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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.
Background & Aims:
The IBD5 locus on chromosome 5q31 is a confirmed Crohn's disease (CD) susceptibility locus in adults. Recently, two polymorphisms in the organic cation transporter (OCTN) gene cluster within the IBD5 locus have been found to be associated with CD. Although the original report of significant linkage to IBD5 was in families with at least one case of early age at onset CD, there are no published reports on the role of OCTN genes in pediatric onset CD. We performed a comprehensive analysis of OCTN variants in an independent, exclusively pediatric onset CD cohort and examined the genotype/phenotype correlations.
Methods:
264 Caucasian CD children (172 of them were trios) were genotyped along with 527 controls for OCTN1 (SLC22A4 C1672T), OCTN2 (SLC22A5 G-207C), and two haplotype-tagging SNPs (IGR2230 and IGR2198).
Results:
TDT confirmed the association of SLC22A4 and SLC22A5. Case-control analysis of the SLC22A4 1672T, SLC22A5-207C diplotype showed significant association (p=0.04) with CD susceptibility compared with controls. Little correlation was seen with regard to clinical phenotype and the SLC22A4/SLC22A5 diplotype. There was no significant interaction between the SLC22A4/SLC22A5 diplotype and the three CD-associated CARD15 SNPs.
Conclusions:
We confirm the association of the OCTN variants (SLC22A4 and SLC22A5) in pediatric onset CD as seen in adult CD cohorts. However, when an extended IBD5 haplotype was examined, no independent association between OCTN variants and pediatric onset CD can be demonstrated. Compared with adults, a relatively weak association of the OCTN variants was observed in our CD cohort. No definitive genotype-phenotype correlation or gene-gene interactions with CARD15 were observed. Although the IBD5 locus is associated with pediatric onset CD, no definitive conclusions can be drawn about OCTN variants as causative genes in pediatric CD at this point.
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