Response to Infliximab in Crohn’s Disease: Genetic Analysis Supporting Expression Profile

Substantial proportion of Crohn’s disease (CD) patients shows no response or a limited response to treatment with infliximab (IFX) and to identify biomarkers of response would be of great clinical and economic benefit. The expression profile of five genes (S100A8-S100A9, G0S2, TNFAIP6, and IL11) rep...

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Main Authors: Luz María Medrano, Carlos Taxonera, Cristina González-Artacho, Virginia Pascual, María Gómez-García, Manuel Barreiro-de Acosta, José L. Pérez-Calle, Fernando Bermejo, Antonio López-Sanromán, Dolores Martín Arranz, Javier P. Gisbert, Juan Luis Mendoza, Javier Martín, Concepción Núñez, Elena Urcelay
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2015/318207
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author Luz María Medrano
Carlos Taxonera
Cristina González-Artacho
Virginia Pascual
María Gómez-García
Manuel Barreiro-de Acosta
José L. Pérez-Calle
Fernando Bermejo
Antonio López-Sanromán
Dolores Martín Arranz
Javier P. Gisbert
Juan Luis Mendoza
Javier Martín
Concepción Núñez
Elena Urcelay
author_facet Luz María Medrano
Carlos Taxonera
Cristina González-Artacho
Virginia Pascual
María Gómez-García
Manuel Barreiro-de Acosta
José L. Pérez-Calle
Fernando Bermejo
Antonio López-Sanromán
Dolores Martín Arranz
Javier P. Gisbert
Juan Luis Mendoza
Javier Martín
Concepción Núñez
Elena Urcelay
author_sort Luz María Medrano
collection DOAJ
description Substantial proportion of Crohn’s disease (CD) patients shows no response or a limited response to treatment with infliximab (IFX) and to identify biomarkers of response would be of great clinical and economic benefit. The expression profile of five genes (S100A8-S100A9, G0S2, TNFAIP6, and IL11) reportedly predicted response to IFX and we aimed at investigating their etiologic role through genetic association analysis. Patients with active CD (350) who received at least three induction doses of IFX were included and classified according to IFX response. A tagging strategy was used to select genetic polymorphisms that cover the variability present in the chromosomal regions encoding the identified genes with altered expression. Following genotyping, differences between responders and nonresponders to IFX were observed in haplotypes of the studied regions: S100A8-S100A9 (rs11205276*G/rs3014866*C/rs724781*C/rs3006488*A; P=0.05); G0S2 (rs4844486*A/rs1473683*T; P=0.15); TNFAIP6 (rs11677200*C/rs2342910*A/rs3755480*G/rs10432475*A; P=0.10); and IL11 (rs1126760*C/rs1042506*G; P=0.07). These differences were amplified in patients with colonic and ileocolonic location for all but the TNFAIP6 haplotype, which evidenced significant difference in ileal CD patients. Our results support the role of the reported expression signature as predictive of anti-TNF outcome in CD patients and suggest an etiological role of those top-five genes in the IFX response pathway.
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spelling doaj-art-07476914c5ab40dea276468738fd28da2025-02-03T05:45:15ZengWileyMediators of Inflammation0962-93511466-18612015-01-01201510.1155/2015/318207318207Response to Infliximab in Crohn’s Disease: Genetic Analysis Supporting Expression ProfileLuz María Medrano0Carlos Taxonera1Cristina González-Artacho2Virginia Pascual3María Gómez-García4Manuel Barreiro-de Acosta5José L. Pérez-Calle6Fernando Bermejo7Antonio López-Sanromán8Dolores Martín Arranz9Javier P. Gisbert10Juan Luis Mendoza11Javier Martín12Concepción Núñez13Elena Urcelay14Immunology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainGastroenterology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainGastroenterology Department, Virgen de las Nieves Hospital, 18014 Granada, SpainImmunology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainGastroenterology Department, Virgen de las Nieves Hospital, 18014 Granada, SpainGastroenterology Department, Hospital Clínico Universitario de Santiago de Compostela, 15706 Santiago de Compostela, SpainGastroenterology Department, Alcorcón Hospital, 28922 Madrid, SpainGastroenterology Department, Fuenlabrada Hospital, 28942 Madrid, SpainGastroenterology Department, Ramón y Cajal Hospital, 28034 Madrid, SpainGastroenterology Department, La Paz Hospital, 28046 Madrid, SpainGastroenterology Department, Hospital Universitario La Princesa, Instituto de Investigación Sanitaria Princesa (IP), 28006 Madrid, SpainGastroenterology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainInstituto de Parasitología y Biomedicina López-Neyra, IPBLN-CSIC, Armilla, 18100 Granada, SpainImmunology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainImmunology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, SpainSubstantial proportion of Crohn’s disease (CD) patients shows no response or a limited response to treatment with infliximab (IFX) and to identify biomarkers of response would be of great clinical and economic benefit. The expression profile of five genes (S100A8-S100A9, G0S2, TNFAIP6, and IL11) reportedly predicted response to IFX and we aimed at investigating their etiologic role through genetic association analysis. Patients with active CD (350) who received at least three induction doses of IFX were included and classified according to IFX response. A tagging strategy was used to select genetic polymorphisms that cover the variability present in the chromosomal regions encoding the identified genes with altered expression. Following genotyping, differences between responders and nonresponders to IFX were observed in haplotypes of the studied regions: S100A8-S100A9 (rs11205276*G/rs3014866*C/rs724781*C/rs3006488*A; P=0.05); G0S2 (rs4844486*A/rs1473683*T; P=0.15); TNFAIP6 (rs11677200*C/rs2342910*A/rs3755480*G/rs10432475*A; P=0.10); and IL11 (rs1126760*C/rs1042506*G; P=0.07). These differences were amplified in patients with colonic and ileocolonic location for all but the TNFAIP6 haplotype, which evidenced significant difference in ileal CD patients. Our results support the role of the reported expression signature as predictive of anti-TNF outcome in CD patients and suggest an etiological role of those top-five genes in the IFX response pathway.http://dx.doi.org/10.1155/2015/318207
spellingShingle Luz María Medrano
Carlos Taxonera
Cristina González-Artacho
Virginia Pascual
María Gómez-García
Manuel Barreiro-de Acosta
José L. Pérez-Calle
Fernando Bermejo
Antonio López-Sanromán
Dolores Martín Arranz
Javier P. Gisbert
Juan Luis Mendoza
Javier Martín
Concepción Núñez
Elena Urcelay
Response to Infliximab in Crohn’s Disease: Genetic Analysis Supporting Expression Profile
Mediators of Inflammation
title Response to Infliximab in Crohn’s Disease: Genetic Analysis Supporting Expression Profile
title_full Response to Infliximab in Crohn’s Disease: Genetic Analysis Supporting Expression Profile
title_fullStr Response to Infliximab in Crohn’s Disease: Genetic Analysis Supporting Expression Profile
title_full_unstemmed Response to Infliximab in Crohn’s Disease: Genetic Analysis Supporting Expression Profile
title_short Response to Infliximab in Crohn’s Disease: Genetic Analysis Supporting Expression Profile
title_sort response to infliximab in crohn s disease genetic analysis supporting expression profile
url http://dx.doi.org/10.1155/2015/318207
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