In recent years MALDI-TOF MS gained importance for high-throughput
DNA analysis. In the present study this technique was used for the pathogenetic analysis of
gallstone disease. The intestinal
apical sodium-dependent bile acid transporter (ASBT) shows a genetic association with
gallstone disease. ASBT has 3 binding sites in its
5'UTR for
hepatocyte nuclear factor 1alpha (HNF1alpha). We hypothesized that genetic alterations in the HNF1alpha gene could influence ASBT expression. The gene HNF1alpha was sequenced in 46 Stuttgart random samples, composed of 16 controls and 30
gallstone patients. Subsequently, two independent cohorts (Stuttgart: 67
gallstones carriers, 109 controls, Leutkirch: 112
gallstone carriers, 99 controls) were screened by MALDI-TOF MS. The subjects were further divided by gender and weight. 24 known polymorphisms and two novel SNPs in the
3'UTR of HNF1alpha were detected (c.*220G>A and c.*1151G>A). After gender-specific sub-division of the pooled cohorts, 4 SNPs resulted in significant differences between male
gallstone carriers and male controls (Stuttgart/Leutkirch: rs2255531 OR=2.78; p=0.006, rs1169288 OR=2.13; p=0.032, rs7310409 OR=2.34; p=0.025 and rs1169294 OR=2.13; p=0.031). Two novel variants in the
3'UTR of HNF1alpha were detected and four SNPs of HNF1alpha show a significant association to
cholelithiasis in male
gallstone patients. This article is part of a Special Section entitled: Understanding genome regulation and genetic diversity by mass spectrometry.