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.

  • Progress
  • Published:

New links to the pathogenesis of Crohn disease provided by genome-wide association scans

Abstract

Genome-wide association scans (GWAS) using large case–control samples and several hundred thousand genetic markers have uncovered at least ten new genomic regions associated with susceptibility to Crohn disease, a chronic inflammatory bowel disorder. The new loci include genes with diverse roles in the immune response and several gene deserts, which may contain regulatory sequences or encode novel functional transcripts. The results so far suggest that genome scans may re-define our ideas on the nature of causal variants in complex disease.

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

Figure 1: A genome-wide association scan.
Figure 2: New genes and functional pathways for Crohn disease.

Similar content being viewed by others

References

  1. Podolsky, D. K. Inflammatory bowel disease. N. Engl. J. Med. 347, 417–429 (2002).

    Article  CAS  PubMed  Google Scholar 

  2. Hugot, J. P. et al. Association of NOD2 leucine-rich repeat variants with susceptibility to Crohn's disease. Nature 411, 599–603 (2001).

    Article  CAS  PubMed  Google Scholar 

  3. Ogura, Y. et al. A frameshift mutation in NOD2 associated with susceptibility to Crohn's disease. Nature 411, 603–606 (2001).

    Article  CAS  PubMed  Google Scholar 

  4. Hampe, J. et al. Association between insertion mutation in NOD2 gene and Crohn's disease in German and British populations. Lancet 357, 1925–1928 (2001).

    Article  CAS  PubMed  Google Scholar 

  5. Rioux, J. D. et al. Genetic variation in the 5q31 cytokine gene cluster confers susceptibility to Crohn disease. Nature Genet. 29, 223–228 (2001).

    Article  CAS  PubMed  Google Scholar 

  6. Stoll, M. B. et al. Genetic variation in DLG5 is associated with inflammatory bowel disease. Nature Genet. 36, 476–480 (2004).

    Article  CAS  PubMed  Google Scholar 

  7. Gaya, D. R., Russell, R. K., Nimmo, E. R. & Satsangi, J. New genes in inflammatory bowel disease: lessons for complex diseases? Lancet 367, 2372–1284 (2006).

    Article  Google Scholar 

  8. Risch, N. & Merikangas, K. The future of genetic studies of complex human diseases. Science 273, 1516–1517 (1996).

    Article  CAS  PubMed  Google Scholar 

  9. Barrett, J. C. & Cardon, L. R. Evaluating coverage of genome-wide association studies. Nature Genet. 38, 659–662 (2006).

    Article  CAS  PubMed  Google Scholar 

  10. Pe'er, I. et al. Evaluating and improving power in whole-genome association studies using fixed marker sets. Nature Genet. 38, 663–667 (2006).

    Article  CAS  PubMed  Google Scholar 

  11. Hirschhorn, J. N. & Daly, M. J. Genome-wide association studies for common diseases and complex traits. Nature Rev. Genet. 6, 95–108 (2005).

    Article  CAS  PubMed  Google Scholar 

  12. Balding, D. J. A tutorial on statistical methods for population association studies. Nature Rev. Genet. 7, 781–791 (2006).

    Article  CAS  PubMed  Google Scholar 

  13. Yamazaki, K. et al. Single nucleotide polymorphisms in TNFSF15 confer susceptibility to Crohn's disease. Hum. Mol. Genet. 14, 3499–3506 (2005).

    Article  CAS  PubMed  Google Scholar 

  14. Duerr, R. H. et al. A genome-wide association study identifies IL23R as an inflammatory bowel disease gene. Science 314, 1461–1463 (2006).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Rioux, J. D. et al. Genome-wide association study identifies new susceptibility loci for Crohn disease and implicates autophagy in disease pathogenesis. Nature Genet, 39, 596–603 (2007).

    Article  CAS  PubMed  Google Scholar 

  16. Hampe, J. et al. A genome-wide association scan of non-synonymous SNPs identifies a susceptibility variant for Crohn disease in ATG16L1. Nature Genet. 39, 207–211 (2007).

    Article  CAS  PubMed  Google Scholar 

  17. Libioulle, C. et al. Novel Crohn disease locus identified by genome-wide association maps to a gene desert on 5p13.1and modulates expression of PTGER4. PLoS Genetics 3, 0538–0543 (2007).

    Article  CAS  Google Scholar 

  18. Franke, A. et al. Systematic association mapping identifies NELL1 as a novel IBD disease gene. PLoS ONE 8, 1–13 (2007).

    Google Scholar 

  19. Wellcome Trust Case Control Consortium. Genome-wide association study of 14,000 cases of seven common diseases and 3,000 shared controls. Nature 447, 661–678 (2007).

  20. Parkes, M. et al. Sequence variants in the autophagy gene IRGM and multiple other replicating loci contribute to Crohn's disease susceptibility. Nature Genet. 39, 830–832 (2007).

    Article  CAS  PubMed  Google Scholar 

  21. Raelson, J. V. et al. Genome-wide association study for Crohn disease in the Quebec founder population identifies multiple validated disease loci. Proc. Natl Acad. Sci. USA, 104, 14747–14752 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Prescott N. J. et al. A non-synonymous SNP in ATG16L1 is a risk factor for ileal Crohn's disease and is independent of CARD15 and IBD5. Gastroenterology 132, 1665–1671 (2007).

    Article  CAS  PubMed  Google Scholar 

  23. Tremelling, M. et al. IL23R variation determines susceptibility but not disease phenotype in inflammatory bowel disease. Gastroenterology 132, 1657–1664 (2007).

