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Published on: September 22, 2019
Association of CARD8 with inflammatory bowel disease in Koreans
Suk-Kyun Yang1, Hyeri Kim, Myunghee Hong
1Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Insights
Genetic variants in CARD8 (Caspase recruitment domain-containing protein 8) are associated with inflammatory bowel disease (IBD) in Koreans. Specific CARD8 SNPs linked to ulcerative colitis and Crohn
Area of Science:
- Genetics
- Immunology
- Gastroenterology
Background:
- Caspase recruitment domain (CARD)-containing protein 8 (CARD8) is implicated in inflammatory bowel disease (IBD) due to its roles in the NALP3 inflammasome and NF-κB inhibition.
- Previous studies on CARD8 single-nucleotide polymorphisms (SNPs) and IBD in Caucasians yielded inconsistent results, possibly due to gene-gene interactions.
Purpose of the Study:
- To investigate the genetic association of CARD8, NALP3, and NOD2 variants with IBD in the Korean population.
- To clarify the role of specific CARD8 SNPs in the pathogenesis of Crohn's disease (CD) and ulcerative colitis (UC) in Koreans.
Main Methods:
- Genotyping of seven CARD8, four NALP3, and four NOD2 SNPs in 650 CD patients, 660 UC patients, and 688 controls.
- Statistical analysis to determine the association between SNPs and IBD phenotypes.
- Analysis of serum interleukin-1β levels in relation to CARD8 variants.
Main Results:
- The CARD8 SNP rs2043211 (p.Cys10X) was significantly associated with UC (P = 0.011), particularly under a recessive model (P = 0.006).
- Another CARD8 SNP, rs1972619, showed a significant association with CD (P = 0.033).
- No significant associations were found for NALP3 or NOD2 SNPs with CD or UC in this Korean cohort. The rs2043211 stop allele correlated with higher IL-1β levels in female UC patients.
Conclusions:
- CARD8 variants may play a role in the development of IBD (CD and UC) in the Korean population.
- The findings highlight the potential importance of CARD8 in IBD pathogenesis specific to certain ethnic groups.
- Further research is warranted to elucidate the functional mechanisms underlying these genetic associations.
Abstract:
Caspase recruitment domain (CARD)-containing protein 8 (CARD8) is a potential candidate risk gene for inflammatory bowel disease (IBD) because of its role as a component of the NALP3 inflammasome and as an inhibitor of nuclear factor-kappa B. Previous studies examining the association of a CARD8 single-nucleotide polymorphism (SNP) (rs2043211, p.Cys10X) with IBD yielded mixed results in Caucasians that may result from interaction with NALP3 or NOD2 (nucleotide-binding oligomerization domain 2) variants. To understand the genetic association between CARD8/NALP3 and IBD in Koreans, we investigated seven CARD8, four NALP3 and four NOD2 SNPs in 650 Crohn's disease (CD), 660 ulcerative colitis (UC) patients and 688 controls from the Korean population. rs2043211 of CARD8 showed significant association with UC (P = 0.011; odds ratio = 1.50, 95% confidence intervals = 1.12-2.00, P = 0.006 under recessive model). In contrast, an SNP in intron 1, rs1972619, was associated with CD only (P = 0.033). None of the NALP3 or NOD2 SNPs was significantly associated with CD or UC in the Korean populations. The stop allele of rs2043211 was associated with higher serum interleukin-1β levels only in female patients with UC (P = 0.027). Our data suggest that CARD8 variants might have roles in the pathogenesis of CD and UC in Koreans.
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