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TECHNICAL NOTE
LCT-22018G>A single nucleotide polymorphism is a better predictor of adult-type hypolactasia/lactase persistence in Japanese-Brazilians than LCT-13910C>T
Rejane Mattar
Corresponding author
rmattar@hcnet.usp.br

Tel.: 55 11 3069-6150
, Maria do Socorro Monteiro, Joyce Matie Kinoshita da Silva, Flair Jose Carrilho
Hospital das Clínicas da Faculdade de Medicina da USP – Gastroenterology. Av. Dr. Enéas de Carvalho Aguiar 255, 9° andar sala 9159, Cerqueira César, São Paulo, SP, Brazil, CEP 05403-000. Tel. 11-30696150, fax. 11-30697830.
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    "titulo" => "LCT-22018G&#62;A single nucleotide polymorphism is a better predictor of adult-type hypolactasia&#47;lactase persistence in Japanese-Brazilians than LCT-13910C&#62;T"
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          "en" => "<p id="spara10" class="elsevierStyleSimplePara elsevierViewall">Agarose gel &#40;2&#37;&#41; electrophoresis of <span class="elsevierStyleItalic">Hha</span>I-digested PCR products&#59; M&#44; 1kb DNA ladder &#40;Invitrogen&#44; USA&#41; was used as marker of DNA fragment sizes&#59; GA&#44; bands of 448 bp&#44; 264 bp&#44; and 184 bp connote the GA genotype of three individuals&#59; GG&#44; two bands of 264 bp and 184bp connote the GG genotype of the other participants&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="cesec10" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle10">INTRODUCTION</span><p id="para10" class="elsevierStylePara elsevierViewall">Adult type hypolactasia&#44; the genetically programmed down-regulation of lactase enzyme activity in the intestinal wall after weaning&#44; is a common condition worldwide&#44; except for in northwestern Europe&#44; where the prevalence is less than 10&#37;&#46; Lactose intolerant individuals complain of abdominal cramps&#44; bloating&#44; distention&#44; flatulence and diarrhea after milk or lactose-containing food ingestion&#46;<a class="elsevierStyleCrossRef" href="#bib1">1</a></p><p id="para20" class="elsevierStylePara elsevierViewall">The diagnosis of adult-type hypolactasia can be achieved by a hydrogen breath test that is cumbersome and provokes symptoms&#44; or more recently&#44; using a genetic approach&#46;<a class="elsevierStyleCrossRef" href="#bib2">2</a> Lactase persistence and adult-type hypolactasia have been associated with the <span class="elsevierStyleItalic">LCT</span>-13910C&#62;T and <span class="elsevierStyleItalic">LCT</span> -22018G&#62;A polymorphisms in introns 13 and 9&#44; respectively&#44; of the minichromosome maintenance type 6 gene &#40;<span class="elsevierStyleItalic">MCM6</span>&#41; upstream of the <span class="elsevierStyleItalic">LCT</span> locus in several populations&#46;<a class="elsevierStyleCrossRef" href="#bib3">3</a></p><p id="para30" class="elsevierStylePara elsevierViewall">In Brazil&#44; the lactase persistence allele&#44; <span class="elsevierStyleItalic">LCT</span>-13910T&#44; was found in approximately 43&#37; of both white &#40;European descent&#41; and brown &#40;European and African descent&#41;&#44; and 20&#37; of black &#40;African descent&#41; Brazilians&#44; but was absent in all Japanese-Brazilians studied&#46;<a class="elsevierStyleCrossRef" href="#bib4">4</a> Recent epidemiological data regarding lactose intolerance&#47;hypolactasia are lacking in Japan&#46; This lack of information may be because of the relative rarity of symptoms&#59; it has been shown that&#44; although 92&#37; of tested subjects were lactase deficient&#44; only 2&#37; were milk intolerant and 13&#37; were lactose intolerant&#46;<a class="elsevierStyleCrossRef" href="#bib5">5</a></p><p id="para40" class="elsevierStylePara elsevierViewall">Recent evidence in northern China suggests that <span class="elsevierStyleItalic">LCT</span>-22018G&#62;A&#44; rather than <span class="elsevierStyleItalic">LCT</span>-13910C&#62;T&#44; <span class="elsevierStyleItalic">LCT-</span>13907C&#62;G&#44; <span class="elsevierStyleItalic">LCT</span>-13915T&#62;G&#44; or <span class="elsevierStyleItalic">LCT</span>-14010G&#62;C&#44; matched the lactase persistence phenotype&#46;<a class="elsevierStyleCrossRef" href="#bib6">6</a> Therefore&#44; the purpose of this study was to ascertain whether <span class="elsevierStyleItalic">LCT</span>-22018G&#62;A would also be a predictor of lactase persistence in Japanese-Brazilians&#46;</p></span><span