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PMID |
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TITLE |
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Genetic analysis of hyperemesis gravidarum reveals association with intracellular calcium release channel (RYR2). |
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ABSTRACT |
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Hyperemesis Gravidarum (HG), severe nausea/vomiting in pregnancy (NVP), can cause poor maternal/fetal outcomes. Genetic predisposition suggests the genetic component is essential in discovering an etiology. We performed whole-exome sequencing of 5 families followed by analysis of variants in 584 cases/431 controls. Variants in RYR2 segregated with disease in 2 families. The novel variant L3277R was not found in any case/control. The rare variant, G1886S was more common in cases (p = 0.046) and extreme cases (p = 0.023). Replication of G1886S using Norwegian/Australian data was supportive. Common variants rs790899 and rs1891246 were significantly associated with HG and weight loss. Copy-number analysis revealed a deletion in a patient. RYR2 encodes an intracellular calcium release channel involved in vomiting, cyclic-vomiting syndrome, and is a thyroid hormone target gene. Additionally, RYR2 is a downstream drug target of Inderal, used to treat HG and CVS. Thus, herein we provide genetic evidence for a pathway and therapy for HG. |
Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. |
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DATE PUBLISHED |
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HISTORY |
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PUBSTATUS |
PUBSTATUSDATE |
received |
2016/07/09 |
revised |
2016/08/19 |
accepted |
2016/09/19 |
pubmed |
2016/09/25 06:00 |
medline |
2017/11/29 06:00 |
entrez |
2016/09/25 06:00 |
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AUTHORS |
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NAME |
COLLECTIVENAME |
LASTNAME |
FORENAME |
INITIALS |
AFFILIATION |
AFFILIATIONINFO |
Fejzo MS |
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Fejzo |
Marlena Schoenberg |
MS |
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Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA; Department of Maternal-Fetal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address: mfejzo@mednet.ucla.edu. |
Myhre R |
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Myhre |
Ronny |
R |
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Norwegian Institute of Public Health, Oslo Norway. |
Colodro-Conde L |
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Colodro-Conde |
Lucía |
L |
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Psychiatric Genetics Laboratory, QIMR Berghofer Medical Research Institute, Brisbane, Australia. |
MacGibbon KW |
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MacGibbon |
Kimber W |
KW |
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Hyperemesis Education and Research Foundation, Damascus, OR, USA. |
Sinsheimer JS |
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Sinsheimer |
Janet S |
JS |
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Departments of Biostatistics, Biomathematics, & Human Genetics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. |
Reddy MVPL |
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Reddy |
M V Prasad Linga |
MVPL |
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Department of Human Genetics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. |
Pajukanta P |
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Pajukanta |
Päivi |
P |
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Department of Human Genetics, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. |
Nyholt DR |
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Nyholt |
Dale R |
DR |
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Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia. |
Wright MJ |
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Wright |
Margaret J |
MJ |
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Queensland Brain Institute and Centre for Advanced Imaging, University of Queensland, Brisbane, Australia. |
Martin NG |
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Martin |
Nicholas G |
NG |
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Genetic Epidemiology Laboratory, QIMR Berghofer Medical Research Institute, Brisbane, Australia. |
Engel SM |
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Engel |
Stephanie M |
SM |
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Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. |
Medland SE |
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Medland |
Sarah E |
SE |
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Psychiatric Genetics Laboratory, QIMR Berghofer Medical Research Institute, Brisbane, Australia. |
Magnus P |
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Magnus |
Per |
P |
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Norwegian Institute of Public Health, Oslo Norway. |
Mullin PM |
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Mullin |
Patrick M |
PM |
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Department of Maternal-Fetal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. |
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INVESTIGATORS |
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JOURNAL |
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VOLUME: 439 |
ISSUE: |
TITLE: Molecular and cellular endocrinology |
ISOABBREVIATION: Mol Cell Endocrinol |
YEAR: 2017 |
MONTH: 01 |
DAY: 05 |
MEDLINEDATE: |
SEASON: |
CITEDMEDIUM: Internet |
ISSN: 1872-8057 |
ISSNTYPE: Electronic |
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MEDLINE JOURNAL |
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MEDLINETA: Mol Cell Endocrinol |
COUNTRY: Ireland |
ISSNLINKING: 0303-7207 |
NLMUNIQUEID: 7500844 |
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PUBLICATION TYPE |
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PUBLICATIONTYPE TEXT |
Journal Article |
Research Support, N.I.H., Extramural |
Research Support, Non-U.S. Gov't |
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COMMENTS AND CORRECTIONS |
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GRANTS |
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GRANTID |
AGENCY |
COUNTRY |
KL2 TR000122 |
NCATS NIH HHS |
United States |
R01 HD058008 |
NICHD NIH HHS |
United States |
R01 GM053275 |
NIGMS NIH HHS |
United States |
UL1 TR001881 |
NCATS NIH HHS |
United States |
U01 NS047537 |
NINDS NIH HHS |
United States |
UL1 TR000124 |
NCATS NIH HHS |
United States |
KL2 RR033185 |
NCRR NIH HHS |
United States |
N01ES75558 |
NIEHS NIH HHS |
United States |
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GENERAL NOTE |
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KEYWORDS |
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KEYWORD |
Hyperemesis gravidarum |
Nausea |
Pregnancy |
RYR2 |
Vomiting |
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MESH HEADINGS |
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DESCRIPTORNAME |
QUALIFIERNAME |
Australia |
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Calcium |
metabolism |
Cohort Studies |
metabolism |
Exome |
genetics |
Family |
genetics |
Female |
genetics |
Gene Deletion |
genetics |
Gene Dosage |
genetics |
Genetic Predisposition to Disease |
genetics |
Genome-Wide Association Study |
genetics |
Humans |
genetics |
Hyperemesis Gravidarum |
genetics |
Intracellular Space |
metabolism |
Male |
metabolism |
Norway |
metabolism |
Parenteral Nutrition |
metabolism |
Pedigree |
metabolism |
Pregnancy |
metabolism |
Ryanodine Receptor Calcium Release Channel |
genetics |
Sequence Analysis, DNA |
genetics |
United States |
genetics |
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SUPPLEMENTARY MESH |
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GENE SYMBOLS |
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CHEMICALS |
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REGISTRYNUMBER |
NAMEOFSUBSTANCE |
0 |
Ryanodine Receptor Calcium Release Channel |
SY7Q814VUP |
Calcium |
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OTHER ID's |
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