A Frameshift in CSF2RB Predominant Among Ashkenazi Jews Increases Risk for Crohn's Disease and Reduces Monocyte Signaling via GM-CSF.

A Frameshift in CSF2RB Predominant Among Ashkenazi Jews Increases Risk for Crohn's Disease and Reduces Monocyte Signaling via GM-CSF.
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DOI:
10.1053/j.gastro.2016.06.045
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发表时间:
2016-10
期刊:
影响因子:
29.4
通讯作者:
Cho JH
Cho JH
中科院分区:
医学1区
文献类型:
--
作者:
Chuang LS;Villaverde N;Hui KY;Mortha A;Rahman A;Levine AP;Haritunians T;Evelyn Ng SM;Zhang W;Hsu NY;Facey JA;Luong T;Fernandez-Hernandez H;Li D;Rivas M;Schiff ER;Gusev A;Schumm LP;Bowen BM;Sharma Y;Ning K;Remark R;Gnjatic S;Legnani P;George J;Sands BE;Stempak JM;Datta LW;Lipka S;Katz S;Cheifetz AS;Barzilai N;Pontikos N;Abraham C;Dubinsky MJ;Targan S;Taylor K;Rotter JI;Scherl EJ;Desnick RJ;Abreu MT;Zhao H;Atzmon G;Pe'er I;Kugathasan S;Hakonarson H;McCauley JL;Lencz T;Darvasi A;Plagnol V;Silverberg MS;Muise AM;Brant SR;Daly MJ;Segal AW;Duerr RH;Merad M;McGovern DP;Peter I;Cho JH

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Crohn’s disease (CD) has the highest prevalence in Ashkenazi Jewish populations. We sought to identify rare, CD-associated frameshift variants of high functional and statistical effects. We performed exome-sequencing and array-based genotype analyses of 1477 Ashkenazi Jewish individuals with CD and 2614 Ashkenazi Jewish individuals without CD (controls). To validate our findings, we performed genotype analyses of an additional 1515 CD cases and 7052 controls for frameshift mutations in the colony stimulating factor 2 receptor beta common subunit gene (CSF2RB). Intestinal tissues and blood samples were collected from patients with CD; lamina propria leukocytes were isolated and expression of CSF2RB and GMCSF-responsive cells were defined by mass cytometry (CyTOF analysis). Variants of CSF2RB were transfected into HEK293 cells and expression and functions of gene products were compared. In the discovery cohort, we associated CD with a frameshift mutation in CSF2RB (P=8.52×10–4); the finding was validated in the replication cohort (combined P=3.42×10–6). Incubation of intestinal lamina propria leukocytes with GMCSF resulted in high levels of phosphorylation of STAT5 and lesser increases in phosphorylation of ERK and AKT. Cells co-transfected with full-length and mutant forms of CSF2RB had reduced pSTAT5 following stimulation with GMCSF, compared to cells transfected with control CSF2RB, indicating a dominant negative effect of the mutant gene. Monocytes from patients with CD who were heterozygous for the frameshift mutation (6% of CD cases analyzed) had reduced responses to GMCSF and markedly decreased activity of aldehyde dehydrogenase; activity of this enzyme has been associated with immune tolerance. In a genetic analysis of Ashkenazi Jewish individuals, we associated CD with a frameshift mutation in CSF2RB. Intestinal monocytes from carriers of this mutation had reduced responses to GMCSF, providing an additional mechanism for alterations to the innate immune response in individuals with CD. Crohn’s disease associated frameshift mutation in CSF2RB results in decreased STAT5 activation in a dominant negative manner.
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