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Article 6, 4/2018


The CAT-262 C>T, MnSOD Ala16Val, GPX1 Pro198Leu Polymorphisms Related to Oxidative Stress and the Presence of Gastric Lesions
Anca Negovan1, Mihaela Iancu2, Florin Tripon3, Andrei Crauciuc3, Simona Mocan4, Claudia Bănescu3

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1) University of Medicine, Pharmacy, Science and Technology of Târgu Mureș Clinical Science-Internal Medicine, Tirgu Mureș;
2) Iuliu Hatieganu University of Medicine and Pharmacy, Department of Medical Informatics and Biostatistics, Cluj-Napoca;
3) Genetics Laboratory, Center for Advanced Medical and Pharmaceutical Research, University of Medicine, Pharmacy, Science and Technology of Târgu Mureș;
4) Emergency County Hospital, Pathological Department, Târgu Mureș Romania

DOI: http://dx.doi.org/10.15403/jgld.2014.1121.274.cat


Background & Aims: The increased oxidative stress plays an important role in gastro-duodenal ulcers and gastric cancer occurrence. We investigated the association between the genetic polymorphisms of genes encoding the antioxidative enzymes CAT, GPX and SOD and the occurrence of gastric lesions, considering also the environmental risk factors such as H. pylori infection, drug exposure, smoking and alcohol consumption.
Methods: We included 373 patients who underwent endoscopy for symptoms, anemia or bleeding investigation. A complete set of demographical, clinical and pathological data was recorded. All patients were successfully genotyped.
Results: In the multivariate logistic regression model, the patients having Pro/Pro genotype of GPX1 gene polymorphism had more severe gastric lesions as compared with patients with the Leu/Pro or Leu/Leu genotype (OR= 1.89, 95%CI: 0.99-3.57, p=0.051). The GPX1 Pro198Leu and the MnSOD Ala16Val gene polymorphism could be independent risk factors for reactive gastropathy changes, as shown by their association very close to
statistical significance (p=0.059 and p=0.054, respectively). Consumption of anticoagulants was a significant independent predictor (p=0.023, OR:0.43 95%CI:0.21-0.89) for the absence of active gastritis, while low-dose aspirin consumption was a risk factor for active gastritis in biopsy samples (p=0.025, OR:1.71, 95%CI:1.07-2.74).
Conclusion: The variant genotype of GPX1Pro198Leu was associated with an increased risk for reactive gastropathy changes in gastric biopsies and with less severe endoscopic lesions, while MnSODAla16Val variant genotype (Val/Val or Val/Ala) seems to be related to the reactive gastropathy. However, none of them were associated with inflammatory or premalignant gastric lesions.
Key words: CAT-262 C>T – MnSOD Ala16Val – GPX1 Pro198Leu – reactive gastropathy – ulcer.
Abbreviations ACO: anticoagulant; CAT: catalase; gDNA: genomic DNA; GPX1: Glutathione peroxidase 1; GSH: glutathione; H. pylori: Helicobacter pylori; LWMH: low-weight molecular heparin; MnSOD: manganese superoxide dismutase; NSAIDs: non-steroidal anti-inflammatory drugs; PCR-RFLP: polymerase chain reaction and restriction fragment length polymorphism; ROS: reactive oxygen species; SNPs: single nucleotide