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−651C/T promoter polymorphism in the CD14 gene is associated with severity of acute pancreatitis in Japan

  • Original Article—Liver, Pancreas, and Biliary Tract
  • Published:
Journal of Gastroenterology Aims and scope Submit manuscript

Abstract

Purpose

This study aimed to clarify the association of the promoter variants in the CD14 gene with pancreatic diseases in Japan.

Methods

Three hundred forty-six unrelated patients with acute pancreatitis (AP) (107 with severe and 239 with mild), 263 patients with chronic pancreatitis (CP), 264 patients with pancreatic neoplasm, and 319 healthy controls were genotyped for the single nucleotide polymorphisms at positions −260 and −651 from the AUG start codon in the CD14 gene by polymerase chain reaction-restriction enzyme digestion.

Results

The allele and genotype frequencies of the −260C/T and −651C/T polymorphisms did not differ between controls and patients with AP. In subgroup analyses, patients with severe AP had more −651C allele than controls [P = 0.005; odds ratio (OR) 1.71; 95% confidence interval (CI) = 1.18–2.49] or patients with mild AP (P = 0.001; OR 1.95; 95% CI = 1.33–2.85). Genotype −651CC was more common (P = 0.001 vs. controls and P = 0.001 vs. mild AP), and −651CT was less (P = 0.009 vs. controls and P = 0.007 vs. mild AP) in patients with severe AP than in healthy controls or patients with mild AP. The frequencies of pseudocyst development and requirement of surgery were higher in AP patients with −651CC than in those without this genotype. The −260C/T polymorphism was not associated with the severity of AP. The allele and genotype frequencies of both polymorphisms did not differ between controls and patients with CP or pancreatic neoplasm.

Conclusion

−651C/T promoter polymorphism in the CD14 gene was associated with severity of AP in Japan.

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Abbreviations

AP:

Acute pancreatitis

CI:

Confidence interval

CP:

Chronic pancreatitis

CRP:

C-reactive protein

IL:

Interleukin

LPS:

Lipopolysaccharide

OR:

Odds ratio

sCD14:

Soluble CD14

TLR:

Toll-like receptor

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Acknowledgments

This study was supported, in part by a Grant-in-Aid from the Japan Society for the Promotion of Science (to A. M. and to T. S), and by the Research Committee of Intractable Pancreatic Diseases (Principal investigator: T. Shimosegawa) provided by the Ministry of Health, Labour, and Welfare of Japan. The authors are grateful to Dr. Yayoi Masamune for helpful discussion on statistical analysis.

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Authors and Affiliations

  1. Division of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan

    Atsushi Masamune, Kiyoshi Kume, Kazuhiro Kikuta, Takashi Watanabe, Morihisa Hirota, Kennichi Satoh, Atsushi Kanno, Noriaki Suzuki, Yoichi Kakuta & Tooru Shimosegawa

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  1. Atsushi Masamune
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  2. Kiyoshi Kume
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  3. Kazuhiro Kikuta
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  4. Takashi Watanabe
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  7. Atsushi Kanno
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  8. Noriaki Suzuki
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  9. Yoichi Kakuta
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  10. Tooru Shimosegawa
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Correspondence to Atsushi Masamune.

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Masamune, A., Kume, K., Kikuta, K. et al. −651C/T promoter polymorphism in the CD14 gene is associated with severity of acute pancreatitis in Japan. J Gastroenterol 45, 225–233 (2010). https://doi.org/10.1007/s00535-009-0163-2

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  • DOI: https://doi.org/10.1007/s00535-009-0163-2

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