Document Detail


The relationship between the development of alcoholic liver and pancreatic diseases and the induction of gamma glutamyl transferase.
MedLine Citation:
PMID:  7911669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is well known that the responses of serum gamma glutamyl transferase (GGT) to chronic alcohol drinking are different depending on the individual. In order to clarify the genetic backgrounds in the development of alcoholic liver and pancreatic diseases, the relationships between serum GGT response and alcoholic liver and pancreatic diseases in heavy drinkers were studied. The responses of GGT to alcohol drinking were classified into three groups: non-response, mild-response and hyperresponse. In alcoholic liver disease, non-responders were scarcely found and the response of GGT tended to increase in parallel with the progression of liver disease, when the hepatitis C virus (HCV) marker-positive patients were excluded. The differences in GGT levels between just after and at 4 weeks after abstinence in the HCV marker-negative patients were significantly higher than those in the HCV marker-positive patients. The rate of decrease in GGT activities during 4 weeks following abstinence was significantly higher in the HCV marker-negative patients than in the HCV marker-positive patients, indicating higher GGT induction in the HCV marker-positive patients. All patients with alcoholic pancreatitis, but without liver disease, were non-responders. All patients, except one, with severe pancreatitis were also non-responders. In alcoholic pancreatic disease, GGT induction correlated negatively with the development of pancreatitis. These results suggested that genetic polymorphism of GGT may link with the induction of GGT by alcohol drinking, and consequently link with the development of alcoholic liver and pancreatic diseases.
Authors:
Y Matsuda; M Tsuchishima; Y Ueshima; S Takase; A Takada
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Alcohol and alcoholism (Oxford, Oxfordshire). Supplement     Volume:  1B     ISSN:  1358-6173     ISO Abbreviation:  Alcohol Alcohol Suppl     Publication Date:  1993  
Date Detail:
Created Date:  1994-07-21     Completed Date:  1994-07-21     Revised Date:  2008-02-26    
Medline Journal Info:
Nlm Unique ID:  8804836     Medline TA:  Alcohol Alcohol Suppl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  27-33     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Kanazawa Medical University, Ishikawa, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Alcohol Drinking / adverse effects*
Chronic Disease
Enzyme Induction / genetics
Female
Humans
Liver Cirrhosis, Alcoholic / enzymology,  genetics
Liver Diseases, Alcoholic / enzymology*,  genetics
Male
Middle Aged
Pancreatitis / enzymology*,  genetics
Polymerase Chain Reaction
Polymorphism, Genetic / genetics
Risk Factors
gamma-Glutamyltransferase / blood*,  genetics
Chemical
Reg. No./Substance:
EC 2.3.2.2/gamma-Glutamyltransferase

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