Investigation of multiple susceptibility loci for inflammatory bowel disease in an Italian cohort of patients.

Investigation of multiple susceptibility loci for inflammatory bowel disease in an Italian cohort of patients.
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DOI:
10.1371/journal.pone.0022688
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发表时间:
2011
期刊:
影响因子:
3.7
通讯作者:
Annese V
Annese V
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Latiano A;Palmieri O;Latiano T;Corritore G;Bossa F;Martino G;Biscaglia G;Scimeca D;Valvano MR;Pastore M;Marseglia A;D'Incà R;Andriulli A;Annese V

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最近的 GWA 和荟萃分析概述了大约 100 个炎症性肠病 (IBD) 的易感基因/位点。在这项研究中,我们旨在调查在大型儿童和成人发病的 IBD 意大利队列中标记基因/位点 PTGER4、TNFSF15、NKX2-3、ZNF365、IFNG、PTPN2、PSMG1 和 HLA 的 SNP 的影响。在 1,070 名克罗恩病 (CD)、1,213 名溃疡性结肠炎 (UC)(其中 557 名在 ≤ 16 岁的年龄被诊断)和 789 名健康对照者中评估了 8 个 SNP。研究了与 NOD2 基因亚表型和主要变异的相关性。标记 TNFSF15、NKX2-3、ZNF365 和 PTPN2 基因的 SNP 与 CD 相关(P 值范围为 0.037 至 7×10−6)。标记 PTGER4、NKX2-3、ZNF365、IFNG、PSMG1 和 HLA 区域的 SNP 与 UC 相关(P 值 0.047 至 4×10−5)。在儿科队列中,证实了 TNFSF15、NKX2-3 与 CD 的关联,以及 PTGER4、NKX2-3、ZNF365、IFNG、PSMG1 与 UC 的关联。还报道了与 TNFSF15 和儿童 UC 的关联。在 UC 患者中观察到 NKX2-3 与手术需求的相关性 (P =  0.038),以及与 HLA 和类固醇反应性的相关性 (P =  0.024)。此外,我们的 CD 队列中的 TNFSF15 SNP 和结肠受累 (P  =  0.021) 以及 ZNF365 和回肠位置 (P  =  0.024) 之间存在显着相关性。我们在意大利的一个大型队列中证实了新发现的基因与 CD 和 UC 的关联,无论是在成人还是儿童患者队列中,对亚表型都有一定影响。
Recent GWAs and meta-analyses have outlined about 100 susceptibility genes/loci for inflammatory bowel diseases (IBD). In this study we aimed to investigate the influence of SNPs tagging the genes/loci PTGER4, TNFSF15, NKX2-3, ZNF365, IFNG, PTPN2, PSMG1, and HLA in a large pediatric- and adult-onset IBD Italian cohort. Eight SNPs were assessed in 1,070 Crohn's disease (CD), 1,213 ulcerative colitis (UC), 557 of whom being diagnosed at the age of ≤16 years, and 789 healthy controls. Correlations with sub-phenotypes and major variants of NOD2 gene were investigated. The SNPs tagging the TNFSF15, NKX2-3, ZNF365, and PTPN2 genes were associated with CD (P values ranging from 0.037 to 7×10−6). The SNPs tagging the PTGER4, NKX2-3, ZNF365, IFNG, PSMG1, and HLA area were associated with UC (P values 0.047 to 4×10−5). In the pediatric cohort the associations of TNFSF15, NKX2-3 with CD, and PTGER4, NKX2-3, ZNF365, IFNG, PSMG1 with UC, were confirmed. Association with TNFSF15 and pediatric UC was also reported. A correlation with NKX2-3 and need for surgery (P  =  0.038), and with HLA and steroid-responsiveness (P  =  0.024) in UC patients was observed. Moreover, significant association in our CD cohort with TNFSF15 SNP and colonic involvement (P  =  0.021), and with ZNF365 and ileal location (P  =  0.024) was demonstrated. We confirmed in a large Italian cohort the associations with CD and UC of newly identified genes, both in adult and pediatric cohort of patients, with some influence on sub-phenotypes.
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