Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Association of celiac disease genes with inflammatory bowel disease in Finnish and Swedish patients

Abstract

Some genetic loci may affect susceptibility to multiple immune system-related diseases. In the current study, we investigated whether the known susceptibility loci for celiac disease (CelD) also associate with Crohn's disease (CD) and/or ulcerative colitis (UC), the two main forms of inflammatory bowel disease (IBD), in Finnish patients. A total of 45 genetic markers were genotyped in a Finnish data set comprising 699 IBD patients and 2482 controls. Single-marker association with IBD and its subphenotypes was tested. A meta-analysis with a Swedish UC data set was also performed. A total of 12 single-nucleotide polymorphisms associated with CD and/or UC (P<0.05). In the subphenotype analysis, rs6974491-ELMO1 (P=0.0002, odds ratio (OR): 2.20) and rs2298428-UBE2L3 (P=5.44 × 10−5, OR: 2.59) associated with pediatric UC and CD, respectively. In the meta-analysis, rs4819388-ICOSLG (P=0.00042, OR: 0.79) associated with UC. In the subphenotype meta-analysis, rs1738074-TAGAP (P=7.40 × 10−5, OR: 0.61), rs6974491-ELMO1 (P=0.00052, OR: 1.73) and rs4819388-ICOSLG (P=0.00019, OR: 0.75) associated with familial UC, pediatric UC and sporadic UC, respectively. Multiple CelD risk loci also confer susceptibility for CD and/or UC in the Finnish and Swedish populations. Certain genetic risk variants may furthermore predispose an individual for developing a particular disease phenotype.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Lakatos PL . Recent trends in the epidemiology of inflammatory bowel diseases: up or down? World J Gastroenterol 2006; 12: 6102–6108.

    Article  Google Scholar 

  2. Lapidus A . Crohn's disease in Stockholm county during 1990–2001: an epidemiological update. World J Gastroenterol 2006; 12: 75–81.

    Article  Google Scholar 

  3. Vind I, Riis L, Jess T, Knudsen E, Pedersen N, Elkjaer M et al. Increasing incidences of inflammatory bowel disease and decreasing surgery rates in Copenhagen City and County, 2003–2005: a population-based study from the Danish Crohn colitis database. Am J Gastroenterol 2006; 101: 1274–1282.

    Article  Google Scholar 

  4. Turunen P, Kolho KL, Auvinen A, Iltanen S, Huhtala H, Ashorn M . Incidence of inflammatory bowel disease in Finnish children, 1987–2003. Inflamm Bowel Dis 2006; 12: 677–683.

    Article  Google Scholar 

  5. Elson CO, Cong Y, McCracken VJ, Dimmitt RA, Lorenz RG, Weaver CT . Experimental models of inflammatory bowel disease reveal innate, adaptive, and regulatory mechanisms of host dialogue with the microbiota. Immunol Rev 2005; 206: 260–276.

    Article  Google Scholar 

  6. Franke A, McGovern DP, Barrett JC, Wang K, Radford-Smith GL, Ahmad T et al. Genome-wide meta-analysis increases to 71 the number of confirmed Crohn's disease susceptibility loci. Nat Genet 2010; 42: 1118–1125.

    Article  CAS  Google Scholar 

  7. Anderson CA, Boucher G, Lees CW, Franke A, D'Amato M, Taylor KD et al. Meta-analysis identifies 29 additional ulcerative colitis risk loci, increasing the number of confirmed associations to 47. Nat Genet 2011; 43: 246–252.

    Article  CAS  Google Scholar 

  8. Dubois PC, Trynka G, Franke L, Hunt KA, Romanos J, Curtotti A et al. Multiple common variants for celiac disease influencing immune gene expression. Nat Genet 2010; 42: 295–302.

    Article  CAS  Google Scholar 

  9. Festen EA, Goyette P, Green T, Boucher G, Beauchamp C, Trynka G et al. A meta-analysis of genome-wide association scans identifies IL18RAP, PTPN2, TAGAP, and PUS10 as shared risk loci for Crohn's disease and celiac disease. PLoS Genet 2011; 7: e1001283.

