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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Veröffentlicht in:PloS one 2018-03, Vol.13 (3), p.e0192806-e0192806
Hauptverfasser: Moran, Christopher J, Huang, Hailiang, Rivas, Manuel, Kaplan, Jess L, Daly, Mark J, Winter, Harland S
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Huang, Hailiang
Rivas, Manuel
Kaplan, Jess L
Daly, Mark J
Winter, Harland S
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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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 &gt;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 &gt;90%, SNP genotyping rate of &gt;98%, and exclusion for subjects with cryptic relatedness. 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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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