</topic><topic>Tumor necrosis factor-TNF</topic><topic>Ulcerative colitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moran, Christopher J</creatorcontrib><creatorcontrib>Huang, Hailiang</creatorcontrib><creatorcontrib>Rivas, Manuel</creatorcontrib><creatorcontrib>Kaplan, Jess L</creatorcontrib><creatorcontrib>Daly, Mark J</creatorcontrib><creatorcontrib>Winter, 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one</jtitle><addtitle>PLoS One</addtitle><date>2018-03-26</date><risdate>2018</risdate><volume>13</volume><issue>3</issue><spage>e0192806</spage><epage>e0192806</epage><pages>e0192806-e0192806</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Mesalamine is commonly used to treat ulcerative colitis (UC). Although mesalamine acts topically, in vitro data suggest that intracellular transport is required for its beneficial effect. Genetic variants in mucosal transport proteins may affect this uptake, but the clinical relevance of these variants has not been studied. The aim of this study was to determine whether variants in genes involved in cellular transport affect the response to mesalamine in UC.
Subjects with UC from a 6-week clinical trial using multiple doses of mesalamine were genotyped using a genome-wide array that included common exome variants. Analysis focused on cellular transport gene variants with a minor allele frequency >5%. Mesalamine response was defined as improvement in Week 6 Physician's Global Assessment (PGA) and non-response as a lack of improvement in Week 6 PGA. Quality control thresholds included an individual genotyping rate of >90%, SNP genotyping rate of >98%, and exclusion for subjects with cryptic relatedness. All included variants met Hardy-Weinberg equilibrium (p>0.001).
457 adults with UC were included with 280 responders and 177 non-responders. There were no common variants in transporter genes that were associated with response to mesalamine. The genetic risk score of responders was similar to that of non-responders (p = 0.18). Genome-wide variants demonstrating a trend towards mesalamine response included ST8SIA5 (p = 1x10-5).
Common transporter gene variants did not affect response to mesalamine in adult UC. The response to mesalamine may be due to rare genetic events or environmental factors such as the intestinal microbiome.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29579042</pmid><doi>10.1371/journal.pone.0192806</doi><tpages>e0192806</tpages><orcidid>https://orcid.org/0000-0003-1966-3499</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Acids Adults Biology and Life Sciences Care and treatment Colon Development and progression Engineering and Technology Environmental factors Gastroenterology Gene expression Gene frequency Genes Genetic aspects Genetic diversity Genetic variance Genetic variation Genetics Genomes Genotyping Health aspects Hepatology Hospitals Inflammatory bowel disease Intestine Medicine and Health Sciences Mesalamine Microbiomes Mucosa Nutrition Patient outcomes Pediatrics Proteins Quality control Research and Analysis Methods Single-nucleotide polymorphism Transport Tumor necrosis factor-TNF Ulcerative colitis |
title | Genetic variants in cellular transport do not affect mesalamine response in ulcerative colitis |
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