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Three common CARD15 mutations are not responsible for the pathogenesis of Crohn's disease in Iranians
Ladan Teimoori-Toolabi1, Homayoun Vahedi, Hamid Mollahajian
1Digestive Disease Research Center (DDRC), Shariati Hospital, Tehran University, Medical Sciences North Kargar Street, Tehran, Iran 14117-13135. liosha1380@yahoo.com
Insights
Common Caspase Recruitment Domain 15 (CARD15) gene mutations are not prevalent in Iranian Crohn's Disease patients. This study found the R702W mutation in only two patients, suggesting it is not a major factor in the disease's development in this population.
Area of Science:
- Genetics
- Gastroenterology
- Molecular Biology
Background:
- Crohn's disease incidence is rising in Iran.
- Caspase Recruitment Domain 15 (CARD15) gene mutations are known genetic risk factors for Crohn's disease.
- Previous studies have investigated CARD15 mutation frequencies in various ethnic groups.
Purpose of the Study:
- To determine the frequency of three common CARD15 mutations (Lf1007fs, R702W, G908R) in Iranian Crohn's disease patients.
- To assess the role of these specific CARD15 mutations in the pathogenesis of Crohn's disease within the Iranian population.
Main Methods:
- A case-control study involving 115 Crohn's disease patients and 115 healthy controls.
- Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP) was used to detect Lf1007fs, R702W, and G908R mutations.
- Positive cases identified by PCR-RFLP were further confirmed by sequencing.
Main Results:
- Lf1007fs and G908R mutations were absent in both patients and controls.
- The R702W mutation was detected in only two Crohn's disease patients.
- These two patients with the R702W mutation did not exhibit ileal or fibrostenotic disease and had no acquired complications.
Conclusions:
- The studied CARD15 mutations (Lf1007fs, R702W, G908R) do not appear to be significant contributors to Crohn's disease pathogenesis in Iranians.
- These findings align with previous research on inflammatory bowel disease (IBD) patients in other Asian countries.
- Further research may be needed to identify other genetic or environmental factors influencing Crohn's disease in Iran.
Background/Aims:
Crohn's disease frequency has increased in recent years in Iran. Genetic and environmental factors predispose people to this disease. Mutation in Caspase Recruitment Domain 15 (CARD15) gene is the most well known genetic predisposing factor to this disease. Frequency of three common CARD15 mutations has been studied in different ethnic groups. We aimed to study the frequency of these mutations in Iranian patients affected with Crohn's Disease.
Methodology:
One hundred fifteen proved cases of Crohn Disease and 115 age and sex matched normal controls were recruited in this study. Lf1007fs, R702W and G908R mutations were studied by Polymerase Chain Reaction-Restriction Fragment Length Polymorphims (PCR-RFLP) followed by sequencing the positive cases.
Results:
Lf1007fs and G908R mutations were not found in either patients or age-sex matched controls. Just in two patients, R702W mutation was proved by Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP) and sequencing. None of these patients had illeal or fibrostenotic type of disease while 14.7% of total patients had stricturing type of disease. No complication was seen in these two patients while 50.4% of patients had acquired complications during the course of disease.
Conclusion:
The three mutations described are not responsible for the pathogenesis of Crohn's Disease in Iranians. The results are in accordance with other Asian nations' studies on IBD Patients.
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