1. Lactose intolerance genetic testing: is it useful as routine screening? Results on 1426 south-central Italy patients.
- Author
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Santonocito C, Scapaticci M, Guarino D, Annicchiarico EB, Lisci R, Penitente R, Gasbarrini A, Zuppi C, and Capoluongo E
- Subjects
- Adolescent, Adult, Aged, Child, Child, Preschool, Genetic Variation genetics, Genotype, High-Throughput Nucleotide Sequencing, Humans, Infant, Italy, Middle Aged, Polymerase Chain Reaction, Polymorphism, Single Nucleotide genetics, Sequence Analysis, DNA, Young Adult, Genetic Testing methods, Lactose Intolerance genetics, Lactose Tolerance Test methods
- Abstract
Adult-type hypolactasia is a widespread condition throughout the world, causing lactose malabsorption. Several studies suggested that the identification of C/T-13910 and G/A-22018 mutations, located upstream the gene encoding the lactase-phlorizin hydrolase (LPH), is a useful tool for the differential diagnosis of hypolactasia. We evaluated the frequencies of C/T-13910 and G/A-22018 variants in a central-south Italian population and the usefulness of lactase deficiency genetic testing in the clinic practice. The genomic DNA of 1426 patients and 1000 healthy controls from central-south Italy was isolated from peripheral whole blood and genotyped for the C/T-13910 and G/A-22018 polymorphisms by high-resolution melting analysis (HRMA) and sequencing. The frequencies of genotypes in the 1426 patients analysed were as follows: 1077 CC/GG (75.5%), 287 CT/GA (20.1%), 24 TT/AA (1.7%), 38 CC/GA (2.7%). Only 64 out of 1426 (4.5%) performed also L-BHT test, 29 of which were negative for L-BHT also in presence of different genotypes. Among the 35 individuals with L-BHT positive, 34 were CC/GG and only one CT/GA. Although lactose genetic test is a good predictor of persistence/non-persistence lactase in specific population, its use in the central-south Italy population should be limited given the high prevalence of the CCGG diplotype in normal individuals., (Copyright © 2014 Elsevier B.V. All rights reserved.)
- Published
- 2015
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