id="cesec20" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle20">MATERIALS AND METHODS</span><p id="para50" class="elsevierStylePara elsevierViewall">This study was approved by the local Ethics Committee&#46; The study population consisted of 56 Japanese-Brazilians with the <span class="elsevierStyleItalic">LCT</span>-13910CC genotype according to a previously described genotyping technique&#44;<a class="elsevierStyleCrossRef" href="#bib4">4</a> with a mean age of 47&#46;1 &#177; 17&#46;6 years&#46; Seventeen &#40;30&#46;4&#37;&#41; men gave written informed consent to participate&#46;</p><p id="para60" class="elsevierStylePara elsevierViewall">DNA was extracted from leukocytes&#46; Primers 5&#8242;-AACAGGCACGTGGAGGAGTT-3&#8242; &#40;position 18261-18280&#41; and 5&#8242;-CCCACCTCAGCCTCTTGAGT-3&#8242; &#40;position 18708-18689&#41;&#44; Accession number <span class="elsevierStyleItalic">AY220757</span>&#44; spanning the <span class="elsevierStyleItalic">LCT</span>-22018 region&#44; were used in a polymerase chain reaction &#40;PCR&#41; with Premium <span class="elsevierStyleItalic">Taq</span> DNA polymerase &#40;Invitrogen&#44; S&#227;o Paulo&#44; Brazil&#41; and 2&#46;5 mM MgCl<span class="elsevierStyleInf">2</span>&#46; Amplification was performed in 38 cycles at 95&#176;C for 1 min&#44; 67&#176;C for 1 min&#44; and 72&#176;C for 1 min&#46; The PCR product was digested with <span class="elsevierStyleItalic">Hha</span>I&#44; resulting in one fragment of 448 bp &#40;the AA genotype&#41;&#44; two fragments of 264 and 184 bp &#40;the GG genotype&#41; and three fragments of 448&#44; 264&#44; and 184 bp &#40;the GA genotype&#41;&#44; which were visualized on a 2&#37; agarose gel stained with ethidium bromide&#44; as has been previously described by B&#252;ning et al&#46;<a class="elsevierStyleCrossRef" href="#bib7">7</a></p></span><span id="cesec30" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle30">RESULTS AND DISCUSSION</span><p id="para70" class="elsevierStylePara elsevierViewall">Among the 56 Japanese-Brazilians who were previously genotyped as <span class="elsevierStyleItalic">LCT</span>-13910CC &#40;hypolactasia&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib4">4</a> 3 &#40;5&#46;4&#37;&#41; had the <span class="elsevierStyleItalic">LCT</span>-22018GA genotype associated with lactase persistence &#40;<a class="elsevierStyleCrossRef" href="#fig1">Fig&#46; 1</a>&#41;&#44; and 53 &#40;94&#46;6&#37;&#41; had the <span class="elsevierStyleItalic">LCT</span>-22018GG genotype associated with hypolactasia &#40;<a class="elsevierStyleCrossRef" href="#tbl1">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig1"></elsevierMultimedia><elsevierMultimedia ident="tbl1"></elsevierMultimedia><p id="para80" class="elsevierStylePara elsevierViewall">The incidence of lactase deficiency gradually increases with age from 3 years&#44; and approximately 90&#37; of all normal Japanese adults are lactase-deficient&#46;<a class="elsevierStyleCrossRef" href="#bib8">8</a> Among Japanese-Brazilians&#44; 100&#37; had lactose malabsorption&#59;<a class="elsevierStyleCrossRef" href="#bib9">9</a> therefore&#44; these values are in accordance with lactose malabsorption in Japanese people who have been diagnosed by the hydrogen breath test&#46;</p><p id="para90" class="elsevierStylePara elsevierViewall">In Brazilians&#44; both the <span class="elsevierStyleItalic">LCT</span>-13910C&#62;T allele<a class="elsevierStyleCrossRef" href="#bib2">2</a> and the <span class="elsevierStyleItalic">LCT</span>-22018G&#62;A allele<a class="elsevierStyleCrossRef" href="#bib10">10</a> have been associated with lactase persistence phenotypes&#46; As such&#44; genetic analysis for Japanese-Brazilians should include an assessment for the <span class="elsevierStyleItalic">LCT</span>-22018G&#62;A allele&#44; as the <span class="elsevierStyleItalic">LCT</span>-13910C&#62;T polymorphism is already routinely performed for hypolactasia&#47;lactase persistence diagnosis&#46;<a class="elsevierStyleCrossRef" href="#bib2">2</a></p></span><span id="cesec40" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cestitle40">CONCLUSION</span><p id="para100" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleItalic">LCT</span>-22018G&#62;A allele is a better predictor of lactase persistence in Japanese-Brazilians than the <span class="elsevierStyleItalic">LCT</span>-13910C&#62;T allele&#46;</p></span></span>"
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es en pt

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