PMID- 21699788 OWN - NLM STAT- MEDLINE DCOM- 20111123 LR - 20220316 IS - 1528-0012 (Electronic) IS - 0016-5085 (Linking) VI - 141 IP - 3 DP - 2011 Sep TI - HLA-Cw*1202-B*5201-DRB1*1502 haplotype increases risk for ulcerative colitis but reduces risk for Crohn's disease. PG - 864-871.e1-5 LID - 10.1053/j.gastro.2011.05.048 [doi] AB - BACKGROUND & AIMS: There are many genetic factors that are associated with both ulcerative colitis (UC) and Crohn's disease (CD). However, genetic factors that have distinct effects on UC and CD have not been examined. METHODS: We performed a comparative genome-wide association study (GWAS) and a replication study using data from 748 patients with UC and 979 with CD, selected from a Japanese population. We conducted high-resolution (4-digit) genotyping of human leukocyte antigen (HLA) alleles in patients with UC and CD and additional 905 healthy individuals (controls). We performed haplotype-based analysis using data from the GWAS and HLA alleles to associate them with UC or CD. RESULTS: The comparative GWAS and the replication study identified significant associations in the major histocompatibility complex region at 6p21 with UC and CD (rs9271366, P = 1.6 x 10(-)(7)(0); odds ratio [OR] = 4.44). Haplotype-based analysis in the major histocompatibility complex region showed that HLA-Cw*1202-B*5201-DRB1*1502 haplotype was significantly associated with increased risk of UC compared with CD (P = 1.1 x 10(-)(3)(3); OR = 6.58), accounting for most of the associations observed in the GWAS. Compared with the controls, this HLA haplotype significantly increases susceptibility to UC (P = 4.0 x 10(-)(2)(1); OR = 2.65), but reduces risk for CD (P = 1.1 x 10(-)(7); OR = 0.40). Distinct effects of this HLA haplotype on UC and CD were independent of other HLA alleles and haplotypes (P = 2.0 x 10(-)(1)(9) and P = 7.2 x 10(-)(5), respectively). CONCLUSIONS: The HLA-Cw*1202-B*5201-DRB1*1502 haplotype increases susceptibility to UC but reduces risk for CD, based on a GWAS of a Japanese population. CI - Copyright (c) 2011 AGA Institute. Published by Elsevier Inc. All rights reserved. FAU - Okada, Yukinori AU - Okada Y AD - Laboratory for Statistical Analysis, Center for Genomic Medicine, RIKEN, Yokohama Institute, Japan. FAU - Yamazaki, Keiko AU - Yamazaki K FAU - Umeno, Junji AU - Umeno J FAU - Takahashi, Atsushi AU - Takahashi A FAU - Kumasaka, Natsuhiko AU - Kumasaka N FAU - Ashikawa, Kyota AU - Ashikawa K FAU - Aoi, Tomomi AU - Aoi T FAU - Takazoe, Masakazu AU - Takazoe M FAU - Matsui, Toshiyuki AU - Matsui T FAU - Hirano, Atsushi AU - Hirano A FAU - Matsumoto, Takayuki AU - Matsumoto T FAU - Kamatani, Naoyuki AU - Kamatani N FAU - Nakamura, Yusuke AU - Nakamura Y FAU - Yamamoto, Kazuhiko AU - Yamamoto K FAU - Kubo, Michiaki AU - Kubo M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110719 PL - United States TA - Gastroenterology JT - Gastroenterology JID - 0374630 RN - 0 (HLA-B*52:01 antigen) RN - 0 (HLA-B52 Antigen) RN - 0 (HLA-C Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM CIN - Gastroenterology. 2012 Mar;142(3):e27-8; author reply e28-9. PMID: 22281265 MH - Adult MH - Aged MH - Alleles MH - Case-Control Studies MH - Colitis, Ulcerative/epidemiology/ethnology/*genetics MH - Crohn Disease/epidemiology/ethnology/*genetics MH - Female MH - Genetic Predisposition to Disease/*genetics MH - Genome-Wide Association Study MH - Genotype MH - HLA-B52 Antigen/*genetics MH - HLA-C Antigens/*genetics MH - HLA-DRB1 Chains/*genetics MH - Haplotypes/*genetics MH - Humans MH - Japan MH - Male MH - Middle Aged MH - Risk Factors EDAT- 2011/06/28 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/06/25 06:00 PHST- 2010/12/27 00:00 [received] PHST- 2011/03/23 00:00 [revised] PHST- 2011/05/26 00:00 [accepted] PHST- 2011/06/25 06:00 [entrez] PHST- 2011/06/28 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] AID - S0016-5085(11)00752-9 [pii] AID - 10.1053/j.gastro.2011.05.048 [doi] PST - ppublish SO - Gastroenterology. 2011 Sep;141(3):864-871.e1-5. doi: 10.1053/j.gastro.2011.05.048. Epub 2011 Jul 19.