Clinical and genetic feature sof duodenal ulcer
https://doi.org/10.31146/1682-8658-ecg-169-9-45-49
Abstract
Purpose of the study. To evaluate the clinical and genetic picture of patients with duodenal ulcer.
Materials and research methods. A total of 139 patients with duodenal ulcer were examined. Of these, hereditary predisposition groups (n = 102) and without it (n = 129) were selected, which were examined according to standards, including the analysis of polymorphic variants of IL8 genes (–251T>A; rs4073), IL10 (–627С> A; rs1800872), TNFA (–308G> A; rs1800629), the gene for antagonist to the IL1 receptor (IL1RN (VNTR); rs71941886)) by PCR, investigated the psychological status.
Results. Patients with a genetic predisposition were found to have the first blood group, non-compliance with the diet, threshold resistance to stress, lack of family life, the presence of duodeno-gastric reflux, gross deformity of the bulb, increased acidity, men had more frequent night work, smoking, alcohol intake, medium-specific education. In patients, the rs1800872 * AA genotype and the rs1800872 * A allele of the IL10 gene (–627С> A; rs1800872) are markers of the development of duodenal ulcer.
Conclusion. Conducting genetic studies of individuals along with clinical examinations contributes to an integrated approach in the management of individuals with duodenal ulcer.
About the Authors
L. V. VolevachRussian Federation
Larisa V. Volevach, Department of Polyclinic Therapy with an ICPE course, Head of Department, Professor, Doctor of Medical Sciences, 450008, Ufa, Lenin str., 3, Russia
A. S. Sarsenbayeva
Russian Federation
Aiman S. Sarsenbayeva, Dean of the ICPE, Department of Therapy ICPE, Professor, Doctor of Medical Sciences, 454080, Chelyabinsk, Lenin Ave., 76, Russia
L. V. Gabbasova
Russian Federation
Liliya V. Gabbasova, Department of Polyclinic Therapy with an ICPE course, Associate Professor, Candidate of Medical Sciences, 450008, Ufa, Lenin str., 3, Russia
A. Ya. Kryukova
Russian Federation
Antonina Ya. Kryukova, Department of Polyclinic Therapy with an ICPE course, Professor, Doctor of Medical Sciences, 450008, Ufa, Lenin str., 3, Russia
A. Kh. Nurgaliyeva
Russian Federation
Alfi ya Kh. Nurgaliyeva, Department of Genetics and Fundamental Medicine, Associate Professor, Candidate of Biological Sciences, 450076, Ufa, Z. Validi str., 32, Russia
E. K. Khusnutdinova
Russian Federation
Elza K. Khusnutdinova, Department of Genetics and Fundamental Medicine, Head of Department, Professor, Doctor
of Biological Sciences, 450076, Ufa, Z. Validi str., 32, Russia
References
1. Volevach L. V., Gabbasova L. V., Kuramshina O. A. et. al. Characterization of hereditary predisposition to ulcers of the duodenum. Modern problems of science and education. 2017, no. 5, on-line: http://science-education.ru/en/article/view?id=26952.
2. Volevach L. V., Nafikova A. Sh., Khismatullina G. Ya., Kamalova A. A. Results of five-year dynamic observation of persons with GU and DU in outpatient settings. Medical Bulletin of Bashkortostan, 2017, no. 6, pp. 11–15.
3. Gabbasova L. V., Volevach L. V., Paltusov A. I. et al. Ulcer disease of duodenum in persons of young age. Tambov, Consulting company Ucom Publ., 2017. 48 p.
4. Sarsenbayeva A. S., Petukhova T. P., Fedorenko S. V., Ufimtseva I. V. Efficiency of standard triple eradication therapy of the first line on the basis of esomeprazole and other PPI in patients with H. pylori-associated gastritis. RMJ. Gastroenterology, 2017, no. 17, pp. 1215–1219.
5. Lazebnik L. B., Tkachenko E. I., Abdulkhakov R. A. et al. Standards of diagnosis and treatment of acid-dependent and Helicobacter pylori-associated diseases. Chronic gastritis. Bulletin of the practical doctor. Special issue, 2013, no. 3, pp. 12–14.
6. Ivashkin V. T., Sheptulin A. A., Mayev I. V. et al. Diagnostics and treatment of peptic ulcer: clinical guidelines of the Russian gastroenterological.Association. Russian Journal of Gastroenterology, Hepatology, Coloproctology, 2016;26(06):40–54.
7. Malfertheiner P., Megraud F., O’Morain C., et al. Management of Helicobacter pylori infection – the Maastricht V/ Florence Consensus report // Gut Online First, published on October 5, 2016 as 10.1136/gut-jnl-2016–312288.
8. Nishizawa T., Nishizava Y., Yahagi N. Effect of supplementation with rebamipide for Helicobacter pylori eradication therapy: A systematic review and meta-analysis. J Gastroenterol Hepatol – 2014. – Vol. 29, № 4 – Р. 20–24.
9. Lazebnik L. B., Shcherbakov P. L. (ed) Gastroenterology. Diseases of adults. Moscow, 2011. 479 p.
10. Trukhan D. I. Diseases of the esophagus, stomach and duodenum. Clinic, diagnosis and treatment. Moscow, Spetslit Publ., 2014. 471 р.
11. Chernin V. V. Diseases of the esophagus, stomach and duodenum. Moscow, Medical news Agency Publ., 2015. 528 p.
12. Chung C. S., Chiang T. H., Lee V. C. A systemic approach for the diagnosis and treatment of idiopathic peptic ulcers. Korean J Intern Med 2015; 30: 559–70.
Review
For citations:
Volevach L.V., Sarsenbayeva A.S., Gabbasova L.V., Kryukova A.Ya., Nurgaliyeva A.Kh., Khusnutdinova E.K. Clinical and genetic feature sof duodenal ulcer. Experimental and Clinical Gastroenterology. 2019;(9):45-49. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-169-9-45-49