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Vermeire S, Wild G, Kocher K, Cousineau J, Dufresne L, Bitton A, Langelier D, Pare P, Lapointe G, Cohen A, Daly MJ, Rioux JD. CARD15 genetic variation in a Quebec population: prevalence, genotype-phenotype relationship, and haplotype structure. Am J Hum Genet 2002; 71:74-83. [PMID: 12019468 PMCID: PMC384994 DOI: 10.1086/341124] [Citation(s) in RCA: 206] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2002] [Accepted: 04/08/2002] [Indexed: 12/17/2022] Open
Abstract
The caspase recruitment domain gene (CARD15) was recently identified as the underlying gene associated with the IBD1 locus that confers susceptibility to Crohn disease (CD). CARD15 is related to the NOD1/Apaf-1 family of apoptosis regulators, and three sequence variants (Arg702Trp, Gly908Arg, and Leu1007fsinsC) in the gene were demonstrated to be associated with CD. We collected a cohort of 231 patients with CD and 71 healthy control individuals from the Canadian province of Quebec, to determine the prevalence of these sequence variants in an independent population. Clinical records of all patients were systematically reviewed, and detailed phenotypic information was obtained. All patient DNA samples were genotyped for the three variants, thus enabling an analysis of genotype-phenotype correlations. In this cohort, 45.0% of patients with CD carried at least one variant in the CARD15 gene, compared with 9.0% of control individuals (P<10-7). Allele frequencies of Arg702Trp, Gly908Arg, and Leu1007fsinsC were 12.9%, 5.2%, and 10.3% in patients with CD, compared with 4.2%, 0.7%, and 0.7% in control individuals, respectively. Importantly, CARD15 mutants were seen with equal frequency in patients with familial and sporadic CD. Analysis of the relationship between genotype and phenotype convincingly demonstrates that CARD15 variants are significantly associated with ileal disease involvement, as opposed to strictly colonic disease (P<.001). Moreover, we were able to determine the haplotype structure surrounding this disease gene by genotyping 45 single-nucleotide polymorphisms (SNPs) in a 177-kb region that contained the CARD15 gene. This structure helps clarify the history of these causal mutations. Finally, this analysis shows that CARD15 involvement with CD is detectable by use of publicly available SNPs alone.
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Affiliation(s)
- Severine Vermeire
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Gary Wild
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Kerry Kocher
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Josee Cousineau
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Line Dufresne
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Alain Bitton
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Diane Langelier
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Pierre Pare
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Gilles Lapointe
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Albert Cohen
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - Mark J. Daly
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
| | - John D. Rioux
- Department of Gastroenterology, McGill University Health Centre, McGill University, Montreal; Whitehead Institute/Massachusetts Institute of Technology, Center for Genome Research, Cambridge, MA; Department of Gastroenterology, Centre Hospitalier de Sherbrooke, Sherbrooke, Canada; Department of Gastroenterology, Centre Hospitalier Universitaire de Quebec, Hopital l'Hotel-Dieu de Quebec, Quebec, Canada; and Department of Gastroenterology, Centre Hospitalier de la Sagamie, Chicoutimi, Quebec, Canada
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