Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Letter
  • Published:

A genome-wide association study identifies two susceptibility loci for duodenal ulcer in the Japanese population

Abstract

Through a genome-wide association analysis with a total of 7,035 individuals with duodenal ulcer and 25,323 controls from Japan, we identified two susceptibility loci at the PSCA gene (encoding prostate stem cell antigen) at 8q24 and at the ABO blood group locus at 9q34. The C allele of rs2294008 at PSCA was associated with increased risk of duodenal ulcer (odds ratio (OR) = 1.84; P = 3.92 × 10−33) in a recessive model but was associated with decreased risk of gastric cancer (OR = 0.79; P = 6.79 × 10−12), as reported previously1. The T allele of rs2294008 encodes a translation initiation codon upstream of the reported site and changes protein localization from the cytoplasm to the cell surface. rs505922 at ABO was also associated with duodenal ulcer in a recessive model (OR = 1.32; P = 1.15 × 10−10). Our findings demonstrate a role for genetic variants in the pathogenesis of duodenal ulcer.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Manhattan plot showing genome-wide P values of association.
Figure 2: Regional association plots.
Figure 3: Effects of rs2294008 on subcellular localization and stability of PSCA protein.

Similar content being viewed by others

References

  1. Sakamoto, H. et al. Genetic variation in PSCA is associated with susceptibility to diffuse-type gastric cancer. Nat. Genet. 40, 730–740 (2008).

    Article  CAS  PubMed  Google Scholar 

  2. Wyatt, J.I., Rathbone, B.J., Dixon, M.F. & Heatley, R.V. Campylobacter pyloridis and acid induced gastric metaplasia in the pathogenesis of duodenitis. J. Clin. Pathol. 40, 841–848 (1987).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Helicobacter and Cancer Collaborative Group. Gastric cancer and Helicobacter pylori: a combined analysis of 12 case control studies nested within prospective cohorts. Gut 49, 347–353 (2001).

    Article  Google Scholar 

  4. Hopkins, R.J., Girardi, L.S. & Turney, E.A. Relationship between Helicobacter pylori eradication and reduced duodenal and gastric ulcer recurrence: a review. Gastroenterology 110, 1244–1252 (1996).

    Article  CAS  PubMed  Google Scholar 

  5. Schlemper, R.J., van der Werf, S.D., Vandenbroucke, J.P., Biemond, I. & Lamers, C.B. Peptic ulcer, non-ulcer dyspepsia and irritable bowel syndrome in The Netherlands and Japan. Scand. J. Gastroenterol. Suppl. 200, 33–41 (1993).

    Article  CAS  PubMed  Google Scholar 

  6. Araki, S. & Goto, Y. Peptic ulcer in male factory workers: a survey of prevalence, incidence, and aetiological factors. J. Epidemiol. Community Health 39, 82–85 (1985).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Khuroo, M.S., Mahajan, R., Zargar, S.A., Javid, G. & Munshi, S. Prevalence of peptic ulcer in India: an endoscopic and epidemiological study in urban Kashmir. Gut 30, 930–934 (1989).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Kurata, J., Nogawa, A., Watanabe, Y. & Kawai, K. Peptic ulcer disease mortality. Comparison of native Japanese, Japanese Americans, and Caucasian Americans. J. Clin. Gastroenterol. 18, 145–154 (1994).

    Article  CAS  PubMed  Google Scholar 

  9. Hansson, L.E. et al. The risk of stomach cancer in patients with gastric or duodenal ulcer disease. N. Engl. J. Med. 335, 242–249 (1996).

    Article  CAS  PubMed  Google Scholar 

  10. Kusters, J.G., van Vliet, A.H. & Kuipers, E.J. Pathogenesis of Helicobacter pylori infection. Clin. Microbiol. Rev. 19, 449–490 (2006).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Ainley, C.C., Forgacs, I.C., Keeling, P.W. & Thompson, R.P. Outpatient endoscopic survey of smoking and peptic ulcer. Gut 27, 648–651 (1986).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Räihä, I., Kemppainen, H., Kaprio, J., Koskenvuo, M. & Sourander, L. Lifestyle, stress, and genes in peptic ulcer disease: a nationwide twin cohort study. Arch. Intern. Med. 158, 698–704 (1998).

