title: Replication of interleukin 23 receptor and autophagy-related 16-like 1 association in adult- and pediatric-onset inflammatory bowel disease in Italy.
abstract: OBJECTIVE
  To investigate gene variants in a large Italian inflammatory bowel disease (IBD) cohort, and to analyze the correlation of sub-phenotypes (including age at diagnosis) and epistatic interaction with other IBD genes.
  
  
  METHODS
  Total of 763 patients with Crohn's disease (CD, 189 diagnosed at age < 19 years), 843 with ulcerative colitis (UC, 179 diagnosed < 19 years), 749 healthy controls, and 546 healthy parents (273 trios) were included in the study. The rs2241880 [autophagy-related 16-like 1 (ATG16L1)], rs11209026 and rs7517847 [interleukin 23 receptor (IL23R)], rs2066844, rs2066845, rs2066847 (CARD15), rs1050152 (OCTN1), and rs2631367 (OCTN2) gene variants were genotyped.
  
  
  RESULTS
  The frequency of G allele of ATG16L1 SNP (Ala197Thr) was increased in patients with CD compared with controls (59% vs 54% respectively) (OR = 1.25, CI = 1.08-1.45, P = 0.003), but not in UC (55%). The frequency of A and G (minor) alleles of Arg381Gln, rs11209026 and rs7517847 variants of IL23R were reduced significantly in CD (4%, OR = 0.62, CI = 0.45-0.87, P = 0.005; 28%, OR = 0.64, CI = 0.55-0.75, P < 0.01), compared with controls (6% and 38%, respectively). The A allele (but not G) was also reduced significantly in UC (4%, OR = 0.69, CI = 0.5-0.94, P = 0.019). No association was demonstrated with sub-phenotypes and interaction with CARD15, and OCTN1/2 genes, although both gene variants were associated with pediatric-onset disease.
  
  
  CONCLUSIONS
  The present study confirms the association of IL23R polymorphisms with IBD, and ATG16L1 with CD, in both adult- and pediatric-onset subsets in our study population.
authors.affiliation: Struttura Complessa di Endoscopia Digestiva, Ospedale Casa Sollievo della Sofferenza-I.R.C.C.S., Viale Cappuccini 1, San Giovanni Rotondo, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Latiano
authors.forename: Orazio
authors.initials: O
authors.lastname: Palmieri
authors.forename: Maria Rosa
authors.initials: MR
authors.lastname: Valvano
authors.forename: Renata
authors.initials: R
authors.lastname: D'Incà
authors.forename: Salvatore
authors.initials: S
authors.lastname: Cucchiara
authors.forename: Gabriele
authors.initials: G
authors.lastname: Riegler
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Staiano
authors.forename: Sandro
authors.initials: S
authors.lastname: Ardizzone
authors.forename: Salvatore
authors.initials: S
authors.lastname: Accomando
authors.forename: Gian Luigi
authors.initials: GL
authors.lastname: de Angelis
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Corritore
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Bossa
authors.forename: Vito
authors.initials: V
authors.lastname: Annese
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D000368:Aged; D000071183:Autophagy-Related Proteins; D002352:Carrier Proteins / Q000235:genetics*; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D003424:Crohn Disease / Q000208:ethnology / Q000235:genetics; D005260:Female; D020022:Genetic Predisposition to Disease / Q000235:genetics; D005838:Genotype; D006801:Humans; D007223:Infant; D015212:Inflammatory Bowel Diseases / Q000208:ethnology / Q000235:genetics*; D007558:Italy; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D053473:Nod2 Signaling Adaptor Protein / Q000235:genetics; D027701:Organic Cation Transport Proteins / Q000235:genetics; D020641:Polymorphism, Single Nucleotide / Q000235:genetics*; D018123:Receptors, Interleukin / Q000235:genetics*; D000074058:Solute Carrier Family 22 Member 5; D027981:Symporters; D055815:Young Adult
chemical_list: C518959:ATG16L1 protein, human; D000071183:Autophagy-Related Proteins; D002352:Carrier Proteins; C515500:IL23R protein, human; C429018:NOD2 protein, human; D053473:Nod2 Signaling Adaptor Protein; D027701:Organic Cation Transport Proteins; D018123:Receptors, Interleukin; C109807:SLC22A4 protein, human; C492020:SLC22A5 protein, human; D000074058:Solute Carrier Family 22 Member 5; D027981:Symporters