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Updated: Jun 19, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
No association between a promoter NOS1 polymorphism (rs41279104) and Infantile Hypertrophic Pyloric Stenosis
Kristina Lagerstedt-Robinson1, Anna Svenningsson, Agneta Nordenskjöld
1Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. kristina.lagerstedt@ki.se
Insights
This study investigated a specific gene variant (rs41279104) in infantile hypertrophic pyloric stenosis (IHPS). The research found no association between this genetic marker and the condition in familial or sporadic cases.
Area of Science:
- Pediatric Surgery
- Medical Genetics
- Gastroenterology
Background:
- Infantile hypertrophic pyloric stenosis (IHPS) is a congenital condition causing gastric outlet obstruction in infants.
- The exact etiology of IHPS remains unknown, with suspected genetic and environmental contributions.
- Previous research identified a potential association between a nitric oxide synthase gene (NOS1) polymorphism (rs41279104) and IHPS in a small patient cohort.
Purpose of the Study:
- To investigate the association of the NOS1 promoter single nucleotide polymorphism (rs41279104) with infantile hypertrophic pyloric stenosis (IHPS).
- To validate or refute the previously reported link between this specific SNP and IHPS in a larger cohort, including familial and sporadic cases.
Main Methods:
- Case-control study design comparing IHPS patients (familial and sporadic) with healthy controls.
- Genotyping of the NOS1 rs41279104 single nucleotide polymorphism.
- Statistical analysis using univariate and multiple logistic regression models to assess the association.
Main Results:
- The study analyzed 54 familial and 28 sporadic cases of IHPS.
- No statistically significant association was found between the rs41279104 polymorphism in the NOS1 gene and infantile hypertrophic pyloric stenosis.
- The findings did not replicate the previously suggested link between this SNP and IHPS.
Conclusions:
- The investigated single nucleotide polymorphism (rs41279104) in the NOS1 gene promoter is not significantly associated with infantile hypertrophic pyloric stenosis (IHPS).
- Further research is needed to elucidate the genetic underpinnings of IHPS, as this specific SNP does not appear to be a contributing factor.
Abstract:
Infantile hypertrophic pyloric stenosis (IHPS) is a condition affecting infants in the first few months of life. The condition is manifested by persistent vomiting and is caused by a hypertrophied muscle obstructing the gastric outlet. The condition is treated by pyloromyotomy. The incidence is 1-8/1000 births and varies among different populations. The etiology of IHPS is unknown, but both genetic and environmental factors are thought to contribute to the disease. Genetic linkage analysis has so far localized five loci that could harbor genes contributing to IHPS. The only gene implicated in IHPS is the nitric oxide synthase gene (NOS1), in which a single nucleotide polymorphism (rs41279104) in the promoter region has been associated with the disease in 16 patients. In this study, we examined an association of this SNP in 54 familial and 28 sporadic cases with IHPS, and compared the results with normal controls using univariate and multiple logistic regression analysis. We could not confirm any association between the analyzed SNP and infantile hypertrophic pyloric stenosis.
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