Polymorphisms in the NFkB, TNF-alpha, IL-1beta, and IL-18 pathways are associated with response to anti-TNF therapy in Danish patients with inflammatory bowel disease
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Polymorphisms in the NFkB, TNF-alpha, IL-1beta, and IL-18 pathways are associated with response to anti-TNF therapy in Danish patients with inflammatory bowel disease. / Bank, Steffen; Julsgaard, Mette; Abed, Osama Karim; Burisch, Johan; Brodersen, Jacob Broder; Pedersen, Natalia Konstantinovich; Gouliaev, Anja; Ajan, Rullah; Rasmussen, Ditlev Nytoft; Grauslund, Camilla Honore; Roug, Stine; Galsgaard, Julie; Finsen, David Sprogoe Hoyer; Lindby, Karoline; Sorensen, Jeanette; Larsen, Lone; Andersen, Malene Rohr; Brandslund, Ivan; Thomassen, Mads; Green, Anders; Bojesen, Anders Bo; Sorensen, Signe Bek; Vogel, Ulla; Andersen, Vibeke; Bergmann, Ann Christina; Andersen, Paal Skytt; Rashid, Shaista; Lund, Britta Ornfelt; Rasmussen, Britt Kaiser; Avlund, Sara; Nielsen, Marie Odum; Bramstang, Eva Karolina Nilsdotter; Poulsen, Anja; Rudbeck-Resdal, Ditte; Aamann, Luise; Alexandraki, Maria Joanna; Foroutani, Ali; Molzen, Line; Hatrop, Anders; Rittig, Charlotte Siggaard; Stenbog, Elisabeth; Hedback, Nora Elisabeth; Nielsen, Rasmus Gaardskaer; Schiodt, Frank Vinholt; Carlsen, Katrine; Dessau, Ram Benny; Hoffmann, Hans Jurgen; Nexo, Bjorn Andersen; Sode, Jacob.
I: Alimentary Pharmacology and Therapeutics, Bind 49, Nr. 7, 2019, s. 890-903.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Polymorphisms in the NFkB, TNF-alpha, IL-1beta, and IL-18 pathways are associated with response to anti-TNF therapy in Danish patients with inflammatory bowel disease
AU - Bank, Steffen
AU - Julsgaard, Mette
AU - Abed, Osama Karim
AU - Burisch, Johan
AU - Brodersen, Jacob Broder
AU - Pedersen, Natalia Konstantinovich
AU - Gouliaev, Anja
AU - Ajan, Rullah
AU - Rasmussen, Ditlev Nytoft
AU - Grauslund, Camilla Honore
AU - Roug, Stine
AU - Galsgaard, Julie
AU - Finsen, David Sprogoe Hoyer
AU - Lindby, Karoline
AU - Sorensen, Jeanette
AU - Larsen, Lone
AU - Andersen, Malene Rohr
AU - Brandslund, Ivan
AU - Thomassen, Mads
AU - Green, Anders
AU - Bojesen, Anders Bo
AU - Sorensen, Signe Bek
AU - Vogel, Ulla
AU - Andersen, Vibeke
AU - Bergmann, Ann Christina
AU - Andersen, Paal Skytt
AU - Rashid, Shaista
AU - Lund, Britta Ornfelt
AU - Rasmussen, Britt Kaiser
AU - Avlund, Sara
AU - Nielsen, Marie Odum
AU - Bramstang, Eva Karolina Nilsdotter
AU - Poulsen, Anja
AU - Rudbeck-Resdal, Ditte
AU - Aamann, Luise
AU - Alexandraki, Maria Joanna
AU - Foroutani, Ali
AU - Molzen, Line
AU - Hatrop, Anders
AU - Rittig, Charlotte Siggaard
AU - Stenbog, Elisabeth
AU - Hedback, Nora Elisabeth
AU - Nielsen, Rasmus Gaardskaer
AU - Schiodt, Frank Vinholt
AU - Carlsen, Katrine
AU - Dessau, Ram Benny
AU - Hoffmann, Hans Jurgen
AU - Nexo, Bjorn Andersen
AU - Sode, Jacob
PY - 2019
Y1 - 2019
N2 - BackgroundAnti‐tumor necrosis factor‐α (TNF‐α) is used for the treatment of severe cases of IBD, including Crohn's disease (CD) and ulcerative colitis (UC). However, one‐third of the patients do not respond to the treatment. We have previously investigated whether single nucleotide polymorphisms (SNPs) in genes involved in inflammation were associated with response to anti‐TNF therapy among patients with CD or UC.AimA new cohort of patients was established for replication of the previous findings and to identify new SNPs associated with anti‐TNF response.MethodsFifty‐three SNPs assessed previously in cohort 1 (482 CD and 256 UC patients) were genotyped in cohort 2 (587 CD and 458 UC patients). The results were analysed using logistic regression (adjusted for age and gender).ResultsTen SNPs were associated with anti‐TNF response either among patients with CD (TNFRSF1A(rs4149570) (OR: 1.92, 95% CI: 1.02‐3.60, P = 0.04), IL18(rs187238) (OR: 1.35, 95% CI: 1.00‐1.82, P = 0.05), and JAK2(rs12343867) (OR: 1.35, 95% CI: 