NOD2/CARD15: geographic differences in the Spanish population and clinical applications in Crohn's disease

Crohn's disease (CD) is a genetically complex disease in which both genetic susceptibility and environmental factors play key roles in the development of the disorder. NOD2/CARD15 mutations are associated with CD. NOD2 encodes for a protein that is an intracellular receptor for a bacterial product (muramyl dipeptide), though the exact functional consequences of these mutations remain the subject of debate. NOD2/CARD15 mutations are associated with ileal CD, with stricturing behavior, and possibly with a more complicated course of CD. NOD2/CARD15 mutations associated with CD have demonstrated heterogeneity across ethnicities and populations throughout the world, with regional variations across Europe and Spain. However, "NOD2/CARD15 testing" is not yet ready for use in the clinical setting. One of the reasons is that we know that these genetic variants increase the risk of disease only marginally, and many healthy individuals carry the risk alleles, At present it is not recommended to screen first-degree relatives, because we do not have the ability to prevent the disease at the present time.

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Main Authors: Barreiro-de-Acosta,M., Mendoza,J. L., Lana,R., Domínguez-Muñoz,J. E., Díaz-Rubio,M.
Format: Digital revista
Language:English
Published: Sociedad Española de Patología Digestiva 2010
Online Access:http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082010000500006
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spelling oai:scielo:S1130-010820100005000062010-09-02NOD2/CARD15: geographic differences in the Spanish population and clinical applications in Crohn's diseaseBarreiro-de-Acosta,M.Mendoza,J. L.Lana,R.Domínguez-Muñoz,J. E.Díaz-Rubio,M. NOD2/CARD15 Crohn's disease Epidemiology Inflammatory bowel disease Crohn's disease (CD) is a genetically complex disease in which both genetic susceptibility and environmental factors play key roles in the development of the disorder. NOD2/CARD15 mutations are associated with CD. NOD2 encodes for a protein that is an intracellular receptor for a bacterial product (muramyl dipeptide), though the exact functional consequences of these mutations remain the subject of debate. NOD2/CARD15 mutations are associated with ileal CD, with stricturing behavior, and possibly with a more complicated course of CD. NOD2/CARD15 mutations associated with CD have demonstrated heterogeneity across ethnicities and populations throughout the world, with regional variations across Europe and Spain. However, "NOD2/CARD15 testing" is not yet ready for use in the clinical setting. One of the reasons is that we know that these genetic variants increase the risk of disease only marginally, and many healthy individuals carry the risk alleles, At present it is not recommended to screen first-degree relatives, because we do not have the ability to prevent the disease at the present time.Sociedad Española de Patología DigestivaRevista Española de Enfermedades Digestivas v.102 n.5 20102010-05-01journal articletext/htmlhttp://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082010000500006en
institution SCIELO
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country España
countrycode ES
component Revista
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databasecode rev-scielo-es
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region Europa del Sur
libraryname SciELO
language English
format Digital
author Barreiro-de-Acosta,M.
Mendoza,J. L.
Lana,R.
Domínguez-Muñoz,J. E.
Díaz-Rubio,M.
spellingShingle Barreiro-de-Acosta,M.
Mendoza,J. L.
Lana,R.
Domínguez-Muñoz,J. E.
Díaz-Rubio,M.
NOD2/CARD15: geographic differences in the Spanish population and clinical applications in Crohn's disease
author_facet Barreiro-de-Acosta,M.
Mendoza,J. L.
Lana,R.
Domínguez-Muñoz,J. E.
Díaz-Rubio,M.
author_sort Barreiro-de-Acosta,M.
title NOD2/CARD15: geographic differences in the Spanish population and clinical applications in Crohn's disease
title_short NOD2/CARD15: geographic differences in the Spanish population and clinical applications in Crohn's disease
title_full NOD2/CARD15: geographic differences in the Spanish population and clinical applications in Crohn's disease
title_fullStr NOD2/CARD15: geographic differences in the Spanish population and clinical applications in Crohn's disease
title_full_unstemmed NOD2/CARD15: geographic differences in the Spanish population and clinical applications in Crohn's disease
title_sort nod2/card15: geographic differences in the spanish population and clinical applications in crohn's disease
description Crohn's disease (CD) is a genetically complex disease in which both genetic susceptibility and environmental factors play key roles in the development of the disorder. NOD2/CARD15 mutations are associated with CD. NOD2 encodes for a protein that is an intracellular receptor for a bacterial product (muramyl dipeptide), though the exact functional consequences of these mutations remain the subject of debate. NOD2/CARD15 mutations are associated with ileal CD, with stricturing behavior, and possibly with a more complicated course of CD. NOD2/CARD15 mutations associated with CD have demonstrated heterogeneity across ethnicities and populations throughout the world, with regional variations across Europe and Spain. However, "NOD2/CARD15 testing" is not yet ready for use in the clinical setting. One of the reasons is that we know that these genetic variants increase the risk of disease only marginally, and many healthy individuals carry the risk alleles, At present it is not recommended to screen first-degree relatives, because we do not have the ability to prevent the disease at the present time.
publisher Sociedad Española de Patología Digestiva
publishDate 2010
url http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082010000500006
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