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Frequency of CARD15 polymorphisms in patients with Crohn's disease from Toledo, Spain: genotype-phenotype correlation
Carles De Diego1, Mariano Alcántara, Julio Valle
1Department of Genetics, Hospital Virgen de la Salud, Toledo, Spain. cadedi@sescam.jccm.es
Insights
Genetic variations in CARD15 influence Crohn's disease (CD) risk. Specific CARD15 polymorphisms (R702W, G908R, 1007fs) were more frequent in Spanish CD patients, with R702W linked to early onset and stricturing disease.
Area of Science:
- Genetics
- Gastroenterology
- Molecular Biology
Background:
- Crohn's disease (CD) is a complex inflammatory bowel disease with genetic and environmental influences.
- Three CARD15 gene polymorphisms (R702W, G908R, 1007fs) are known risk factors for CD.
Purpose of the Study:
- To investigate the frequencies of CARD15 R702W, G908R, and 1007fs polymorphisms in a Spanish population.
- To explore genotype-phenotype associations between CARD15 variants and CD characteristics.
Main Methods:
- Genotyping of 183 CD patients and 172 healthy controls from Toledo, Spain.
- Analysis of allele frequencies for R702W, G908R, and 1007fs CARD15 polymorphisms.
- Statistical analysis to identify genotype-phenotype correlations.
Main Results:
- CARD15 polymorphism frequencies in controls aligned with previous studies.
- Elevated allele frequencies for R702W (7.6%), G908R (3.0%), and 1007fs (4.6%) were observed in CD patients compared to controls.
- Significant association found between R702W and early onset/stricturing CD phenotypes, particularly with two susceptibility variants.
Conclusions:
- CARD15 polymorphisms are more prevalent in Spanish CD patients.
- The R702W polymorphism is associated with specific clinical manifestations of Crohn's disease, including early onset and disease stricture.
Abstract:
Crohn's disease (CD) presents a complex multifactorial etiology with genetic and environmental factors contributing to the disorder. Epidemiological studies have shown that three major CARD15 polymorphisms, R702W, G908R, and 1007fs, are associated with CD. We studied the frequencies of these three polymorphisms in patients from Toledo, Spain, and compared them with the frequencies found in studies of other populations. A total of 183 patients with CD and 172 healthy controls from Toledo, Spain, were included in this study. All of these individuals were genotyped for the three CARD15 polymorphisms R702W, G908R, and 1007fs. Frequencies were analyzed to identify any genotype-phenotype associations. The control population exhibited frequencies of CARD15 polymorphisms similar to the results of previous studies, 3.4%, 1.1%, and 2.0% for the R702W, G908R, and 1007fs polymorphisms, respectively, whereas CD patients had allele frequencies of 7.6%, 3.0%, and 4.6%, respectively. Significant associations were found between the presence of R702W and patients carrying two susceptibility variants with early age of onset and stricturing pattern.
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