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Evidence for common genetic control in pathways of inflammation for Crohn's disease and psoriatic arthritis
Pauline Ho1, Ian N Bruce, Alan Silman
1University of Manchester, Stopford Building, Oxford Road, Manchester M13 9PT, UK. Pauline.Ho@manchester.ac.uk
Insights
Psoriatic arthritis (PsA) shares genetic links with Crohn's disease, specifically involving the OCTN gene haplotype. This finding suggests common inflammatory pathways may underlie both conditions, impacting genetic research.
Area of Science:
- Genetics and Immunology
- Inflammatory Diseases
- Molecular Biology
Background:
- Growing evidence suggests shared genetic pathways in inflammatory diseases.
- Previous research linked Crohn's disease gene CARD15 to psoriatic arthritis (PsA).
- A Crohn's disease susceptibility locus involving OCTN genes (SLC22A4/SLC22A5) was recently identified.
Purpose of the Study:
- To investigate the association of PsA with known Crohn's disease susceptibility genes.
- To further elucidate shared genetic underpinnings between PsA and Crohn's disease.
Main Methods:
- Genotyping of CARD15 and OCTN single-nucleotide polymorphisms (SNPs) in UK Caucasian PsA patients (n=472) and controls (n=594).
- Analysis of a specific OCTN haplotype previously associated with Crohn's disease.
- Comparison of allele and haplotype frequencies between patient and control groups.
Main Results:
- No association was found between PsA and CARD15.
- A significant association was detected between PsA and a functional SNP in SLC22A5 (rs2631367).
- The Crohn's disease-associated OCTN haplotype was also significantly associated with PsA (P=0.001).
Conclusions:
- The OCTN haplotype linked to Crohn's disease is also associated with PsA.
- These findings support the hypothesis that PsA and Crohn's disease share common genetic control mechanisms in inflammatory pathways.
- No association was observed in patients with psoriasis alone or undifferentiated inflammatory arthritis.
Objective:
Clinical, pharmacologic, and epidemiologic evidence supports the hypothesis that common genetic pathways may underlie inflammatory diseases. In a previous study, a Crohn's disease gene, CARD15, was demonstrated to be associated with psoriatic arthritis (PsA). Recently, a functional haplotype of 2 single-nucleotide polymorphisms (SNPs) mapping to the organic cation transporter (OCTN) genes, SLC22A4 and SLC22A5, was identified as a second Crohn's disease susceptibility locus. The SLC22A4 gene has also been associated with rheumatoid arthritis. This study was undertaken to further elucidate associations of PsA with Crohn's disease susceptibility genes.
Methods:
Association with CARD15 and OCTN was investigated in UK Caucasian patients with PsA (n = 472) and population controls (n = 594), using 5' allelic discrimination assays (TaqMan). Two SNPs in OCTN, forming a haplotype previously associated with Crohn's disease, were also tested in patients with psoriasis (n = 218) and patients with early undifferentiated inflammatory arthritis (n = 386). Allele and estimated haplotype frequencies were compared between patients and controls.
Results:
No association of PsA with CARD15 was detected. In contrast, a functional SNP mapping to the promoter region of SLC22A5 (rs2631367) was associated with PsA (for CC versus GG, odds ratio 1.65, 95% confidence interval 1.13-2.41, uncorrected P = 0.005). In addition, the haplotype associated with Crohn's disease was also associated with PsA (P = 0.001). No association was detected in the cohort with psoriasis alone or in the cohort with undifferentiated inflammatory arthritis.
Conclusion:
The OCTN haplotype previously associated with Crohn's disease is also associated with PsA, suggesting that these 2 diseases may share some common genetic control in pathways of inflammation.
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