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Updated: Jul 5, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Role of functional polymorphisms of NRAMP1 gene for the development of Crohn's disease
Maria Gazouli1, Vassilios Atsaves, Gerassimos Mantzaris
1Department of Biology, School of Medicine, University of Athens, Greece. mgazouli@med.uoa.gr
Background:
Crohn's disease (CD) is characterized by chronic activation of macrophages. Natural resistance-associated macrophage protein 1 (NRAMP1) gene exerts many pleiotropic effects on macrophage functions. Hence, NRAMP1 may be also involved in the resistance to intracellular pathogens, and this effector of the innate immunity might be involved in CD pathogenesis. Polymorphic alleles at the NRAMP1 locus have been previously associated with susceptibility both to the putative infectious agents and to autoimmune disorders. Based on these indications, in the present study we investigate its candidacy as a genetic determinant for CD in a Greek population in an association-based study, comparing frequencies of 274 CD patients to these of 200 healthy control subjects.
Methods:
The 5'(GT)n promoter polymorphism and 9 either single nucleotide (SNPs) or insertion/deletion type polymorphisms were genotyped across the NRAMP1 gene. Reverse-transcriptase polymerase chain reaction (RT-PCR) and immunohistochemistry were performed in order to investigate the NRAMP1 mRNA levels in RNA isolated from biopsies of CD patients as well as protein expression in tissues.
Results:
Three NRAMP1 polymorphisms [5'(GT)n, D543N, and INT4G/C] were significantly associated with CD. Consistent with previous autoimmune disease studies, allele 3 at the functional 5'(GT)n promoter region repeat polymorphism, was significantly associated with CD when compared to healthy controls (odds ratio 1.50; 95% confidence interval [CI]: 1.16-1.95; P = 0.002). Interestingly, we observed that CD patients homozygous for allele 3 expressed higher NRAMP1 mRNA levels compared to carriers of allele 2. Furthermore, the protein levels of allele 3 carriers in tissues were also elevated compared to those of allele 2 carriers. Based on these data we can speculate that overrepresentation of allele 3 in CD patients could lead to hyperactivation of bowel-wall macrophages that are chronically exposed to lipopolysaccharide and this could subsequently cause the autoimmune-like phenotype characteristic of CD.
Conclusions:
Collectively, our data indicate that genetic polymorphisms of NRAMP1 might be associated with susceptibility to CD.
Insights
Genetic variations in the Natural Resistance-Associated Macrophage Protein 1 (NRAMP1) gene are linked to Crohn's disease (CD) susceptibility. Specific NRAMP1 polymorphisms correlate with increased NRAMP1 expression, potentially driving CD pathogenesis.
Area of Science:
- Genetics
- Immunology
- Gastroenterology
Background:
- Crohn's disease (CD) involves chronic macrophage activation.
- The NRAMP1 gene influences macrophage function and innate immunity.
- NRAMP1 polymorphisms have been linked to autoimmune disorders.
Purpose of the Study:
- To investigate NRAMP1 as a genetic determinant for CD in a Greek population.
- To compare NRAMP1 allele frequencies in CD patients versus healthy controls.
Main Methods:
- Genotyping of NRAMP1 polymorphisms, including 5'(GT)n and others.
- Analysis of NRAMP1 mRNA levels via RT-PCR.
- Assessment of NRAMP1 protein expression using immunohistochemistry.
Main Results:
- Three NRAMP1 polymorphisms (5'(GT)n, D543N, INT4G/C) showed significant association with CD.
- Allele 3 of the 5'(GT)n promoter polymorphism was linked to increased CD risk (OR 1.50, P=0.002).
- CD patients with allele 3 exhibited higher NRAMP1 mRNA and protein levels.
Conclusions:
- Genetic polymorphisms in NRAMP1 are associated with susceptibility to Crohn's disease.
- Elevated NRAMP1 expression due to specific alleles may contribute to CD pathogenesis.
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