PMID- 37347142 OWN - NLM STAT- MEDLINE DCOM- 20230822 LR - 20231213 IS - 1536-4801 (Electronic) IS - 0277-2116 (Print) IS - 0277-2116 (Linking) VI - 77 IP - 3 DP - 2023 Sep 1 TI - Exome Sequencing Implicates DGKZ , ESRRA , and GXYLT1 for Modulating Granuloma Formation in Crohn Disease. PG - 354-357 LID - 10.1097/MPG.0000000000003873 [doi] AB - Non-caseating granulomas may indicate a more aggressive phenotype of Crohn disease (CD). Genetic associations of granulomatous CD (GCD) may help elucidate disease pathogenesis. Whole-exome sequencing was performed on peripheral blood-derived DNA from 17 pediatric patients with GCD and 19 with non-GCD (NGCD), and from an independent validation cohort of 44 GCD and 19 NGCD cases. PLINK (a tool set for whole-genome association and population-based linkage analyses) analysis was used to identify single nucleotide polymorphisms (SNPs) differentiating between groups, and subgroup allele frequencies were also compared to a public genomic database (gnomAD). The Combined Annotation Dependent Depletion scoring tool was used to predict deleteriousness of SNPs. Human leukocyte antigen (HLA) haplotype findings were compared to a control group (n = 8496). PLINK-based analysis between GCD and NGCD groups did not find consistently significant hits. gnomAD control comparisons, however, showed consistent subgroup associations with DGKZ , ESRRA , and GXYLT1 , genes that have been implicated in mammalian granulomatous inflammation. Our findings may guide future research and precision medicine. CI - Copyright (c) 2023 by European Society for European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. FAU - Harris, R Alan AU - Harris RA AD - From the Department of Molecular and Human Genetics, Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX. FAU - Bush, Allyson H AU - Bush AH AD - the Department of Pediatrics, Section of Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine/Texas Children's Hospital, Houston, TX. FAU - Eagar, Todd N AU - Eagar TN AD - the Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, TX. AD - the Department of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY. FAU - Qian, Justin AU - Qian J AD - the Department of Pediatrics, Section of Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine/Texas Children's Hospital, Houston, TX. FAU - Greenwood, Michael P AU - Greenwood MP AD - the Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, TX. AD - the Department of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY. FAU - Opekun, Antone R AU - Opekun AR AD - the Department of Pediatrics, Section of Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine/Texas Children's Hospital, Houston, TX. FAU - Baldassano, Robert AU - Baldassano R AD - the Division of Gastroenterology, Hepatology and Nutrition, University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, PA. FAU - Guthery, Stephen L AU - Guthery SL AD - the Department of Pediatrics, University of Utah and Intermountain Primary Children's Hospital, Salt Lake City, UT. FAU - Noe, Joshua D AU - Noe JD AD - the Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Medical College of Wisconsin, Milwaukee, WI. FAU - Otley, Anthony AU - Otley A AD - IWK Health/Dalhousie University, Halifax, Nova Scotia, Canada. FAU - Rosh, Joel R AU - Rosh JR AD - Goryeb Children's Hospital/Atlantic Children's Health, Morristown, NJ. FAU - Kugathasan, Subra AU - Kugathasan S AD - the Departments of Pediatrics and Human Genetics at Emory University School of Medicine, Atlanta, GA. FAU - Kellermayer, Richard AU - Kellermayer R AD - the Department of Pediatrics, Section of Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine/Texas Children's Hospital, Houston, TX. AD - the Children's Nutrition and Research Center, Houston, TX. LA - eng GR - P30 DK056338/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230622 PL - United States TA - J Pediatr Gastroenterol Nutr JT - Journal of pediatric gastroenterology and nutrition JID - 8211545 RN - EC 2.4.2.n2 (GXYLT1 protein, human) RN - EC 2.7.1.107 (DGKZ protein, human) SB - IM MH - Child MH - Humans MH - *Crohn Disease/complications MH - Exome Sequencing MH - Genetic Predisposition to Disease MH - Granuloma/genetics/pathology MH - Phenotype MH - ERRalpha Estrogen-Related Receptor PMC - PMC10528115 MID - NIHMS1910326 COIS- Dr Otley reports Advisory Board for AbbVie; research funding from AbbVie, Janssen, Takeda, Lilly, and Pfizer. The remaining authors report no conflicts of interest. EDAT- 2023/06/22 13:09 MHDA- 2023/08/21 06:42 PMCR- 2024/09/01 CRDT- 2023/06/22 10:02 PHST- 2024/09/01 00:00 [pmc-release] PHST- 2023/08/21 06:42 [medline] PHST- 2023/06/22 13:09 [pubmed] PHST- 2023/06/22 10:02 [entrez] AID - 00005176-990000000-00416 [pii] AID - 10.1097/MPG.0000000000003873 [doi] PST - ppublish SO - J Pediatr Gastroenterol Nutr. 2023 Sep 1;77(3):354-357. doi: 10.1097/MPG.0000000000003873. Epub 2023 Jun 22.