    Article  CAS  PubMed  Google Scholar 

  24. Cargill, M. et al. A large-scale genetic association study confirms IL12B and leads to the identification of IL23R as psoriasis-risk genes. Am. J. Hum. Genet. 80, 273–290 (2007).

    Article  CAS  PubMed  Google Scholar 

  25. Economou, M., Trikalinos, T. A., Loizou, K. T., Tsianos, E. V. & Ioannidis, J. P. Differential effects of NOD2 variants on Crohn's disease risk and phenotype in diverse populations: a meta-analysis. Am. J. Gastroenterol. 99, 2393–2404 (2004).

    Article  CAS  PubMed  Google Scholar 

  26. Fritz, J. H., Ferrero, R., L., Philpott, D. J. & Girardin, S. E. Nod-like proteins in immunity, inflammation and disease. Nature Immunol. 7, 1250–1257 (2006).

    Article  CAS  Google Scholar 

  27. Chamaillard, M. et al. Gene–environment interaction modulated by allelic heterogeneity in inflammatory diseases. Proc. Natl Acad. Sci. USA 100, 3455–3460 (2003).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Neurath, M. F. IL-23: a master regulator in Crohn disease. Nature Med. 13, 26–28 (2007).

    Article  CAS  PubMed  Google Scholar 

  29. Xavier, R. J. & Podolsky, D. K. Unravelling the pathogenesis of inflammatory bowel disease. Nature 448, 427–434 (2007).

    Article  CAS  PubMed  Google Scholar 

  30. Deretic, V. Autophagy as an immune defense mechanism. Curr. Opin. Immunol. 18, 375–382 (2006).

    Article  CAS  PubMed  Google Scholar 

  31. Schmid, D., Dengjel, J., Schoor, O., Stevanovic, S. & Münz, C. Autophagy in innate and adaptive immunity against intracellular pathogens. J. Mol. Med. 84, 194–202 (2006).

    Article  CAS  PubMed  Google Scholar 

  32. Singh, S. B., Davis, A. S., Taylor, G. A. & Deretic, V. Human IRGM induces autophagy to eliminate intracellular mycobacteria. Science 313, 1438–1441 (2006).

    Article  CAS  PubMed  Google Scholar 

  33. Mascheretti, S. et al. Response to infliximab treatment in Crohn's disease is not associated with mutations in the CARD15 (NOD2) gene: an analysis in 534 patients from two multicenter, prospective GCP-level trials. Pharmacogenetics 12, 509–515 (2002).

    Article  CAS  PubMed  Google Scholar 

  34. Vermeire, S. et al. NOD2/CARD15 does not influence response to infliximab in Crohn's disease. Gastroenterology 123, 106–111 (2002).

    Article  CAS  PubMed  Google Scholar 

  35. Mannon, P. J. et al. Anti-Interleukin-12 antibody for active Crohn's disease. N. Engl. J. Med. 351, 2069–2079 (2004).

    Article  CAS  PubMed  Google Scholar 

  36. Marchini, J., Howie, B., Myers, S., McVean, G. & Donnelly, P. A new multipoint method for genome-wide association studies by imputation of genotypes. Nature Genet. 39, 906–913 (2007).

    Article  CAS  PubMed  Google Scholar 

  37. Yamazaki, K. et al. Association analysis of genetic variants in IL23R, ATG16L1 and 5p13.1 loci with Crohn's disease in Japanese patients. J. Hum. Genet. 52, 575–583 (2007).

    Article  CAS  PubMed  Google Scholar 

  38. The ENCODE Project Consortium. Identification and analysis of functional elements in 1% of the human genome by the ENCODE pilot project. Nature 447, 799–815 (2007).

  39. Dermitzakis, E. T., Reymond, A. & Antonarakis, S. E. Conserved non-genic sequences — an unexpected feature of mammalian genomes. Nature Rev. Genet. 6, 151–157 (2005).

    Article  CAS  PubMed  Google Scholar 

  40. International HapMap Consortium. A haplotype map of the human genome. Nature 437, 1299–1320 (2005).

Download references

Acknowledgements

I would like to thank my colleagues from King's College, London, for comments on this manuscript, and the UK Inflammatory Bowel Disease Genetics Consortium and the Wellcome Trust Case Control Consortium, with whom I worked on the genome-wide scan in Crohn disease.

Author information

Authors and Affiliations

Authors

Related links

Related links

DATABASES

OMIM

Crohn disease

type 1 diabetes

FURTHER INFORMATION

dbSNP

ENCODE

HapMap

Wellcome Trust Case Control Consortium

Glossary

Haplotype

The arrangement of the alleles of a series of neighbouring SNPs on the same chromosome.

Ileum

The lower end of the small intestine.

Linkage disequilibrium

A correlation between nearby variants such that the alleles at neighbouring SNPs are non-randomly associated within a population.

Major histocompatibility complex

A highly polymorphic region on chromosome 6 that contains many genes involved in the immune response.

Odds ratio

A measurement of association that is commonly used in case–control studies. It is defined as the odds of exposure to the susceptible genetic variant in cases compared with that in controls. If the odds ratio is significantly greater or less than one, then the genetic variant is associated with the disease.

Tiling microarray

A microarray that carries a set of DNA probes that are complimentary to a series of separate or overlapping DNA sequences across a genomic region. Hybridization of fluorescently labelled cDNA from tissue or cells of interest to the array will detect any transcripts in the genomic regions that are represented by the probes.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mathew, C. New links to the pathogenesis of Crohn disease provided by genome-wide association scans. Nat Rev Genet 9, 9–14 (2008). https://doi.org/10.1038/nrg2203

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrg2203

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing