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Re: NEW STUDY FROM DR CHAPMAN

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Can someone put this in a language the average dummy like myself can understand? Bottom line it.....will the study help find a cure or answers to get this monster into remission?

(Mom of ...19yrs. old dx UC/PSC 3/2000)

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This is Greek to me; what does it mean?

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>>> " Barb Henshaw " 09/02/01 02:14PM >>>

1: Gastroenterology 2001 Jul;121(1):124-130

<http://www.ncbi.nlm.nih.gov/entrez/utils/fref.fcgi?http://www.gastrojournal

..org/cgi/pmidlookup?view=full & pmid=11438501>

A functional polymorphism of the stromelysin gene (MMP-3) influences

susceptibility to primary sclerosing cholangitis.

Satsangi J, Chapman RW, Haldar N, son P, S, J, Norris

S, Marshall SE, Bell JI, Jewell DP, Welsh KI.

Oxford Radcliffe Hospitals, Oxford, England.

BACKGROUND AND AIMS: We have investigated the influence of a biallelic

polymorphism of the promoter region of stromelysin (matrix metalloproteinase

3) on susceptibility to primary sclerosing cholangitis (PSC). The 5A allele

is associated with increased transcription, compared with wild-type (6A).

METHODS: An allelic association study was performed: in stage 1, 52 PSC

patients (43 with inflammatory bowel disease [iBD]) and 99 healthy subjects

(HS) were genotyped. In stage 2, 59 PSC patients (49 IBD), 84 patients with

uncomplicated ulcerative colitis, and 72 HS were genotyped. RESULTS: In

stage 1, 5A carriage rate (90.4% vs. 72.7%; P = 0.012) and 5A allelic

frequency (65.4% vs. 48.5%; P = 0.005) were increased, and 6A homozygosity

was reduced in PSC (9.6% vs. 27.3%; P = 0.012). In stage 2, 5A allelic

carriage was increased in PSC (93.2% vs. 76.4% in HS; P = 0.0092) and 6A

homozygosity was reduced (6.8% vs. 23.8% in HS; P = 0.0092). Portal

hypertension was associated with 5A homozygosity in PSC (P = 0.035; odds

ratio [OR], 3.88). In the combined data set, 5A allelic frequencies (63.5%

vs. 49.4%; P = 0.001; OR, 1.78) and 5A carriage rates (91.9% vs. 74.2%; P =

0.0002; OR, 3.92) were increased, and 6A homozygosity was reduced in PSC

(8.1% vs. 25.7%; P = 0.0002; OR, 0.25). Overall, portal hypertension was

associated with 5A homozygosity (P = 0.0192; OR, 3.12). CONCLUSIONS:

Stromelysin polymorphism may influence susceptibility and disease

progression in PSC.

PMID: 11438501 [PubMed - indexed for MEDLINE]

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