Evidence map›Paper›PMID 29912753›Full record

ArticleJournal of clinical gastroenterology2019

Comparison of Lactase Variant MCM6 -13910 C>T Testing and Self-report of Dairy Sensitivity in Patients With Irritable Bowel Syndrome.

Ann E Almazar, Joseph Y Chang, Joseph J Larson, Elizabeth J Atkinson, G Richard Locke, Nicholas J Talley, Yuri A Saito

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. The role of genetics in IBS.Gastroenterology clinics of North America · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Ann E AlmazarEnteric NeuroScience Program, Division of Gastroenterology and Hepatology.
Joseph Y ChangEnteric NeuroScience Program, Division of Gastroenterology and Hepatology.
Joseph J LarsonDepartment of Health Sciences Research, Division of Biomedical Statistics and Informatics, Mayo Clinic College of Medicine and Science, Rochester, MN.
Elizabeth J AtkinsonDepartment of Health Sciences Research, Division of Biomedical Statistics and Informatics, Mayo Clinic College of Medicine and Science, Rochester, MN.
G Richard LockeEnteric NeuroScience Program, Division of Gastroenterology and Hepatology.
Nicholas J TalleyEnteric NeuroScience Program, Division of Gastroenterology and Hepatology.
Yuri A SaitoEnteric NeuroScience Program, Division of Gastroenterology and Hepatology.
Mayo Clinic · USUniversity of Newcastle Australia · AU

Funding

Genetic epidemiology of irritable bowel syndrome (IBS)K23DK066271 · NIDDK · MAYO CLINIC ROCHESTER · PI SAITO LOFTUS, YURI ANN · 2004 to 2008
$630k
A candidate gene association study of irritable bowel syndromeR03DK076797 · NIDDK · MAYO CLINIC ROCHESTER · PI SAITO LOFTUS, YURI ANN · 2008 to 2009
$151k
NIDDK NIH HHS K23 DK066271NIDDK NIH HHS R03 DK076797
6 · The paper itself

Abstract

goalsTo evaluate agreement of MCM6-13910 with self-report of dairy sensitivity (DS) and lactose hydrogen methane breath test (LHMBT) results in subjects with irritable bowel syndrome (IBS).

backgroundIBS is a functional gastrointestinal disorder with symptoms including abdominal pain, variable bowel habits, and bloating. Adult patients with lactose malabsorption may present with similar symptoms. Patients with lactose malabsorption have a lactase nonpersistent (LNP) phenotype. Recent studies found 2 single nucleotide polymorphisms associated with LNP: G/A-22018 and C/T-13910. STUDY: Genotyping the MCM6-13910 variant of LNP in 538 IBS patients and 317 controls (without IBS). Subjects completed questionnaires pertaining to gastrointestinal problems and dietary consumption, with charts abstracted.

resultsSelf-reported DS was higher in IBS (45%) than controls (9.8%, odds ratio=6.46, P<0.001). The C/C-13910 genotype was similar in IBS cases and controls, 81 (15.1%) and 47 (14.8%). Among subjects reporting DS, 49 (18.0%) had the C/C genotype. Overall agreement between genotype and self-reported DS was 0.06 in IBS and 0.07 in controls. There were 20 subjects with LHMBT results; 3 had positive results, 17 were negative. LNP genotypes were found in all 3 of positive LHMBT results; 16 had negative LHMBT among the 17 who were lactase persistent. Agreement between C/C-13910 genotype and LHMBT was excellent with κ-statistic of 0.83 (0.50-1.00).

conclusionsIn IBS patients, self-report of lactose intolerance are highly prevalent but are a poor indicator of underlying C/C-13910 genotype. LHMBT had excellent agreement with C/C-13910 genotype.

Indexed as

AdolescentAdultAgedBreath TestsCase-Control StudiesFemaleGenotypeHumansIrritable Bowel SyndromeLactaseLactose IntoleranceMaleMiddle AgedMinichromosome Maintenance Complex Component 6Polymorphism, Single NucleotidePrevalenceLactaseMCM6 protein, humanMinichromosome Maintenance Complex Component 6

Identifiers

PMID29912753
PMCPMC6295355
OpenAlexW2807875152

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.