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Whole Exome Sequencing of Crohn's Disease Pedigrees

Subject Area Gastroenterology
Term from 2014 to 2018
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 249995099
 
Final Report Year 2017

Final Report Abstract

The project was started by sequencing cases from multiplex families with inflammatory bowel disease with the goal of detecting novel variants causing IBD. Clustering of patients within a pedigree may point to variants with larger effects on disease compared to those identified in GWAS and even monogenic forms of IBD. However, our results rather point to an accumulation of a large number of common susceptibility alleles in the pedigree. Subsequently, we turned our focus to severe early-onset cases of IBD, since the most informative characteristics indicating the presence of a highly penetrant genetic cause are an early age of onset and a very severe course of disease. We were able to show a general enrichment of variants in primary immunodeficiency genes in early-onset IBD compared to adult-onset IBD cases and healthy controls. In addition, we detected likely monogenic causes of disease in the genes IL2RG, IL10, WAS, DKC1 and NOX1 in a number of cases, supporting the application of exome sequencing for these early-onset cases, also in the future.

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