    Article  PubMed  Google Scholar 

  13. Kamatani, Y. et al. Genome-wide association study of hematological and biochemical traits in a Japanese population. Nat. Genet. 42, 210–215 (2010).

    Article  CAS  PubMed  Google Scholar 

  14. Clausen, H. & Hakomori, S. ABH and related histo-blood group antigens; immunochemical differences in carrier isotypes and their distribution. Vox Sang. 56, 1–20 (1989).

    Article  CAS  PubMed  Google Scholar 

  15. Walker, M.M. & Dixon, M.F. Gastric metaplasia: its role in duodenal ulceration. Aliment. Pharmacol. Ther. 10 (suppl. 1), 119–128 (1996).

    Article  PubMed  Google Scholar 

  16. Gu, Z. et al. Prostate stem cell antigen (PSCA) expression increases with high gleason score, advanced stage and bone metastasis in prostate cancer. Oncogene 19, 1288–1296 (2000).

    Article  CAS  PubMed  Google Scholar 

  17. Saeki, N., Gu, J., Yoshida, T. & Wu, X. Prostate stem cell antigen: a Jekyll and Hyde molecule? Clin. Cancer Res. 16, 3533–3538 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Wu, X. et al. Genetic variation in the prostate stem cell antigen gene PSCA confers susceptibility to urinary bladder cancer. Nat. Genet. 41, 991–995 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Nakai, K. & Kanehisa, M. A knowledge base for predicting protein localization sites in eukaryotic cells. Genomics 14, 897–911 (1992).

    Article  CAS  PubMed  Google Scholar 

  20. Edgren, G. et al. Risk of gastric cancer and peptic ulcers in relation to ABO blood type: a cohort study. Am. J. Epidemiol. 172, 1280–1285 (2010).

    Article  PubMed  Google Scholar 

  21. Nakao, M. et al. ABO genotype and the risk of gastric cancer, atrophic gastritis, and Helicobacter pylori infection. Cancer Epidemiol. Biomarkers Prev. 20, 1665–1672 (2011).

    Article  PubMed  Google Scholar 

  22. Marra, E. et al. Growth delay of human bladder cancer cells by Prostate Stem Cell Antigen downregulation is associated with activation of immune signaling pathways. BMC Cancer 10, 129 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Gu, Z., Yamashiro, J., Kono, E. & Reiter, R.E. Anti-prostate stem cell antigen monoclonal antibody 1G8 induces cell death in vitro and inhibits tumor growth in vivo via a Fc-independent mechanism. Cancer Res. 65, 9495–9500 (2005).

    Article  CAS  PubMed  Google Scholar 

  24. Raff, A.B., Gray, A. & Kast, W.M. Prostate stem cell antigen: a prospective therapeutic and diagnostic target. Cancer Lett. 277, 126–132 (2009).

    Article  CAS  PubMed  Google Scholar 

  25. Ohara, T., Morishita, T., Suzuki, H., Masaoka, T. & Ishii, H. Perforin and granzyme B of cytotoxic T lymphocyte mediate apoptosis irrespective of Helicobacter pylori infection: possible act as a trigger of peptic ulcer formation. Hepatogastroenterology 50, 1774–1779 (2003).

    Article  CAS  PubMed  Google Scholar 

  26. Yamamoto, F., Clausen, H., White, T., Marken, J. & Hakomori, S. Molecular genetic basis of the histo-blood group ABO system. Nature 345, 229–233 (1990).

    Article  CAS  PubMed  Google Scholar 

  27. Nakao, M. et al. ABO blood group alleles and the risk of pancreatic cancer in a Japanese population. Cancer Sci. 102, 1076–1080 (2011).

    Article  CAS  PubMed  Google Scholar 

  28. Fujita, Y., Tanaka, K. & Tanimura, M. The distribution of the Rh(D) blood types in Japan. Jinrui Idengaku Zasshi 23, 197–209 (1978).

