Evidence map›Paper›PMID 34165249›Full record

ArticleJournal of cellular and molecular medicine2021

The alternative serotonin transporter promoter P2 impacts gene function in females with irritable bowel syndrome.

Sandra Mohr, Nikola Fritz, Christian Hammer, Cristina Martínez, Sabrina Berens, Stefanie Schmitteckert, Verena Wahl, Malin Schmidt, Lesley A Houghton, Miriam Goebel-Stengel and 46 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of cellular and molecular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Atypical antipsychotic drug olanzapine inhibits 5-HTThe Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2025
    Article
  3. Genetics of irritable bowel syndrome: shifting gear via biobank-scale studies.Nature reviews. Gastroenterology & hepatology · 2022
    Review
  4. Article
  5. Article
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

56 authors at 20 institutions in 14 countries.

Sandra MohrDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.
Nikola FritzDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.
Christian HammerDepartment of Cancer Immunology, Genentech, South San Francisco, CA, USA.ORCID 0000-0003-4548-7548
Cristina MartínezDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-3302-1129
Sabrina BerensDepartment of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-8585-5304
Stefanie SchmitteckertDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-9555-2614
Verena WahlDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.
Malin SchmidtDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.
Lesley A HoughtonSt. James's University Hospital, University of Leeds, Leeds, UK.ORCID 0000-0002-5351-0229
Miriam Goebel-StengelDepartment of Psychosomatic Medicine, University Hospital Tübingen, Tübingen, Germany.
Maria KabischInstitute of Medical Biometry and Informatics, Heidelberg University, Heidelberg, Germany.
Dorothea GötzeDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.
Irina MilovačFaculty of Medicine, University Banja Luka, Banja Luka, Bosnia and Herzegovina.
Mauro D'AmatoSchool of Biological Sciences, Monash University, Clayton, VIC, Australia.ORCID 0000-0003-2743-5197
Tenghao ZhengSchool of Biological Sciences, Monash University, Clayton, VIC, Australia.ORCID 0000-0003-1587-7481
Ralph RöthDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.
Hubert MönnikesMartin-Luther-Hospital, Berlin, Germany.
Felicitas EngelDepartment of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-9300-5681
Annika GaussDepartment of Gastroenterology, Infectious Diseases and Intoxications, Heidelberg University, Heidelberg, Germany.ORCID 0000-0001-8661-449X
Jonas TesarzDepartment of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-3268-7778
Martin RaithelUniversity of Erlangen, Erlangen, Germany.ORCID 0000-0002-7654-080X
Viola AndresenIsraelitisches Krankenhaus, Hamburg, Germany.ORCID 0000-0002-3695-3327
Thomas FrielingHelios Klinik Krefeld, Krefeld, Germany.ORCID 0000-0001-8270-1975
Jutta KellerIsraelitisches Krankenhaus, Hamburg, Germany.ORCID 0000-0002-5884-1115
Christian PehlKrankenhaus Vilsbiburg, Vilsbiburg, Germany.
Christoph Stein-ThöringerGerman Cancer Research Center, Heidelberg, Germany.ORCID 0000-0002-8020-6986
Gerard ClarkeDepartment of Psychiatry and Neurobehavioral Science, University College Cork, Cork, Ireland.ORCID 0000-0001-9771-3979
Paul J KennedyDepartment of Psychiatry and Neurobehavioral Science, University College Cork, Cork, Ireland.ORCID 0000-0002-3092-7830
John F CryanDepartment of Psychiatry and Neurobehavioral Science, University College Cork, Cork, Ireland.ORCID 0000-0001-5887-2723
Timothy G DinanDepartment of Psychiatry and Neurobehavioral Science, University College Cork, Cork, Ireland.ORCID 0000-0002-2316-7220
Eamonn M M QuigleyAPC Microbiome Ireland, University College Cork, Cork, Ireland.ORCID 0000-0003-4151-7180
Robin SpillerNottingham Digestive Diseases Centre, University of Nottingham, Nottingham, UK.ORCID 0000-0001-6371-4500
Caroll BeltránGastroenterology Unit, Hospital Clínico Universidad de Chile, Medicine Department, Universidad de Chile, Santiago de Chile, Chile.
Ana María MadridGastroenterology Unit, Hospital Clínico Universidad de Chile, Medicine Department, Universidad de Chile, Santiago de Chile, Chile.ORCID 0000-0002-8320-2358
Verónica TorresGastroenterology Unit, Hospital Clínico Universidad de Chile, Medicine Department, Universidad de Chile, Santiago de Chile, Chile.
Edith Pérez de ArceGastroenterology Unit, Hospital Clínico Universidad de Chile, Medicine Department, Universidad de Chile, Santiago de Chile, Chile.ORCID 0000-0002-8990-7594
Wolfgang HerzogDepartment of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-2778-4135
Emeran A MayerOppenheimer Center for Neurobiology of Stress, University of California, Los Angeles, CA, USA.ORCID 0000-0003-3923-3349
Gregory SayukWashington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-1586-199X
Maria GazouliLaboratory of Biology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-3295-6811
George KaramanolisAcademic Department of Gastroenterology, Medical School, National and Kapodistrian University of Athens, "Laikon" General Hospital, Athens, Greece.ORCID 0000-0001-9872-1276
Lejla Kapur-PojskičInstitute for Genetic Engineering and Biotechnology, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.ORCID 0000-0003-2260-318X
Mariona BustamanteCRG, Centre for Genomic Regulation, Barcelona, Spain.ORCID 0000-0003-0127-2860
Raquel RabionetDepartment of Genetics, Microbiology and Statistics, Faculty of Biology, IBUB, CIBERER, IRSJD, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0001-5006-8140
Xavier EstivilCRG, Centre for Genomic Regulation, Barcelona, Spain.ORCID 0000-0002-0723-2256
André FrankeInstitute of Clinical Molecular Biology, Kiel, Germany.ORCID 0000-0003-1530-5811
Wolfgang LiebInstitute of Epidemiology, Kiel, Germany.ORCID 0000-0003-2544-4460
Guy BoeckxstaensTARGID, University Hospital Leuven, Leuven, Belgium.ORCID 0000-0001-8267-5797
Mira M WoutersTARGID, University Hospital Leuven, Leuven, Belgium.ORCID 0000-0002-3438-1919
Magnus SimrénInstitute of Medicine, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-1155-1313
Gudrun A RappoldDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-3126-1508
Maria VicarioInstitut de Recerca Vall d'Hebron, Hospital Vall d'Hebron, Barcelona, Spain.ORCID 0000-0001-9622-3185
Javier SantosInstitut de Recerca Vall d'Hebron, Hospital Vall d'Hebron, Barcelona, Spain.ORCID 0000-0002-4798-5033
Rainer SchaefertDepartment of Psychosomatic Medicine, Division of Internal Medicine, University Hospital Basel, Basel, Switzerland.ORCID 0000-0002-3077-7289
Justo Lorenzo-BermejoInstitute of Medical Biometry and Informatics, Heidelberg University, Heidelberg, Germany.ORCID 0000-0002-6568-5333
Beate NieslerDepartment of Human Molecular Genetics, Institute of Human Genetics, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-7881-6112
Heidelberg University · DEHospital Clínico de la Universidad de Chile · CLUniversity College Cork · IECentre for Genomic Regulation · ESClinical Research Center Kiel · DEIsraelitisches Krankenhaus · DEKU Leuven · BENational and Kapodistrian University of Athens · GRVall d'Hebron Institut de Recerca · ESZimmer Biomet (Netherlands) · NLCentre for Biomedical Network Research on Rare Diseases · ESCornell University · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DEGerman Cancer Research Center · DEHelios Klinikum Krefeld · DEIkerbasque · ESInstitute of Human Genetics · PLKarolinska Institutet · SEKrankenhaus vom Roten Kreuz · DEMartin-Luther-Krankenhaus · DE

