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Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
NOD2/CARD15 gene mutations in patients with gouty arthritis
Ahmet Karaarslan1, Senol Kobak, Afig Berdeli
1Department of Orthopedics, Faculty of Medicine, Sifa University, Izmir, Turkey. ahmetkaraarslan@gmail.com.
Abstract:
Nucleotide binding and oligomerization domains/caspase recruitment domain-containing protein 15 (NOD2/CARD15) is a cytoplasmic molecule controlling apoptosis and inflammatory processes by recognizing some microbial components. We aimed to identify the frequencies of NOD2/CARD15 gene mutations in patients with gouty arthritis and to determine their possible correlation with the disease phenotype. The study included 93 patients with gouty arthritis and 51 healthy controls matched for age, gender, and ethnicity. The NOD2/CARD15 R702W and G908R gene mutations were explored by the polymerase chain reaction restriction fragment length polymorphism method while the 3020insC mutation was analyzed by DNA sequencing. The mean patient age was 54.2 ± 14.2 years and mean duration of the disease was 3.1 ± 2.9 years. The first metatarsophalangeal and finger joint involvements were detected in 72 (77.4%) and 18 (19.5%) patients, respectively. Ankle arthritis and knee arthritis were detected in 43 (46.2%) and 20 (21.5%) patients, respectively. In total, 4 (9%) heterozygous mutations were detected in the G908R and R702W genes, while no mutation was detected in the 3020insC gene. Compared to the control group, there were no significant differences in all three DNA regions (G908R, R702W, and 3020insC; p = 0.452, p = 0.583, and p = 0.350, respectively). No correlation between the NOD2/CARD15 variants and clinical or laboratory findings (p > 0.05) was found. The frequencies of the NOD2/CARD15 gene mutations in the patients were similar to healthy control group. No association between clinical or laboratory findings and the NOD2/CARD15 gene mutations was observed.
Insights
Frequencies of Nucleotide binding and oligomerization domains/caspase recruitment domain-containing protein 15 (NOD2/CARD15) gene mutations did not differ between gouty arthritis patients and controls. No association was found between NOD2/CARD15 variants and gouty arthritis clinical or laboratory features.
Area of Science:
- Immunogenetics
- Rheumatology
- Molecular Biology
Background:
- Nucleotide binding and oligomerization domains/caspase recruitment domain-containing protein 15 (NOD2/CARD15) is implicated in inflammatory responses and microbial recognition.
- Genetic variations in NOD2/CARD15 have been linked to various inflammatory diseases, prompting investigation into its role in gouty arthritis.
Purpose of the Study:
- To determine the frequencies of specific NOD2/CARD15 gene mutations (R702W, G908R, 3020insC) in patients with gouty arthritis.
- To investigate potential correlations between these NOD2/CARD15 variants and the clinical or laboratory phenotype of gouty arthritis.
Main Methods:
- Genotyping of NOD2/CARD15 R702W and G908R mutations using polymerase chain reaction restriction fragment length polymorphism.
- Analysis of the NOD2/CARD15 3020insC mutation via DNA sequencing.
- Comparison of mutation frequencies and clinical/laboratory data between 93 gouty arthritis patients and 51 healthy controls.
Main Results:
- Four heterozygous mutations (9% total) were identified in the G908R and R702W genes; no 3020insC mutations were found.
- No statistically significant differences in the frequencies of the studied NOD2/CARD15 mutations were observed between gouty arthritis patients and the control group (p > 0.05).
- No significant correlations were found between NOD2/CARD15 variants and clinical manifestations or laboratory markers of gouty arthritis.
Conclusions:
- The frequencies of NOD2/CARD15 gene mutations R702W, G908R, and 3020insC are similar in gouty arthritis patients and healthy individuals.
- These specific NOD2/CARD15 variants do not appear to be associated with the development or clinical presentation of gouty arthritis in the studied population.
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