    Article  CAS  PubMed  Google Scholar 

  29. Clarke, C.A. et al. The relationship of the ABO blood groups to duodenal and gastric ulceration. BMJ 2, 643–646 (1955).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Amundadottir, L. et al. Genome-wide association study identifies variants in the ABO locus associated with susceptibility to pancreatic cancer. Nat. Genet. 41, 986–990 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Reilly, M.P. et al. Identification of ADAMTS7 as a novel locus for coronary atherosclerosis and association of ABO with myocardial infarction in the presence of coronary atherosclerosis: two genome-wide association studies. Lancet 377, 383–392 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Harris, J.B. et al. Blood group, immunity, and risk of infection with Vibrio cholerae in an area of endemicity. Infect. Immun. 73, 7422–7427 (2005).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Aspholm-Hurtig, M. et al. Functional adaptation of BabA, the H. pylori ABO blood group antigen binding adhesin. Science 305, 519–522 (2004).

    Article  CAS  PubMed  Google Scholar 

  34. Wu, T.C., Chen, L.K. & Hwang, S.J. Seroprevalence of Helicobacter pylori in school-aged Chinese in Taipei City and relationship between ABO blood groups. World J. Gastroenterol. 9, 1752–1755 (2003).

    Article  PubMed  PubMed Central  Google Scholar 

  35. Nakamura, Y. The BioBank Japan Project. Clin. Adv. Hematol. Oncol. 5, 696–697 (2007).

    PubMed  Google Scholar 

  36. Tajima, K. et al. A model of practical cancer prevention for out-patients visiting a hospital: the hospital-based epidemiologic research program at Aichi Cancer Center (HERPACC). Asian Pac. J. Cancer Prev. 1, 35–47 (2000).

    PubMed  Google Scholar 

  37. Purcell, S. et al. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am. J. Hum. Genet. 81, 559–575 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Breslow, N.E. & Day, N.E. Statistical methods in cancer research. Volume II–The design and analysis of cohort studies. IARC Sci. Publ. 1–406 (1987).

  39. Scott, L.J. et al. A genome-wide association study of type 2 diabetes in Finns detects multiple susceptibility variants. Science 316, 1341–1345 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Tanikawa, C. et al. Regulation of protein Citrullination through p53/PADI4 network in DNA damage response. Cancer Res. 69, 8761–8769 (2009).

    Article  CAS  PubMed  Google Scholar 

  41. Barrett, J.C., Fry, B., Maller, J. & Daly, M.J. Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics 21, 263–265 (2005).

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We thank all the subjects and the members of the Rotary Club of Osaka-Midosuji District 2660 Rotary International in Japan, who donated their DNA for this work. We also thank A. Matsui and H. Tagaya and the technical staff of the Laboratory for Genotyping Development at the Center for Genomic Medicine at RIKEN for their technical support. This work was conducted as a part of the BioBank Japan Project, which was supported by the Ministry of Education, Culture, Sports, Science and Technology of the Japanese government.

Author information

Authors and Affiliations

Authors

Contributions

C.T., Y.N. and K. Matsuda conceived and designed the study. Y.U., K. Matsuo and M.K. performed genotyping. A.T. and N.K. performed quality control analysis for the GWAS. Y.N., K. Matsuda and M.K. managed DNA samples belonging to BioBank Japan. H.I. and K.T. managed DNA samples from the Aichi Cancer Center. C.T. analyzed and summarized all the results. C.T., Y.N. and K. Matsuda wrote the manuscript. Y.N. obtained funding for the study.

Corresponding author

Correspondence to Koichi Matsuda.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Supplementary information

Supplementary Text and Figures

Supplementary Figures 1–7, Supplementary Tables 1–14 and Supplementary Note (PDF 1060 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tanikawa, C., Urabe, Y., Matsuo, K. et al. A genome-wide association study identifies two susceptibility loci for duodenal ulcer in the Japanese population. Nat Genet 44, 430–434 (2012). https://doi.org/10.1038/ng.1109

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ng.1109

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing