CARD15 gene mutations in sarcoidosis
M Schürmann1, R Valentonyte, J Hampe
1Institute of Human Genetics, University of Lübeck, Lübeck, Germany. schuerma@medinf.mu-luebeck.de
Insights
CARD15 gene mutations are significant in Blau syndrome and Crohn's disease but play no major role in sarcoidosis. Further research may explore limited importance in specific sarcoidosis patient groups.
Area of Science:
- Genetics
- Immunology
- Gastroenterology
Background:
- Sarcoidosis, Blau syndrome, and Crohn's disease are granulomatous inflammatory conditions.
- CARD15 gene mutations are linked to Crohn's disease and Blau syndrome.
- The role of CARD15 mutations in sarcoidosis requires investigation.
Purpose of the Study:
- To investigate the association between CARD15 gene mutations and sarcoidosis.
- To determine if CARD15 polymorphisms contribute to sarcoidosis development.
- To compare CARD15 mutation frequencies in sarcoidosis patients with those in Crohn's disease and Blau syndrome.
Main Methods:
- Genotyping of 138 families (302 sarcoidosis patients, 127 controls) for four CARD15 polymorphisms.
- Sequencing of the Blau syndrome mutation region in 39 selected sarcoidosis patients.
- Analysis of CARD15 transmission disequilibrium in families with affected siblings.
Main Results:
- No known Blau syndrome mutations or novel sequence alterations were identified in sarcoidosis patients.
- Increased transmission of rare alleles at CARD15 polymorphic sites 802C>T (SNP5) and 2722G>C (SNP12) was observed in some sarcoidosis groups.
- CARD15 mutations did not appear to be a major factor in the studied sarcoidosis population.
Conclusions:
- CARD15 mutations are not a primary cause of sarcoidosis in this population.
- The genetic contribution of CARD15 mutations to sarcoidosis may be limited, particularly in patients without a family history.
- Further studies are warranted to elucidate the precise role of CARD15 in specific sarcoidosis subgroups.
Abstract:
Sarcoidosis, Blau syndrome and Crohn's disease are complex disorders, characterised by granulomatous inflammation affecting a variety of organs. Mutations of the CARD15 gene, on chromosome 16, have been shown to contribute significantly to Crohn's disease and to cause Blau syndrome. These factors prompted the current authors to study CARD15 mutations in sarcoidosis. A total of 138 families were genotyped, including 302 patients with sarcoidosis and 127 patients without a family history of sarcoidosis (together with their parents), for four main coding CARD15 polymorphisms associated with increased risk of Crohn's disease. Furthermore, the gene segment that harbours Blau syndrome mutations was sequenced in 39 selected patients from 39 families with affected siblings identical for one or two parental chromosomes 16s and in eight patients from multi-case families. None of the reported Blau syndrome mutations and no new sequence alterations were found. There was an increased frequency of transmission of the rare allele of the polymorphic sites 802C>T (SNP5) and 2722G>C (SNP12) in at least one of the two study groups. In conclusion, CARD15 mutations, which are important in Crohn's disease and Blau syndrome, play no major role in sarcoidosis in this study population. However, these mutations could be of limited importance, especially in patients without a family history of sarcoidosis.
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