Linking genetic susceptibility to Crohn's disease with Th17 cell function: IL‐22 serum levels are increased in Crohn's disease and correlate with disease activity and IL23R genotype status

Background: We analyzed the influence of Crohn's disease (CD)‐associated IL23R gene variants on IL‐22 that is expressed in IL‐23R+ Th17 cells. Methods: IL‐22 serum levels were measured in 242 CD patients and in 31 healthy controls. Subanalyses included serum levels of IL‐6, TNF‐α, IL‐17A, IL‐17...

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Veröffentlicht in:Inflammatory bowel diseases 2008-02, Vol.14 (2), p.204-212
Hauptverfasser: Schmechel, Silke, Konrad, Astrid, Diegelmann, Julia, Glas, Jürgen, Wetzke, Martin, Paschos, Ekaterini, Lohse, Peter, Göke, Burkhard, Brand, Stephan
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container_end_page 212
container_issue 2
container_start_page 204
container_title Inflammatory bowel diseases
container_volume 14
creator Schmechel, Silke
Konrad, Astrid
Diegelmann, Julia
Glas, Jürgen
Wetzke, Martin
Paschos, Ekaterini
Lohse, Peter
Göke, Burkhard
Brand, Stephan
description Background: We analyzed the influence of Crohn's disease (CD)‐associated IL23R gene variants on IL‐22 that is expressed in IL‐23R+ Th17 cells. Methods: IL‐22 serum levels were measured in 242 CD patients and in 31 healthy controls. Subanalyses included serum levels of IL‐6, TNF‐α, IL‐17A, IL‐17F, C‐reactive protein (CRP), and leukocyte count. In all patients, genotyping for 10 CD‐associated IL23R single nucleotide polymorphisms (SNPs) and the 3 main CD‐associated CARD15 variants was performed. Results: There was a highly significant increase in IL‐22 serum expression in CD patients compared to healthy controls (P = 2.53 × 10−9). IL‐22 serum levels correlated with disease activity: IL‐22 levels in patients with a Crohn's disease activity index (CDAI) >150 were significantly higher than in patients with a CDAI
doi_str_mv 10.1002/ibd.20315
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Methods: IL‐22 serum levels were measured in 242 CD patients and in 31 healthy controls. Subanalyses included serum levels of IL‐6, TNF‐α, IL‐17A, IL‐17F, C‐reactive protein (CRP), and leukocyte count. In all patients, genotyping for 10 CD‐associated IL23R single nucleotide polymorphisms (SNPs) and the 3 main CD‐associated CARD15 variants was performed. Results: There was a highly significant increase in IL‐22 serum expression in CD patients compared to healthy controls (P = 2.53 × 10−9). IL‐22 serum levels correlated with disease activity: IL‐22 levels in patients with a Crohn's disease activity index (CDAI) &gt;150 were significantly higher than in patients with a CDAI &lt;150 (P = 0.001), while TNF‐α and IL‐6 were not significantly different between these 2 groups. Analyzing the effect of 10 IL23R variants on IL‐22 serum levels, we demonstrated that the quotients of mean IL‐22 serum levels of carriers of the minor allele to the mean serum IL‐22 in wildtype carriers correlated highly with the corresponding CD susceptibility risk for each gene variant (r = 0.807). The IL‐22 levels in carriers of CD risk‐increasing IL23R variants were significantly higher than in carriers of CD risk‐decreasing IL23R variants (P = 0.008). Conclusions: The Th17 cytokine IL‐22 is expressed at high levels in CD and correlates with disease activity, offering a better separation between active and inactive CD than IL‐6 and TNF‐α. IL23R genotypes influence IL‐22 serum expression, linking genetic CD susceptibility to Th17 cell function for the first time. (Inflamm Bowel Dis 2007)</description><identifier>ISSN: 1078-0998</identifier><identifier>EISSN: 1536-4844</identifier><identifier>DOI: 10.1002/ibd.20315</identifier><identifier>PMID: 18022867</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Aged ; Biomarkers - blood ; CARD15 ; Case-Control Studies ; Crohn Disease - genetics ; Crohn Disease - immunology ; Crohn's disease ; Female ; Genetic Predisposition to Disease ; genetics ; Germany ; Humans ; IL‐17A ; IL‐17F ; IL‐22 ; IL‐23R ; IL‐6 ; inflammatory bowel disease ; Interleukin-22 ; Interleukins - blood ; Male ; Middle Aged ; NOD2 ; Nod2 Signaling Adaptor Protein - genetics ; polymorphism ; Polymorphism, Single Nucleotide ; Receptors, Interleukin - genetics ; Receptors, Interleukin - immunology ; T-Lymphocytes, Helper-Inducer - immunology ; Th17 cells ; TNF‐α ; ulcerative colitis ; White People - genetics</subject><ispartof>Inflammatory bowel diseases, 2008-02, Vol.14 (2), p.204-212</ispartof><rights>Copyright © 2007 Crohn's &amp; Colitis Foundation of America, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3905-8b2ba8219941b3ebd9005f30d9857815dba77c4c59afda7d2a6c63c22b2fb0983</citedby><cites>FETCH-LOGICAL-c3905-8b2ba8219941b3ebd9005f30d9857815dba77c4c59afda7d2a6c63c22b2fb0983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fibd.20315$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fibd.20315$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1413,27906,27907,45556,45557</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18022867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schmechel, Silke</creatorcontrib><creatorcontrib>Konrad, Astrid</creatorcontrib><creatorcontrib>Diegelmann, Julia</creatorcontrib><creatorcontrib>Glas, Jürgen</creatorcontrib><creatorcontrib>Wetzke, Martin</creatorcontrib><creatorcontrib>Paschos, Ekaterini</creatorcontrib><creatorcontrib>Lohse, Peter</creatorcontrib><creatorcontrib>Göke, Burkhard</creatorcontrib><creatorcontrib>Brand, Stephan</creatorcontrib><title>Linking genetic susceptibility to Crohn's disease with Th17 cell function: IL‐22 serum levels are increased in Crohn's disease and correlate with disease activity and IL23R genotype status</title><title>Inflammatory bowel diseases</title><addtitle>Inflamm Bowel Dis</addtitle><description>Background: We analyzed the influence of Crohn's disease (CD)‐associated IL23R gene variants on IL‐22 that is expressed in IL‐23R+ Th17 cells. Methods: IL‐22 serum levels were measured in 242 CD patients and in 31 healthy controls. Subanalyses included serum levels of IL‐6, TNF‐α, IL‐17A, IL‐17F, C‐reactive protein (CRP), and leukocyte count. In all patients, genotyping for 10 CD‐associated IL23R single nucleotide polymorphisms (SNPs) and the 3 main CD‐associated CARD15 variants was performed. Results: There was a highly significant increase in IL‐22 serum expression in CD patients compared to healthy controls (P = 2.53 × 10−9). IL‐22 serum levels correlated with disease activity: IL‐22 levels in patients with a Crohn's disease activity index (CDAI) &gt;150 were significantly higher than in patients with a CDAI &lt;150 (P = 0.001), while TNF‐α and IL‐6 were not significantly different between these 2 groups. Analyzing the effect of 10 IL23R variants on IL‐22 serum levels, we demonstrated that the quotients of mean IL‐22 serum levels of carriers of the minor allele to the mean serum IL‐22 in wildtype carriers correlated highly with the corresponding CD susceptibility risk for each gene variant (r = 0.807). The IL‐22 levels in carriers of CD risk‐increasing IL23R variants were significantly higher than in carriers of CD risk‐decreasing IL23R variants (P = 0.008). Conclusions: The Th17 cytokine IL‐22 is expressed at high levels in CD and correlates with disease activity, offering a better separation between active and inactive CD than IL‐6 and TNF‐α. IL23R genotypes influence IL‐22 serum expression, linking genetic CD susceptibility to Th17 cell function for the first time. 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Methods: IL‐22 serum levels were measured in 242 CD patients and in 31 healthy controls. Subanalyses included serum levels of IL‐6, TNF‐α, IL‐17A, IL‐17F, C‐reactive protein (CRP), and leukocyte count. In all patients, genotyping for 10 CD‐associated IL23R single nucleotide polymorphisms (SNPs) and the 3 main CD‐associated CARD15 variants was performed. Results: There was a highly significant increase in IL‐22 serum expression in CD patients compared to healthy controls (P = 2.53 × 10−9). IL‐22 serum levels correlated with disease activity: IL‐22 levels in patients with a Crohn's disease activity index (CDAI) &gt;150 were significantly higher than in patients with a CDAI &lt;150 (P = 0.001), while TNF‐α and IL‐6 were not significantly different between these 2 groups. Analyzing the effect of 10 IL23R variants on IL‐22 serum levels, we demonstrated that the quotients of mean IL‐22 serum levels of carriers of the minor allele to the mean serum IL‐22 in wildtype carriers correlated highly with the corresponding CD susceptibility risk for each gene variant (r = 0.807). The IL‐22 levels in carriers of CD risk‐increasing IL23R variants were significantly higher than in carriers of CD risk‐decreasing IL23R variants (P = 0.008). Conclusions: The Th17 cytokine IL‐22 is expressed at high levels in CD and correlates with disease activity, offering a better separation between active and inactive CD than IL‐6 and TNF‐α. IL23R genotypes influence IL‐22 serum expression, linking genetic CD susceptibility to Th17 cell function for the first time. (Inflamm Bowel Dis 2007)</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>18022867</pmid><doi>10.1002/ibd.20315</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current)
subjects Adolescent
Adult
Aged
Biomarkers - blood
CARD15
Case-Control Studies
Crohn Disease - genetics
Crohn Disease - immunology
Crohn's disease
Female
Genetic Predisposition to Disease
genetics
Germany
Humans
IL‐17A
IL‐17F
IL‐22
IL‐23R
IL‐6
inflammatory bowel disease
Interleukin-22
Interleukins - blood
Male
Middle Aged
NOD2
Nod2 Signaling Adaptor Protein - genetics
polymorphism
Polymorphism, Single Nucleotide
Receptors, Interleukin - genetics
Receptors, Interleukin - immunology
T-Lymphocytes, Helper-Inducer - immunology
Th17 cells
TNF‐α
ulcerative colitis
White People - genetics
title Linking genetic susceptibility to Crohn's disease with Th17 cell function: IL‐22 serum levels are increased in Crohn's disease and correlate with disease activity and IL23R genotype status
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