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Dissecting Allele Architecture of Early Onset IBD Using High-Density Genotyping.


ABSTRACT:

Background

The inflammatory bowel diseases (IBD) are common, complex disorders in which genetic and environmental factors are believed to interact leading to chronic inflammatory responses against the gut microbiota. Earlier genetic studies performed in mostly adult population of European descent identified 163 loci affecting IBD risk, but most have relatively modest effect sizes, and altogether explain only ~20% of the genetic susceptibility. Pediatric onset represents about 25% of overall incident cases in IBD, characterized by distinct disease physiology, course and risks. The goal of this study is to compare the allelic architecture of early onset IBD with adult onset in population of European descent.

Methods

We performed a fine mapping association study of early onset IBD using high-density Immunochip genotyping on 1008 pediatric-onset IBD cases (801 Crohn's disease; 121 ulcerative colitis and 86 IBD undetermined) and 1633 healthy controls. Of the 158 SNP genotypes obtained (out of the 163 identified in adult onset), this study replicated 4% (5 SNPs out of 136) of the SNPs identified in the Crohn's disease (CD) cases and 0.8% (1 SNP out of 128) in the ulcerative colitis (UC) cases. Replicated SNPs implicated the well known NOD2 and IL23R. The point estimate for the odds ratio (ORs) for NOD2 was above and outside the confidence intervals reported in adult onset. A polygenic liability score weakly predicted the age of onset for a larger collection of CD cases (p< 0.03, R2= 0.007), but not for the smaller number of UC cases.

Conclusions

The allelic architecture of common susceptibility variants for early onset IBD is similar to that of adult onset. This immunochip genotyping study failed to identify additional common variants that may explain the distinct phenotype that characterize early onset IBD. A comprehensive dissection of genetic loci is necessary to further characterize the genetic architecture of early onset IBD.

SUBMITTER: Cutler DJ 

PROVIDER: S-EPMC4476779 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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Dissecting Allele Architecture of Early Onset IBD Using High-Density Genotyping.

Cutler David J DJ   Zwick Michael E ME   Okou David T DT   Prahalad Sampath S   Walters Thomas T   Guthery Stephen L SL   Dubinsky Marla M   Baldassano Robert R   Crandall Wallace V WV   Rosh Joel J   Markowitz James J   Stephens Michael M   Kellermayer Richard R   Pfefferkorn Marian M   Heyman Melvin B MB   LeLeiko Neal N   Mack David D   Moulton Dedrick D   Kappelman Michael D MD   Kumar Archana A   Prince Jarod J   Bose Promita P   Mondal Kajari K   Ramachandran Dhanya D   Bohnsack John F JF   Griffiths Anne M AM   Haberman Yael Y   Essers Jonah J   Thompson Susan D SD   Aronow Bruce B   Keljo David J DJ   Hyams Jeffrey S JS   Denson Lee A LA   Kugathasan Subra S  

PloS one 20150622 6


<h4>Background</h4>The inflammatory bowel diseases (IBD) are common, complex disorders in which genetic and environmental factors are believed to interact leading to chronic inflammatory responses against the gut microbiota. Earlier genetic studies performed in mostly adult population of European descent identified 163 loci affecting IBD risk, but most have relatively modest effect sizes, and altogether explain only ~20% of the genetic susceptibility. Pediatric onset represents about 25% of over  ...[more]

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