Effects of -1018G>A polymorphism of HRH2 (rs2607474) on the severity of gastric mucosal atrophy

Hideto Yamada, Tomomitsu Tahara, Hisakazu Shiroeda, Ranji Hayashi, Takashi Saito, Masakatsu Nakamura, Mutsumi Tsuchishima, Mikihiro Tsutsumi, Tomoyuki Shibata, Tomiyasu Arisawa

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7 Citations (Scopus)


Background&Aim: Histamine plays important physiological roles in upper gastrointestinal tract and acts via the H2 receptor. A polymorphism -1018 G>A (rs2067474) was identified in an enhancer element of the HRH2 promoter. We attempted to clarify the associations of this polymorphism with the progression of gastric mucosal atrophy. methods: Gastric mucosa samples were obtained from 398 subjects with no malignancies. The rs2067474 genotype was determined by PCR-SSCP method. The degree of gastritis was assessed in 366 subjects and serum pepsinogen (PG) I/II levels were measured in 108 subjects. The subjects with atrophy score ≥2 and metaplasia score ≥1 were classified into the severe atrophic gastritis group (SA group). Results: The -1018G>A minor allele frequencies in SA and non-SA groups were 8.02% and 13.3%, respectively (p=0.057). The -1018 GG homozygote had a significantly high risk for gastric mucosal atrophy (OR: 2.03, 95%CI: 1.03-4.01, p=0.042). In H. pylori positive subjects, GG homozygote was a more significant risk factor for gastric mucosal atrophy (OR: 2.32, 95%CI: 1.12-4.81, p=0.023). In addition, in the subjects older than 60 years, GG homozygote had also a significant risk for gastric mucosal atrophy (OR: 2.63, 95%CI: 1.15-6.00, p=0.022). In -1018 GG homozygote, PG I/II ratio was significantly lower in H. pylori positive than negative subjects and was significantly decreased with age (p=0.0032 by ANOVA), whereas it was not in the A carrier. Conclusions: Our results suggest that HRH2 -1018 GG homozygote is a risk factor for the severity of gastric mucosal atrophy under the influence of H. pylori infection, especially in older subjects.

Original languageEnglish
Pages (from-to)139-143
Number of pages5
JournalJournal of Gastrointestinal and Liver Diseases
Issue number2
Publication statusPublished - 06-2012

All Science Journal Classification (ASJC) codes

  • Gastroenterology


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