Features of the autonomic nervous system in children with gastroesophageal reflux disease and different genotypes of C825t locus of Gnb3 gene
DOI:
https://doi.org/10.15587/2519-4798.2017.109148Keywords:
gastroesophageal reflux disease, children, autonomous (vegetative) nervous system, С825Т, GNB3 polymorphismAbstract
Aim. To establish features of activity of different links of the autonomous nervous system in children with gastroesophageal reflux disease and different genotype of C825T locus of GNB3 gene.
Materials and methods. There was realized the analysis of clinical features of GERD and functioning of the autonomous nervous system in 100 schoolchildren. The molecular-genetic study of C825T locus of GNB3 gene using PCR (rs5443) was carried out in the studied group (100 children) and in 40 healthy children, who formed the control group.
Results. Sympathectomy was observed in 47 children (47%), vagotonia in 43 (43%), and euhonia was observed in 10 children (10%). Most patients with sympathectomy demonstrated normo- and hypacidity. Practically all patients with vagotonia demonstrated hyperacidity of the stomach contents.
Among patients with hyperacidity (pH 0,86-1,59) the one third had СС genotype of C825T locus of GNB3 gene and persons with ТТ genotype were absent, whereas in the group of children with normo- and hypoacidity (pH 1,60-3,59)in 25% of patients was revealed ТТ genotype.
Patients with СС genotype of C825T locus of GNB3 gene demonstrated vagotonia essentially more often (67,44%), and ТТ genotype was most often revealed in patients with eutonia (10%), (р<0,05).
Conclusions.
1). The depth of esophagus lesions is not associated with the predominance of one link of the autonomous nervous system, (р>0,05).
2). Hyperacidity in children with GERD is associated with vagotonia.
3). СС genotype of C825T locus of GNB3 gene is associated with vagotonia and hyperacidity, (р<0,05)
References
- Lazebnik, L. B., Bordin, D. S., Masharova, A. A. (2007). Sovremennoe ponimanie gastroezofagealnoi refliuksnoi bolezni: ot Genvalia k Monrealiu. Eksperimentalnaia i klinicheskaia gastroenterologiia, 5, 4–10.
- Dudnikova, E. V. (2006). Klinicheskoe znachenie biliarnykh refliuksov v formirovanii gastroezofagealnoi refliuksnoi bolezni i gastroduodenitov u detei i metody ikh korrektcii. Klinicheskie perspektivy gastroenterologii, gepatologii, 5, 28–32.
- Volosovets, O. P., Kryvopustov, S. P., Karulyna, Yu. V. (2007). Suchasnyy pohlyad na problemu porushen' motornoyi funktsiyi verkhn'oho viddilu travnevoho kanalu. Zdorov'e rebenka, 5 (114), 7–9.
- Zaviktorina, T. G., Striga, E. V., Sokolova, Yu. B. et. al. (2008). Osobennosti techeniia gastroezofagealnoi refliuksnoi bolezni u detei. Lechashchii vrach, 7, 88–89.
- Uspenskii, Yu. P., Tkachenko, E. I. (2010). Patogeneticheskie osnovy differentcirovannoi taktiki lecheniia gastroezofagealnoi refliuksnoi bolezni. Suchasna gastroenterologіia, 1 (51), 92–100.
- Shadrin, O. G. (2009). Pediatricheskie aspekty gastroezofagealnoi refliuksnoi bolezni. Zdorov'ia Ukraini, 6/1, 11.
- Cameron, A. J., Lagergren, J., Henriksson, C., Nyren, O., Locke, G. R., Pedersen, N. L. (2002). Gastroesophageal reflux disease in monozygotic and dizygotic twins. Gastroenterology, 122 (1), 55–59. doi: 10.1053/gast.2002.30301
- Mohammed, I., Cherkas, L. F., Riley, S. A., Spector, T. D., Trudgill, N. J. (2003). Genetic influences in gastro-oesophageal reflux disease: a twin study. Gut, 52 (8), 1085–1089. doi: 10.1136/gut.52.8.1085
- Kovalenko, A. A., Belmer, S. V. (2008). Gastroezofagealnaia refliuksnaia bolezn. Lechashchii vrach, 8, 14–18.
