학술논문

Characterization of Genetic Loci That Affect Susceptibility to Inflammatory Bowel Diseases in African Americans
Document Type
article
Source
Gastroenterology. 149(6)
Subject
Genetics
Clinical Research
Crohn's Disease
Digestive Diseases
Inflammatory Bowel Disease
Autoimmune Disease
Aetiology
2.1 Biological and endogenous factors
Oral and gastrointestinal
Good Health and Well Being
Adult
Black or African American
Aged
Colitis
Ulcerative
Crohn Disease
Female
Genetic Loci
Genetic Predisposition to Disease
Humans
Inflammatory Bowel Diseases
Male
Middle Aged
Polymorphism
Single Nucleotide
Risk Factors
United States
White People
Young Adult
Race
Ethnicity
Genetic Variant
Intestinal Inflammation
Clinical Sciences
Neurosciences
Paediatrics and Reproductive Medicine
Gastroenterology & Hepatology
Language
Abstract
Background & aimsInflammatory bowel disease (IBD) has familial aggregation in African Americans (AAs), but little is known about the molecular genetic susceptibility. Mapping studies using the Immunochip genotyping array expand the number of susceptibility loci for IBD in Caucasians to 163, but the contribution of the 163 loci and European admixture to IBD risk in AAs is unclear. We performed a genetic mapping study using the Immunochip to determine whether IBD susceptibility loci in Caucasians also affect risk in AAs and identify new associated loci.MethodsWe recruited AAs with IBD and without IBD (controls) from 34 IBD centers in the United States; additional controls were collected from 4 other Immunochip studies. Association and admixture loci were mapped for 1088 patients with Crohn's disease, 361 with ulcerative colitis, 62 with IBD type unknown, and 1797 controls; 130,241 autosomal single-nucleotide polymorphisms (SNPs) were analyzed.ResultsThe strongest associations were observed between ulcerative colitis and HLA rs9271366 (P = 7.5 × 10(-6)), Crohn's disease and 5p13.1 rs4286721 (P = 3.5 × 10(-6)), and IBD and KAT2A rs730086 (P = 2.3 × 10(-6)). Additional suggestive associations (P < 4.2 × 10(-5)) were observed between Crohn's disease and IBD and African-specific SNPs in STAT5A and STAT3; between IBD and SNPs in IL23R, IL12B, and C2orf43; and between ulcerative colitis and SNPs near HDAC11 and near LINC00994. The latter 3 loci have not been previously associated with IBD, but require replication. Established Caucasian associations were replicated in AAs (P < 3.1 × 10(-4)) at NOD2, IL23R, 5p15.3, and IKZF3. Significant admixture (P < 3.9 × 10(-4)) was observed for 17q12-17q21.31 (IZKF3 through STAT3), 10q11.23-10q21.2, 15q22.2-15q23, and 16p12.2-16p12.1. Network analyses showed significant enrichment (false discovery rate