| Online-Ressource |
Verfasst von: | Muller, Nelly [VerfasserIn]  |
| Sarantitis, Ioannis [VerfasserIn]  |
| Rouanet, Marie [VerfasserIn]  |
| de Mestier, Louis [VerfasserIn]  |
| Halloran, Christopher [VerfasserIn]  |
| Greenhalf, William [VerfasserIn]  |
| Férec, Claude [VerfasserIn]  |
| Masson, Emmanuelle [VerfasserIn]  |
| Ruszniewski, Philippe [VerfasserIn]  |
| Lévy, Philippe [VerfasserIn]  |
| Neoptolemos, John P. [VerfasserIn]  |
| Buscail, Louis [VerfasserIn]  |
| Rebours, Vinciane [VerfasserIn]  |
Titel: | Natural history of SPINK1 germline mutation related-pancreatitis |
Verf.angabe: | Nelly Muller, Ioannis Sarantitis, Marie Rouanet, Louis de Mestier, Christopher Halloran, William Greenhalf, Claude Férec, Emmanuelle Masson, Philippe Ruszniewski, Philippe Lévy, John Neoptolemos, Louis Buscail, Vinciane Rebours |
E-Jahr: | 2019 |
Jahr: | 15 October 2019 |
Umfang: | 11 S. |
Fussnoten: | Gesehen am 09.12.2019 |
Titel Quelle: | Enthalten in: EBioMedicine |
Ort Quelle: | Amsterdam [u.a.] : Elsevier, 2014 |
Jahr Quelle: | 2019 |
Band/Heft Quelle: | 48(2019), Seite 581-591 |
ISSN Quelle: | 2352-3964 |
Abstract: | Background - The aim was to describe genetic, clinical and morphological features in a large, multicentre European cohort of patients with SPINK1 related pancreatitis, in comparison with patients with idiopathic pancreatitis (IP). - Methods - All SPINK1 mutation carriers with pancreatic symptoms from two French and one English centers were included. Patients with IP were included in a control group. Genetic, clinical, radiological and biochemical data were collected. - Findings - 209 and 302 patients were included in the SPINK1 and control groups (median follow-up: 8.3 years (3.7-17.4) vs 5.3 (2.5-8.8)). The median age at onset of symptoms was 20.1 years (17.5-22.8) in the SPINK1 group versus 41.2 (35.2-45.2). The age of exocrine pancreatic insufficiency (EPI) onset in the SPINK1 group was 49.5 (44.5-54.6) years vs. 65.2 (62.1-68.3), p < 0.001. SPINK1 patients with EPI were 5.3%, 14.7%, 28.3% and 52.4% at 20, 30, 40 and 50 years. Diabetes occurred 37.7 (33.3-42.1) years following the onset of symptoms in the SPINK1 group vs. 30.6 (17.3-43.8) (p=0.002). SPINK1 patients with diabetes were 7.8%, 13.4%, 26.3% and 43.4% at 30, 40, 50 and 60 years. Seven patients (3.3%) developed pancreatic cancer in the SPINK1 group (versus 3 (0.99%), p=0.1), at a median age of 60 vs 66 years. The cancer risk was 0.8% before 50 years, 11.9%, 27.7%, 51.8% at 60, 70 and 80 years and was 12 times higher than in controls (Cox HR 12.0 (3.0-47.8), p < 0.001). - Interpretation - SPINK1 related pancreatitis is associated with earlier onset and pancreatic insufficiencies. p.N34S SPINK1 may well be associated with cancer. |
DOI: | doi:10.1016/j.ebiom.2019.09.032 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.ebiom.2019.09.032 |
| Volltext: http://www.sciencedirect.com/science/article/pii/S2352396419306590 |
| DOI: https://doi.org/10.1016/j.ebiom.2019.09.032 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Diabetes |
| Genetic |
| Pancreatic cancer |
| Pancreatic exocrine insufficiency |
| Pancreatitis |
| SPINK1 |
K10plus-PPN: | 1684857341 |
Verknüpfungen: | → Zeitschrift |
Natural history of SPINK1 germline mutation related-pancreatitis / Muller, Nelly [VerfasserIn]; 15 October 2019 (Online-Ressource)