1.02‐1.78, P = 0.03)), UC (TLR2(rs11938228) (OR: 0.55, 95% CI: 0.33‐0.92, P = 0.02), TLR4(rs5030728) (OR: 2.23, 95% CI: 1.24‐4.01, P = 0.01) and (rs1554973) (OR: 0.49, 95% CI: 0.27‐0.90, P = 0.02), NFKBIA(rs696) (OR: 1.45, 95% CI: 1.06‐2.00, P = 0.02), and NLRP3(rs4612666) (OR: 0.63, 95% CI: 0.44‐0.91, P = 0.01)) or in the combined cohort of patient with CD and UC (IBD) (TLR4(rs5030728) (OR: 1.46, 95% CI: 1.01‐2.11, P = 0.04) and (rs1554973)(OR: 0.80, 95% CI: 0.65‐0.98, P = 0.03), NFKBIA(rs696) (OR: 1.25, 95% CI: 1.01‐1.54, P = 0.04), NLRP3(rs4612666) (OR: 0.73, 95% CI: 0.57‐0.95, P = 0.02), IL1RN(rs4251961) (OR: 0.81, 95% CI: 0.66‐1.00, P = 0.05), IL18(rs1946518) (OR: 1.24, 95% CI: 1.01‐1.53, P = 0.04), and JAK2(rs12343867) (OR: 1.24, 95% CI: 1.01‐1.53, P = 0.04)).ConclusionsThe results support that polymorphisms in genes involved in the regulation of the NFκB pathway (TLR2, TLR4, and NFKBIA), the TNF‐α signalling pathway (TNFRSF1A), and other cytokine pathways (NLRP3, IL1RN, IL18, and JAK2) were associated with response to anti‐TNF therapy. Our multi‐SNP model predicted response rate of more than 82% (in 9% of the CD patients) and 75% (in 15% of the UC patients), compared to 71% and 64% in all CD and UC patients, respectively. More studies are warranted to predict response for use in the clinic.
AB - BackgroundAnti‐tumor necrosis factor‐α (TNF‐α) is used for the treatment of severe cases of IBD, including Crohn's disease (CD) and ulcerative colitis (UC). However, one‐third of the patients do not respond to the treatment. We have previously investigated whether single nucleotide polymorphisms (SNPs) in genes involved in inflammation were associated with response to anti‐TNF therapy among patients with CD or UC.AimA new cohort of patients was established for replication of the previous findings and to identify new SNPs associated with anti‐TNF response.MethodsFifty‐three SNPs assessed previously in cohort 1 (482 CD and 256 UC patients) were genotyped in cohort 2 (587 CD and 458 UC patients). The results were analysed using logistic regression (adjusted for age and gender).ResultsTen SNPs were associated with anti‐TNF response either among patients with CD (TNFRSF1A(rs4149570) (OR: 1.92, 95% CI: 1.02‐3.60, P = 0.04), IL18(rs187238) (OR: 1.35, 95% CI: 1.00‐1.82, P = 0.05), and JAK2(rs12343867) (OR: 1.35, 95% CI: 1.02‐1.78, P = 0.03)), UC (TLR2(rs11938228) (OR: 0.55, 95% CI: 0.33‐0.92, P = 0.02), TLR4(rs5030728) (OR: 2.23, 95% CI: 1.24‐4.01, P = 0.01) and (rs1554973) (OR: 0.49, 95% CI: 0.27‐0.90, P = 0.02), NFKBIA(rs696) (OR: 1.45, 95% CI: 1.06‐2.00, P = 0.02), and NLRP3(rs4612666) (OR: 0.63, 95% CI: 0.44‐0.91, P = 0.01)) or in the combined cohort of patient with CD and UC (IBD) (TLR4(rs5030728) (OR: 1.46, 95% CI: 1.01‐2.11, P = 0.04) and (rs1554973)(OR: 0.80, 95% CI: 0.65‐0.98, P = 0.03), NFKBIA(rs696) (OR: 1.25, 95% CI: 1.01‐1.54, P = 0.04), NLRP3(rs4612666) (OR: 0.73, 95% CI: 0.57‐0.95, P = 0.02), IL1RN(rs4251961) (OR: 0.81, 95% CI: 0.66‐1.00, P = 0.05), IL18(rs1946518) (OR: 1.24, 95% CI: 1.01‐1.53, P = 0.04), and JAK2(rs12343867) (OR: 1.24, 95% CI: 1.01‐1.53, P = 0.04)).ConclusionsThe results support that polymorphisms in genes involved in the regulation of the NFκB pathway (TLR2, TLR4, and NFKBIA), the TNF‐α signalling pathway (TNFRSF1A), and other cytokine pathways (NLRP3, IL1RN, IL18, and JAK2) were associated with response to anti‐TNF therapy. Our multi‐SNP model predicted response rate of more than 82% (in 9% of the CD patients) and 75% (in 15% of the UC patients), compared to 71% and 64% in all CD and UC patients, respectively. More studies are warranted to predict response for use in the clinic.
U2 - 10.1111/apt.15187
DO - 10.1111/apt.15187
M3 - Journal article
C2 - 30811631
VL - 49
SP - 890
EP - 903
JO - Alimentary Pharmacology and Therapeutics, Supplement
JF - Alimentary Pharmacology and Therapeutics, Supplement
SN - 0953-0673
IS - 7
ER -
ID: 228204966