Contribution of OCTN variants within the IBD5 locus to pediatric onset Crohn's disease

Umesh Babusukumar1, Tao Wang, Erin McGuire

  • 1Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.

Insights

We confirm organic cation transporter (OCTN) gene variants are associated with pediatric Crohn's disease (CD). However, their independent role and genotype-phenotype correlations in pediatric CD require further investigation.

Area of Science:

  • Genetics
  • Gastroenterology
  • Immunology

Background:

  • The IBD5 locus on chromosome 5q31 is a known susceptibility locus for adult Crohn's disease (CD).
  • Organic cation transporter (OCTN) gene cluster polymorphisms within IBD5 have been linked to CD in adults.
  • The role of OCTN genes in pediatric CD remains largely unexplored.

Purpose of the Study:

  • To investigate the association of OCTN gene variants with pediatric-onset CD.
  • To examine genotype-phenotype correlations in children with CD.
  • To assess potential interactions between OCTN variants and CARD15 in pediatric CD.

Main Methods:

  • Genotyping of 264 Caucasian pediatric CD patients (including 172 trios) and 527 controls.
  • Analysis of OCTN1 (SLC22A4 C1672T) and OCTN2 (SLC22A5 G-207C) variants.
  • TDT and case-control analyses were performed for association studies.

Main Results:

  • TDT confirmed the association of SLC22A4 and SLC22A5 with CD.
  • A significant association was found between the SLC22A4 1672T, SLC22A5-207C diplotype and CD susceptibility (p=0.04).
  • Limited correlation was observed between the OCTN diplotype and clinical phenotype, and no significant interaction with CARD15 SNPs was found.

Conclusions:

  • OCTN variants (SLC22A4 and SLC22A5) are associated with pediatric-onset CD, consistent with adult findings.
  • No independent association of OCTN variants with pediatric CD was demonstrated when considering an extended IBD5 haplotype.
  • The association of OCTN variants in pediatric CD appears weaker than in adults, and definitive conclusions regarding their causative role are pending.
Abstract

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