- Ivashkin, V. T. (Ed.) (2008). Klinicheskie rekomendatcii. Gastroenterologiia. Moscow: GEOAR-Media, 208.
- Shadrin, O. H., Ihnatko, L. V., Herasymyuk, S. I. (2010). Efektyvnist' zastosuvannya inhibitoriv protonnoyi pompy dlya eradykatsiynoyi terapiyi u ditey z hastroezofaheal'noyu reflyuksnoyu khvoroboyu. Suchasna hastroenterolohiya, 1 (51), 81–84.
- Shcherbakov, P. L. (2007). Gastroezofagealnaia refliuksnaia bolezn u detei. Bolezni organov pishchevareniia, 9 (2), 42–47.
- Davydova, A. N. (2008). Osobennosti techeniia gastroezofagealnoi refliuksnoi bolezni u detei shkolnogo vozrasta pri razlichnykh vegetativnykh narusheniiakh i puti ikh korrektcii. Volgograd, 24.
- Maidannik, V. G., Korneichuk, V. V., Khaitovich, N. V., Saltykova, G. V. (2008). Zabolevaniia pishchevoda, zheludka i dvenadtcatiperstnoi kishki u detei. Kyiv, 432.
- Ivanova, I. I., Gnusaev, S. F. (2010). Osobennosti funktcionirovaniia vegetativnoi nervnoi sistemy u detei i podrostkov s kislymi i shchelochnymi gastroezofagealnymi refliuksami. Pediatriia, 89 (2), 17–23
- Davydova, A. N. (2008). Gastroezofagealnaia refliuksnaia bolezn u detei shkolnogo vozrasta pri razlichnykh vegetativnykh narusheniiakh i puti ikh korrektcii. Biulleten Volgogradskogo nauchnogo tcentra RAMN, 2, 41–44.
- Schnabel, P., Bohm, M. (1996). Heterotrimeric G proteins in heart disease. Cellular Signalling, 8 (6), 413–423. doi: 10.1016/s0898-6568(96)00087-3
- Kirstein, S. L., Insel P. A. (2004). Autonomic Nervous System Pharmacogenomics: A Progress Report. Pharmacological Reviews, 56 (1), 31–52. doi: 10.1124/pr.56.1.2
- Matsunaga, T., Nagasumi, K., Yamamura, T., Gu, N., Nishikino, M., Ueda, Y. et. al. (2005). Association of C825T polymorphism of G protein beta3 subunit with the autonomic nervous system in young healthy Japanese individuals. American Journal of Hypertension, 18 (4), 523–529. doi: 10.1016/j.amjhyper.2004.11.008
- Rohof, W. O., Hirsch, D. P., Boeckxstaens, G. E. (2009). Pathophysiology and management of gastroesophageal reflux disease. Minerva Gastroenterologica e Dietologica, 55, 289–300.
- Boeckxstaens, G. E. E. (2007). Review article: the pathophysiology of gastro-oesophageal reflux disease. Alimentary Pharmacology & Therapeutics, 26 (2), 149–160. doi: 10.1111/j.1365-2036.2007.03372.x
- De Vries, D. R., ter Linde, J. J. M., van Herwaarden, M. A., Smout, A. J. P. M., Samsom, M. (2009). Gastroesophageal Reflux Disease Is Associated With the C825T Polymorphism in the G-Protein β3 Subunit Gene (GNB3). The American Journal of Gastroenterology, 104 (2), 281–285. doi: 10.1038/ajg.2008.139
- Oshima, T., Nakajima, S., Yokoyama, T., Toyoshima, F., Sakurai, J., Tanaka, J. et. al. (2010). The G-Protein β3 subunit 825 TT genotype is associated with epigastric pain syndrome-like dyspepsia. BMC Medical Genetics, 11 (1), 13. doi: 10.1186/1471-2350-11-13
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Marta Dats-Opoka, Oleg Hnateyko, Halyna Makukh
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.
Authors, who are published in this journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.