Rosendahl, J.* ; Kirsten, H.* ; Hegyi, E.* ; Kovacs, P.* ; Weiss, F.U.* ; Laumen, H.* ; Lichtner, P. ; Ruffert, C.* ; Chen, J.M.* ; Masson, E.* ; Beer, S.* ; Zimmer, C.* ; Seltsam, K.* ; Algül, H.* ; Bühler, F.* ; Bruno, M.J.* ; Bugert, P.* ; Burkhardt, R.* ; Cavestro, G.M.* ; Cichoz-Lach, H.* ; Farré, A.* ; Frank, J.* ; Gambaro, G.* ; Gimpfl, S.* ; Grallert, H. ; Griesmann, H.* ; Grützmann, R.* ; Hellerbrand, C.* ; Hegyi, P.* ; Hollenbach, M.* ; Iordache, S.* ; Jurkowska, G.* ; Keim, V.* ; Kiefer, F.* ; Krug, S.* ; Landt, O.* ; Leo, M.D.* ; Lerch, M.M.* ; Lévy, P.* ; Löffler, M.* ; Löhr, M.* ; Ludwig, M.* ; Macek, M.* ; Malats, N.* ; Malecka-Panas, E.* ; Malerba, G.* ; Mann, K.* ; Mayerle, J.* ; Mohr, S.* ; Te Morsche, R.H.M.* ; Motyka, M.* ; Mueller, S.* ; Müller, T.* ; Nöthen, M.M.* ; Pedrazzoli, S.* ; Pereira, S.P.* ; Peters, A. ; Pfützer, R.* ; Real, F.X.* ; Rebours, V.* ; Ridinger, M.* ; Rietschel, M.* ; Rösmann, E.* ; Saftoiu, A.* ; Schneider, A.* ; Schulz, H.U.* ; Soranzo, N.* ; Soyka, M.* ; Simon, P.* ; Skipworth, J.* ; Stickel, F.* ; Strauch, K. ; Stumvoll, M.* ; Testoni, P.A.* ; Tönjes, A.* ; Werner, L.* ; Werner, J.* ; Wodarz, N.* ; Ziegler, M.* ; Masamune, A.* ; Mössner, J.* ; Férec, C.* ; Michl, P.* ; P H Drenth, J.* ; Witt, H.* ; Scholz, M.* ; Sahin-Tóth, M.*
     
 
    
        
Genome-wide association study identifies inversion in the CTRB1-CTRB2 locus to modify risk for alcoholic and non-alcoholic chronic pancreatitis.
    
    
        
    
    
        
        Gut 67, 1855–186 (2018)
    
    
    
		
		
			
				Objective Alcohol-related pancreatitis is associated with a disproportionately large number of hospitalisations among GI disorders. Despite its clinical importance, genetic susceptibility to alcoholic chronic pancreatitis (CP) is poorly characterised. To identify risk genes for alcoholic CP and to evaluate their relevance in non-alcoholic CP, we performed a genome-wide association study and functional characterisation of a new pancreatitis locus.Design 1959 European alcoholic CP patients and population-based controls from the KORA, LIFE and INCIPE studies (n=4708) as well as chronic alcoholics from the GESGA consortium (n=1332) were screened with Illumina technology. For replication, three European cohorts comprising 1650 patients with non-alcoholic CP and 6695 controls originating from the same countries were used.Results We replicated previously reported risk loci CLDN2-MORC4, CTRC, PRSS1-PRSS2 and SPINK1 in alcoholic CP patients. We identified CTRB1-CTRB2 (chymotrypsin B1 and B2) as a new risk locus with lead single-nucleotide polymorphism (SNP) rs8055167 (OR 1.35, 95% CI 1.23 to 1.6). We found that a 16.6kb inversion in the CTRB1-CTRB2 locus was in linkage disequilibrium with the CP-associated SNPs and was best tagged by rs8048956. The association was replicated in three independent European non-alcoholic CP cohorts of 1650 patients and 6695 controls (OR 1.62, 95%CI 1.42 to 1.86). The inversion changes the expression ratio of the CTRB1 and CTRB2 isoforms and thereby affects protective trypsinogen degradation and ultimately pancreatitis risk.Conclusion An inversion in the CTRB1-CTRB2 locus modifies risk for alcoholic and non-alcoholic CP indicating that common pathomechanisms are involved in these inflammatory disorders.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
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        Herausgeber
        
    
    
        Schlagwörter
        Genome Wide Association Study ; Chronic Pancreatitis ; Genetic Rearrangement; Hereditary Pancreatitis; Cationic Trypsinogen; Variants; Prss1-prss2; Gene; Inhibitor; Mutation
    
 
    
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        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2018
    
 
    
        Prepublished im Jahr 
        2017
    
 
    
        HGF-Berichtsjahr
        2017
    
 
    
    
        ISSN (print) / ISBN
        0017-5749
    
 
    
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        1468-3288
    
 
    
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	    Band: 67,  
	    Heft: 10,  
	    Seiten: 1855–186 
	    Artikelnummer: ,  
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            BMJ Publishing Group
        
 
        
            Verlagsort
            British Med Assoc House, Tavistock Square, London Wc1h 9jr, England
        
 
	
        
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        Begutachtungsstatus
        Peer reviewed
    
 
     
    
        POF Topic(s)
        30202 - Environmental Health
30501 - Systemic Analysis of Genetic and Environmental Factors that Impact Health
90000 - German Center for Diabetes Research
    
 
    
        Forschungsfeld(er)
        Genetics and Epidemiology
    
 
    
        PSP-Element(e)
        G-504090-001
A-632700-001
G-504091-002
G-504000-010
G-504100-001
G-501900-402
G-504000-001
G-500700-001
    
 
    
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        Erfassungsdatum
        2017-08-03