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GWAS Study

Genome-wide association study identifies distinct genetic contributions to prognosis and susceptibility in Crohn's disease.

Lee JC, Biasci D, Roberts R et al.

28067912 PubMed ID
GWAS Study Type
2734 Participants
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Chapter I

Publication Details

Comprehensive information about this research publication

Authors

LJ
Lee JC
BD
Biasci D
RR
Roberts R
GR
Gearry RB
MJ
Mansfield JC
AT
Ahmad T
PN
Prescott NJ
SJ
Satsangi J
WD
Wilson DC
JL
Jostins L
AC
Anderson CA
TJ
Traherne JA
LP
Lyons PA
PM
Parkes M
SK
Smith KG
Chapter II

Abstract

Summary of the research findings

For most immune-mediated diseases, the main determinant of patient well-being is not the diagnosis itself but instead the course that the disease takes over time (prognosis). Prognosis may vary substantially between patients for reasons that are poorly understood. Familial studies support a genetic contribution to prognosis, but little evidence has been found for a proposed association between prognosis and the burden of susceptibility variants. To better characterize how genetic variation influences disease prognosis, we performed a within-cases genome-wide association study in two cohorts of patients with Crohn's disease. We identified four genome-wide significant loci, none of which showed any association with disease susceptibility. Conversely, the aggregated effect of all 170 disease susceptibility loci was not associated with disease prognosis. Together, these data suggest that the genetic contribution to prognosis in Crohn's disease is largely independent of the contribution to disease susceptibility and point to a biology of prognosis that could provide new therapeutic opportunities.

1,762 Northern European ancestry poor prognosis cases, 972 Northern European ancestry good prognosis controls.

Chapter III

Study Statistics

Key metrics and study information

2734
Total Participants
GWAS
Study Type
No
Replicated
European
Ancestry
Chapter IV

Analysis

Comprehensive review of health and genetic findings

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