    Article  CAS  Google Scholar 

  10. Zhernakova A, Stahl EA, Trynka G, Raychaudhuri S, Festen EA, Franke L et al. Meta-analysis of genome-wide association studies in celiac disease and rheumatoid arthritis identifies fourteen non-hla shared loci. PLoS Genet 2011; 7: e1002004.

    Article  CAS  Google Scholar 

  11. Fransen K, Visschedijk MC, van Sommeren S, Fu JY, Franke L, Festen EA et al. Analysis of SNPs with an effect on gene expression identifies UBE2L3 and BCL3 as potential new risk genes for Crohn's disease. Hum Mol Genet 2010; 19: 3482–3488.

    Article  CAS  Google Scholar 

  12. Smyth DJ, Plagnol V, Walker NM, Cooper JD, Downes K, Yang JH et al. Shared and distinct genetic variants in type 1 diabetes and celiac disease. N Engl J Med 2008; 359: 2767–2777.

    Article  CAS  Google Scholar 

  13. Elliott MR, Zheng S, Park D, Woodson RI, Reardon MA, Juncadella IJ et al. Unexpected requirement for ELMO1 in clearance of apoptotic germ cells in vivo. Nature 2010; 467: 333–337.

    Article  CAS  Google Scholar 

  14. Halme L, Turunen U, Helio T, Paavola P, Walle T, Miettinen A et al. Familial and sporadic inflammatory bowel disease: comparison of clinical features and serological markers in a genetically homogeneous population. Scand J Gastroenterol 2002; 37: 692–698.

    Article  CAS  Google Scholar 

  15. McGovern DP, Gardet A, Torkvist L, Goyette P, Essers J, Taylor KD et al. Genome-wide association identifies multiple ulcerative colitis susceptibility loci. Nat Genet 2010; 42: 332–337.

    Article  CAS  Google Scholar 

  16. Helio T, Halme L, Lappalainen M, Fodstad H, Paavola-Sakki P, Turunen U et al. CARD15/NOD2 gene variants are associated with familially occurring and complicated forms of Crohn's disease. Gut 2003; 52: 558–562.

    Article  CAS  Google Scholar 

  17. Hugot JP, Chamaillard M, Zouali H, Lesage S, Cezard JP, Belaiche J et al. Association of NOD2 leucine-rich repeat variants with susceptibility to Crohn's disease. Nature 2001; 411: 599–603.

    Article  CAS  Google Scholar 

  18. Ogura Y, Bonen DK, Inohara N, Nicolae DL, Chen FF, Ramos R et al. A frameshift mutation in NOD2 associated with susceptibility to Crohn's disease. Nature 2001; 411: 603–606.

    Article  CAS  Google Scholar 

  19. Lesage S, Zouali H, Cezard JP, Colombel JF, Belaiche J, Almer S et al. CARD15/NOD2 mutational analysis and genotype-phenotype correlation in 612 patients with inflammatory bowel disease. Am J Hum Genet 2002; 70: 845–857.

    Article  CAS  Google Scholar 

  20. Purcell S, Neale B, Todd-Brown K, Thomas L, Ferreira MA, Bender D et al. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am J Hum Genet 2007; 81: 559–575.

    Article  CAS  Google Scholar 

  21. Purcell S, Cherny SS, Sham PC . Genetic power calculator: design of linkage and association genetic mapping studies of complex traits. Bioinformatics 2003; 19: 149–150.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank all the study subjects for participating in the study. This work and the study groups have been funded by grants from the Academy of Finland, Biocentrum Helsinki, the Special State Subsidy for Health Sciences (EVO) and the Research Program of Molecular Medicine at University of Helsinki. Dr Salomaa was supported by the Academy of Finland (grant numbers 129322 and 139635). Analysis of the Swedish samples was supported by the Swedish Research Council, the Bengt Ihre's Foundation and the Örebro University Hospital Research foundation. We also thank Dr Dario Greco for statistical advice.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E Einarsdottir.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Additional information

Supplementary Information accompanies the paper on Genes and Immunity website

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Cite this article

Parmar, A., Lappalainen, M., Paavola-Sakki, P. et al. Association of celiac disease genes with inflammatory bowel disease in Finnish and Swedish patients. Genes Immun 13, 474–480 (2012). https://doi.org/10.1038/gene.2012.21

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/gene.2012.21

Keywords

This article is cited by

Search

Quick links