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Cholelithiasis in Patients with Gaucher Disease type 1: Risk Factors and the Role of ABCG5/ABCG8 Gene Variants.
- Source :
-
Journal of gastrointestinal and liver diseases : JGLD [J Gastrointestin Liver Dis] 2016 Dec; Vol. 25 (4), pp. 447-455. - Publication Year :
- 2016
-
Abstract
- Background and Aim: Patients with Gaucher disease type 1 (GD1) show an altered lipid profile and a certain degree of insulin resistance, which might contribute to cholelithiasis (CL) and could possibly be associated with ABCG5/ABCG8 gene variants. We aimed to investigate the prevalence of CL in Caucasian adult patients with GD1 and the possible risk factors, including gene variants of the ABCG5/ABCG8 genes.<br />Methods: 61 Caucasian patients with GD1 (38 female/23male), aged 18-62 years and 61 healthy subjects matched for age, gender and BMI, without CL, for comparison of lipid profiles. Data before start of enzyme replacement therapy (ERT) were recorded: clinical, haematological, severity parameters, splenectomy, genotype. Fasting lipid profiles before ERT, glycemia, insulinaemia, HOMA-IR at the last visit were documented. Genotyping for the gene variants D19H, Y54C, T400K, A632V (ABCG8); Q604E (ABCG5) was performed.<br />Results: CL occurred in 45.9% of patients. Risk factors were: age, family history of CL, higher BMI values, LDL-cholesterol (LDL-C), disease severity, splenectomy. A specific dyslipidemia was found in patients vs. controls. Total serum cholesterol (TC) and LDL-C were higher in patients with CL than in those without; no obvious influence of insulin-resistance to lithogenesis was found. Patients with the GG genotype of D19H and the CC genotype of T400K (ABCG8 gene) had significantly higher levels of TC and LDL-C.<br />Conclusion: Patients with GD1 showed an increased prevalence of CL, which was associated with common and disease-specific risk factors. Starting ERT soon after clinical onset and avoiding splenectomy might reduce the risk of CL in GD1.
- Subjects :
- Adolescent
Adult
Case-Control Studies
Cholelithiasis diagnosis
Cholelithiasis epidemiology
Cross-Sectional Studies
Enzyme Replacement Therapy
Female
Gaucher Disease diagnosis
Gaucher Disease drug therapy
Gaucher Disease epidemiology
Gene Frequency
Genetic Association Studies
Genetic Predisposition to Disease
Glucosylceramidase therapeutic use
Heterozygote
Homozygote
Humans
Male
Middle Aged
Phenotype
Prevalence
Risk Factors
Romania epidemiology
White People genetics
Young Adult
ATP Binding Cassette Transporter, Subfamily G, Member 5 genetics
ATP Binding Cassette Transporter, Subfamily G, Member 8 genetics
Cholelithiasis genetics
Gaucher Disease genetics
Genetic Variation
Lipoproteins genetics
Subjects
Details
- Language :
- English
- ISSN :
- 1842-1121
- Volume :
- 25
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of gastrointestinal and liver diseases : JGLD
- Publication Type :
- Academic Journal
- Accession number :
- 27981300
- Full Text :
- https://doi.org/10.15403/jgld.2014.1121.254.zim