Abstract
Symptoms can be considered as uncomfortable feelings against some stimulation. How humans react for the stimulation is basically prescribed by genetic factors, which is altered by the acquired factors. We found that the genetic polymorphisms in three genes, TRPV1, pri-miR325 genome region, and SCN10A, were associated with the susceptibility to functional dyspepsia (FD). These polymorphisms were also associated with both FD subtypes, epigastric pain syndrome (EPS) and postprandial distress syndrome (PDS), as a same degree. In Helicobacter pylori (HP)-uninfected subjects, the polymorphisms in pri-miR325 genome region, SCN10A, and GNB3 were associated with FD, whereas the polymorphisms in TRPV1 and inflammation- and immune response-related genes were associated with FD in HP-infected subjects. From a viewpoint of genetic polymorphisms associated with FD susceptibility, EPS and PDS defined by Roma III criteria may be the same disorder with the difference in complaints. In addition, the hypersensitivity of stimulation-conducting system may be important in HP-unrelated dyspepsia (namely true FD), whereas inflammation severity and alteration of nociceptor may be important in HP-related dyspepsia.
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Arisawa, T. (2018). Genetic Factor. In: Tominaga, K., Kusunoki, H. (eds) Functional Dyspepsia. Springer, Singapore. https://doi.org/10.1007/978-981-13-1074-4_2
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DOI: https://doi.org/10.1007/978-981-13-1074-4_2
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