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Trypsinogen gene mutations in patients with chronic or recurrent acute pancreatitis.
Truninger, K; Köck, J; Wirth, H P; Muellhaupt, B; Arnold, C; von Weizsäcker, F; Seifert, B; Ammann, R W; Blum, H E.
Afiliación
  • Truninger K; Department of Medicine II, University of Freiburg, Germany.
Pancreas ; 22(1): 18-23, 2001 Jan.
Article en En | MEDLINE | ID: mdl-11138965
ABSTRACT
Three-point mutations (R117H, N211, A16V) within the cationic trypsinogen gene have been identified in patients with hereditary pancreatitis (HP). A genetic background has also been discussed for idiopathic juvenile chronic pancreatitis (IJCP), which closely mimicks the clinical pattern of HP, and alcoholic chronic pancreatitis because only a small number of heavy drinkers develop pancreatitis. This prompted us to screen 104 patients in our well-defined pancreatitis cohort for the currently known cationic trypsinogen gene mutations. The R117H mutation was detected in seven patients (six patients of two clinically classified HP families, one patient with clinically classified IJCP) and the A16V mutation in one IJCP patient. No cationic trypsinogen gene mutations were found in the remaining 96 patients with chronic and recurrent acute pancreatitis of various etiologies. Our results demonstrate the need for genetic testing to exclude HP, particularly in the presence of an atypical or unknown family history. In addition, cationic trypsinogen gene mutations are no predisposing factor in patients with chronic and recurrent acute pancreatitis of different etiologies.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pancreatitis / Tripsinógeno / Tripsina / Mutación Tipo de estudio: Prognostic_studies Límite: Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Pancreas Asunto de la revista: GASTROENTEROLOGIA Año: 2001 Tipo del documento: Article País de afiliación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pancreatitis / Tripsinógeno / Tripsina / Mutación Tipo de estudio: Prognostic_studies Límite: Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Pancreas Asunto de la revista: GASTROENTEROLOGIA Año: 2001 Tipo del documento: Article País de afiliación: Alemania