Funding

Health Research Board POR/2011/23Science Foundation Ireland SFI/12/RC/2273 P2
6 · The paper itself

Abstract

Irritable bowel syndrome (IBS) is a gut-brain disorder in which symptoms are shaped by serotonin acting centrally and peripherally. The serotonin transporter gene SLC6A4 has been implicated in IBS pathophysiology, but the underlying genetic mechanisms remain unclear. We sequenced the alternative P2 promoter driving intestinal SLC6A4 expression and identified single nucleotide polymorphisms (SNPs) that were associated with IBS in a discovery sample. Identified SNPs built different haplotypes, and the tagging SNP rs2020938 seems to associate with constipation-predominant IBS (IBS-C) in females. rs2020938 validation was performed in 1978 additional IBS patients and 6,038 controls from eight countries. Meta-analysis on data from 2,175 IBS patients and 6,128 controls confirmed the association with female IBS-C. Expression analyses revealed that the P2 promoter drives SLC6A4 expression primarily in the small intestine. Gene reporter assays showed a functional impact of SNPs in the P2 region. In silico analysis of the polymorphic promoter indicated differential expression regulation. Further follow-up revealed that the major allele of the tagging SNP rs2020938 correlates with differential SLC6A4 expression in the jejunum and with stool consistency, indicating functional relevance. Our data consolidate rs2020938 as a functional SNP associated with IBS-C risk in females, underlining the relevance of SLC6A4 in IBS pathogenesis.

Indexed as

PhenotypePolymorphism, Single NucleotidePromoter Regions, GeneticBiomarkersFemaleHaplotypesHumansIntestinal MucosaIrritable Bowel SyndromeSerotoninSerotonin Plasma Membrane Transport ProteinsBiomarkersSerotoninSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human5-HTIBSIBS-Cserotonin transporter

Identifiers

PMID34165249
PMCPMC8358858
OpenAlexW3174449504

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.