[The development of functional gastrointestinal diseases: Genetic aspects].

Abstract:

:Motility disorders of the upper and lower gastrointestinal tract encompass a very wide range of structurally different diseases. Functional dyspepsia and irritable bowel syndrome (IBS) are the most common functional gastrointestinal disorders in clinical practice. In spite of the considerable prevalence of these functional diseases, the knowledge of their development mechanisms is very scarce. Recent investigations of the impact of the motor and sensory components of the pathogenesis of these diseases have demonstrated that the development of IBS is associated with serotonin transporter gene (5-HTTLPR) impairment and that the patients with IBS show the inadequate response to nonselective cannabinoid receptor agonists, which is caused by cannabinoid receptor gene (CNR1) polymorphism. Most investigations (mainly trials with small sample sizes) dealing with the identification of pharmacogenetic features have indicated that there is a preponderance of patients with intermediary metabolism among those with functional gastrointestinal diseases. However, larger investigations are necessary for a more exact understanding of this aspect. :Двигательные нарушения верхнего и нижнего отделов желудочно-кишечного тракта представляют собой целый спектр различных по своей структуре заболеваний. Функциональная диспепсия и синдром раздраженного кишечника являются наиболее частыми в клинической практике функциональными расстройствами желудка и кишечника. Несмотря на значительную распространенность данных функциональных заболеваний знания о механизмах их формирования крайне недостаточны. Проведенные в последние годы изучения влияния двигательной и сенсорной составляющих патогенеза данных заболеваний показали связь формирования синдрома раздраженного кишечника (СРК) с нарушением гена транспортера серотонина (5-HTTLPR), а также недостаточный ответ пациентов с СРК на неселективные агонисты каннабиноидных рецепторов, обусловленный полиморфизмом гена каннабиноидных рецепторов (CNR1). По данным большинства исследований (в основном небольших по выборке), посвященных выявлению фармакогенетических особенностей, среди пациентов с функциональными заболеваниями желудочно-кишечного тракта преобладают преимущественно лица с промежуточным метаболизмом. Однако для более точного понимания данного аспекта требуются более крупные исследования.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Akhmedov VA

doi

10.17116/terarkh2015878119-123

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

119-123

issue

8

eissn

0040-3660

issn

2309-5342

journal_volume

87

pub_type

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