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TLR1 Polymorphism Associations with Gastric Mucosa Morphologic Patterns on Magnifying NBI Endoscopy: a Prospective Cross-Sectional Study

  • Tongtawee, Taweesak (Department of Surgery, Suranaree University of Technology) ;
  • Bartpho, Theeraya (Department of Surgery, Suranaree University of Technology) ;
  • Kaewpitoon, Soraya (Family Medicine and Community Medicine, Suranaree University of Technology) ;
  • Kaewpitoon, Natthawut (Parasite Research Unit, Suranaree University of Technology) ;
  • Dechsukhum, Chavaboon (School of Pathology, Institute of Medicine, Suranaree University of Technology) ;
  • Leeanansaksiri, Wilairat (School of Preclinic, Institute of Science, Suranaree University of Technology) ;
  • Loyd, Ryan A (Family Medicine and Community Medicine, Suranaree University of Technology) ;
  • Matrakool, Likit (Department of Surgery, Suranaree University of Technology) ;
  • Panpimanmas, Sukij (Department of Surgery, Suranaree University of Technology)
  • Published : 2016.07.01

Abstract

Background: Helicobacter pylori is now recognized as a causative factor of chronic gastritis, gastroduodenal ulcers, gastric cancer and mucosa-associated lymphatic tissue lymphoma. Toll-like receptors are important bacterial receptors in gastric epithelial cell signaling transduction and play critical roles in gastric carcinogenesis. Materials and Methods: A total of 400 patients undergoing esophagogastroduodenoscopy for investigation of chronic abdominal pain were genotyped for single-nucleotide polymorphisms (SNPs) in TLR1 (rs4833095) using TagMan SNPs genotyping assay by real-time PCR hybridization. Relationships with susceptibility to H. pylori infection and pre-malignant gastric mucosa morphological patterns, classified by magnifying NBI endoscopy, were investigated. Results: The percentages of TLR1 rs4833095, CC homozygous, CT heterozygous and TT homozygous cases were 34, 46.5 and 19%, respectively. CC showed statistical differences between H. pylori positive and negative cases (P<0.001). CT and TT correlated with type 1 and type 2 gastric mucosal morphological patterns (P <0.01) whereas CC correlated with types 3 and 4 (P<0.01). Conclusions: This study demonstrated good correlation of TLR1 rs4833095 genotype with severity of inflammation in H. pylori infected gastric mucosa according to gastric mucosal morphologic patterns with magnifying NBI endoscopy.

Keywords

TLR1 (rs4833095);gastric mucosal morphologic patterns;H. pylori;Magnifying NBI endoscopy

Acknowledgement

Supported by : Suranaree University of Technology

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