PMID- 28981944 OWN - NLM STAT- MEDLINE DCOM- 20180313 LR - 20180313 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 34 IP - 5 DP - 2017 Oct 10 TI - [Association of transcobalamine II gene polymorphisms and serum homocysteine, vitamin B(12) and folate levels with ulcerative colitis among Chinese patients]. PG - 731-736 LID - 10.3760/cma.j.issn.1003-9406.2017.05.025 [doi] AB - OBJECTIVE: To assess the association of transcobalamine II (TCN2) gene polymorphisms and serum levels of homocysteine (Hcy), vitamin B(12) and folate with ulcerative colitis (UC) among Chinese patients. METHODS: For 397 UC patients and 574 controls, two single nucleotide polymorphisms of the TCN2 gene (rs1801198, rs9606756) were tested with an improved multiple ligase detection reaction method. Serum Hcy, vitamin B(12) and folate were measured with an enzymatic cycling assay and an chemiluminescence immunoassay, respectively. RESULTS: The allelic and genotypic frequencies of rs1801198 and rs9606756 did not differ significantly between the two groups (all P> 0.05). Compared with those of the control group, the frequencies of G allele and CG+GG genotype of rs1801198 were greater in patients with moderate and severe UC (both P< 0.05). The same conclusion may also be drawn for the G allele and AG genotype of rs9606756 (both P< 0.05). Compared with the controls, average Hcy level was enhanced in UC patients (P< 0.01), whereas average vitamin B(12) and folate levels were decreased in UC patients (both P< 0.01). In both groups, the average level of Hcy was lower in individuals carrying CC of (rs1801198) than in those with CG+GG (both P< 0.05). A similar conclusion was also drawn for individuals with AA of rs9606756 when compared with those carrying AG(both P< 0.05). Compared with patients with mild UC, average Hcy level was increased in those with moderate and severe UC (P< 0.01), while average vitamin B(12) and folate levels were decreased in those with moderate and severe UC (both P< 0.01). The prevalence of hyperhomocysteinemia(HHcy), vitamin B(12) deficiency and folate deficiency was greater in UC patients than in controls (all P< 0.01). In UC patients, the level of Hcy was negatively correlated with those of vitamin B(12) (P< 0.01), albumin(P< 0.01), red blood cells(P< 0.01) and platelet (P< 0.05), but positively correlated with white blood cells(P< 0.01) and Mayo score (P< 0.01). Both HHcy and folate deficiency were independent risk factors for UC (OR=4.173, OR=5.206, both P< 0.01). CONCLUSION: TCN2 (rs1801198, rs9606756) variations, as well as serum levels of Hcy, vitamin B(12) and folate, are correlated with UC. Both HHcy and folate deficiency are independent risk factors for UC. FAU - Zheng, Shuzi AU - Zheng S AD - Department of Gastroenterology, the Second Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. wzjiangyi@yeah.net. FAU - Wu, Hao AU - Wu H FAU - Ye, Fangpeng AU - Ye F FAU - Xia, Xuanping AU - Xia X FAU - Xia, Shenglong AU - Xia S FAU - Lin, Xiuqing AU - Lin X FAU - Wu, Xiaoli AU - Wu X FAU - Jiang, Lijia AU - Jiang L FAU - Ding, Ran AU - Ding R FAU - Jiang, Yi AU - Jiang Y LA - chi PT - Journal Article PL - China TA - Zhonghua Yi Xue Yi Chuan Xue Za Zhi JT - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JID - 9425197 RN - 0 (Transcobalamins) RN - 0LVT1QZ0BA (Homocysteine) RN - 935E97BOY8 (Folic Acid) RN - P6YC3EG204 (Vitamin B 12) SB - IM MH - Adult MH - Colitis, Ulcerative/blood/etiology/*genetics MH - Female MH - Folic Acid/*blood MH - Genotype MH - Homocysteine/*blood MH - Humans MH - Male MH - Middle Aged MH - *Polymorphism, Single Nucleotide MH - Transcobalamins/*genetics MH - Vitamin B 12/*blood EDAT- 2017/10/06 06:00 MHDA- 2018/03/14 06:00 CRDT- 2017/10/06 06:00 PHST- 2017/10/06 06:00 [entrez] PHST- 2017/10/06 06:00 [pubmed] PHST- 2018/03/14 06:00 [medline] AID - 940634150 [pii] AID - 10.3760/cma.j.issn.1003-9406.2017.05.025 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2017 Oct 10;34(5):731-736. doi: 10.3760/cma.j.issn.1003-9406.2017.05.025.