Türk toplumundaki inflammatuar bağırsak hastalığının hastalık mekanizmasında COX-2 gen varyantlarının rolü

Year 2018, Volume: 3 Issue: 2, 45 - 48, 24.04.2018

Elif Sinem İplik Resul Kahraman Barış Ertuğrul Gonca Candan Arzu Ergen Bedia Çakmakoğlu

https://doi.org/10.25000/acem.416012

Abstract

Amaç: İnflamatuar
bağırsak hastalığı, gastrointestinal sistemde etiolojisi tam olarak bilinmeyen
bir hastalık grubu olup, Crohn hastalığı ve ülseratif kolit olmak üzere iki
önemli tipe ayrılmaktadır. COX-2 kolon kanserinin de dahil olduğu karsinogenez
prosesinde rolü olan ve tümör gelişimine katkı sağlayan bir mediatördür. Aynı
zamanda, inflamasyon meydana geldiğinde kolonik mukoza üzerindeki stabiliteyi
değiştirdiği bilinmektedir. Bu amaçla, çalışmamızda inflamatuar barsak
hastalığı ile COX-2 ilişkisinin Türk kökenli kişiler üzerinde araştırılması
amaçlanmıştır.

Yöntemler: Çalışmaya 42 Crohn ve 64
ülseratif kolitli
hasta olmak üzere toplam 106 hasta)
ve 121 sağlıklı kontrol dahil edilmiştir. COX-2 -765G→C ve COX-2 -1195A→G gen varyantları polimeraz zincir reaksiyonu ve
restriksiyon parça uzunluk polimorfizmi teknikleri kullanılarak analiz
edilmiştir.

Bulgular:
COX-2-1195A→G gen varyantı AA taşıyıcılarının istatistiksel olarak hasta
grubunda (Crohn hastalığı için p=0,008 ve ülseratif kolit için p=0,001) kontrol
grubuna göre yüksek bulunmuştur. Buna karşılık olarak AG genotipi ve G
taşıyıcıları da kontrol grubunda anlamlı olarak yüksek bulunmuştur (Crohn
hastalığı: p=0,005 AG için ve p= 0,008 G
için; ülseratif kolit: p=0,001 AG için ve p=0,001G için).

Sonuç: Çalışmada Türk kökenli kişiler
üzerinde, inflamatuar bağırsak hastalığı ve COX-2 arasındaki ilişkiye dair COX-2-1195A→G AA
taşıyıcıları gibi önemli
ve araştırılması gerekli soruları beraberinde getiren bulgular elde edilmiştir.
Hasta sayısının arttırılarak ek çalışmalar ile hastalık patogonezindeki rolünün
tam olarak araştırılması gerektiği düşünülmektedir. 

Keywords

COX-2, gen varyantları, Crohn, ülseratif kolit

The role of COX-2 gene variants on the disease mechanism of inflammatory bowel disease in a Turkish population

Abstract

Aim: Inflammatory
bowel disease has two major types: Crohn’s disease and ulcerative colitis that
occur in the gastrointestinal tract with unknown etiology. COX-2 has important
role on carcinogenesis process including colon cancer supporting the tumor
growth. COX-2 was also known due to its ability to change homeostasis on
colonic mucosa in inflammatory cells on patients who have inflammatory bowel
disease.  In this study, we have aimed to
find a linkage between inflammatory bowel disease and COX-2 in a Turkish population.

Methods:A total of 106 patients,42 with Crohn’s disease
and 64 with ulcerative
colitis and 121 healthy control subjects were
included the study. Gene
variants of COX-2-765G→C and COX-2-1195A→G were analyzed
by polymerase chain reaction and restriction fragment length polymorphism
techniques.

Results: The
results demonstrated that COX-2-1195A→G gene variants AA carriers were
statistically found in high level on patients with both ulcerative colitis
(p=0,001) and Crohn’s disease (p=0.008). In contrast, AG genotype and G carriers
were statistically found higher in control group (Crohn’s disease, p=0.005
for AG and p= 0.008 for G; ulcerative colitis, p=0.001 for AG and p=0.001 for
G).

Conclusion: In this research, we have
observed important and questionable results between inflammatory bowel disease and COX-2, especially COX-2-1195A→G gene variants AA carriers in a Turkish population.
Researches need to focus on their local roles on inflammatory bowel disease pathogenesis with large sample size.

Keywords

COX-2, gene variants, Crohn’s disease, Ulcerative Colitis

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