Effects of the STING R232/H232 Variant on the Prognosis of Inflammatory Bowel Disease

Aim: Inflammatory bowel disease (IBD) refers to a group of diseases which cause chronic and recurrent inflammation in different parts of the digestive tract, such as Crohn’s disease (CD) or ulcerative colitis (UC). CD can affect both the large and small intestines, while UC usually affects only the...

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Main Authors: Gizem Akyol, Miray Karakoyun, Doğan Barut, Timur Köse, Vildan Bozok
Format: Article
Language:English
Published: Galenos Yayinevi 2024-12-01
Series:Journal of Pediatric Research
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Online Access:https://jpedres.org/articles/effects-of-the-sting-r232h232-variant-on-the-prognosis-of-inflammatory-bowel-disease/doi/jpr.galenos.2024.42800
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author Gizem Akyol
Miray Karakoyun
Doğan Barut
Timur Köse
Vildan Bozok
author_facet Gizem Akyol
Miray Karakoyun
Doğan Barut
Timur Köse
Vildan Bozok
author_sort Gizem Akyol
collection DOAJ
description Aim: Inflammatory bowel disease (IBD) refers to a group of diseases which cause chronic and recurrent inflammation in different parts of the digestive tract, such as Crohn’s disease (CD) or ulcerative colitis (UC). CD can affect both the large and small intestines, while UC usually affects only the large intestine. Recent studies in immunogenetics have revealed that the innate immune system is crucial in triggering gut inflammation, and rare variants in genes which function in this system are important risk factors for this disease. Stimulator of interferon genes (STING) is a nucleotide-binding endoplasmic reticulum protein involved in the innate immune response. This study aimed to analyse the R232/H232 variant in the STING1 gene in pediatric patients diagnosed with IBD and to investigate whether this variant is associated with the prognosis of IBD. Materials and Methods: Thirty-five pediatric patients admitted with a prediagnosis of IBD were included in this study. The R232/H232 variant was determined by end-point genotyping analysis after real-time reverse transcription-polymerase chain reaction (qRT-PCR) reactions using affinity probes. qRT-PCR analyses were performed to determine the mRNA expression levels of STING and interferon-induced genes in tissue samples. The western blotting method determined STING expression at the protein level. Results: It was determined that 31.43% of the patients had heterozygous (R232/H232), and 68.57% had homozygous (H232/H232) genotypes. A significant difference was found between the genotype distribution and treatment stage. It was determined that 87.50% of the patients who started second-stage treatment had homozygous genotypes. It was also found that homozygous patients had longer durations of attacks than heterozygous patients. Conclusion: R232/H232, the most common variant in the STING1 gene, affects treatment response and attack duration in patients with IBD. Therefore, we suggest that variants in the STING1 gene may be used to develop genetic-based personalized treatment strategies for IBD patients in the future.
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institution Kabale University
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publisher Galenos Yayinevi
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spelling doaj-art-39d4ade2a9d74b97a077836e4a2f92db2024-12-11T13:16:52ZengGalenos YayineviJournal of Pediatric Research2147-94452587-24782024-12-0111419820610.4274/jpr.galenos.2024.42800Effects of the STING R232/H232 Variant on the Prognosis of Inflammatory Bowel DiseaseGizem Akyol0https://orcid.org/0000-0003-3011-2444Miray Karakoyun1https://orcid.org/0000-0002-6533-6256Doğan Barut2https://orcid.org/0000-0002-4662-4252Timur Köse3https://orcid.org/0000-0002-6549-6946Vildan Bozok4https://orcid.org/0000-0003-3915-6363Ege University Faculty of Medicine, Department of Medical Biology, İzmir, TurkeyEge University Faculty of Medicine, Department of Pediatrics, İzmir, TurkeyEge University Faculty of Medicine, Department of Pediatrics, İzmir, TurkeyEge University Faculty of Medicine, Department of Biostatistics and Medical Informatics, İzmir, TurkeyEge University Faculty of Medicine, Department of Medical Biology, İzmir, TurkeyAim: Inflammatory bowel disease (IBD) refers to a group of diseases which cause chronic and recurrent inflammation in different parts of the digestive tract, such as Crohn’s disease (CD) or ulcerative colitis (UC). CD can affect both the large and small intestines, while UC usually affects only the large intestine. Recent studies in immunogenetics have revealed that the innate immune system is crucial in triggering gut inflammation, and rare variants in genes which function in this system are important risk factors for this disease. Stimulator of interferon genes (STING) is a nucleotide-binding endoplasmic reticulum protein involved in the innate immune response. This study aimed to analyse the R232/H232 variant in the STING1 gene in pediatric patients diagnosed with IBD and to investigate whether this variant is associated with the prognosis of IBD. Materials and Methods: Thirty-five pediatric patients admitted with a prediagnosis of IBD were included in this study. The R232/H232 variant was determined by end-point genotyping analysis after real-time reverse transcription-polymerase chain reaction (qRT-PCR) reactions using affinity probes. qRT-PCR analyses were performed to determine the mRNA expression levels of STING and interferon-induced genes in tissue samples. The western blotting method determined STING expression at the protein level. Results: It was determined that 31.43% of the patients had heterozygous (R232/H232), and 68.57% had homozygous (H232/H232) genotypes. A significant difference was found between the genotype distribution and treatment stage. It was determined that 87.50% of the patients who started second-stage treatment had homozygous genotypes. It was also found that homozygous patients had longer durations of attacks than heterozygous patients. Conclusion: R232/H232, the most common variant in the STING1 gene, affects treatment response and attack duration in patients with IBD. Therefore, we suggest that variants in the STING1 gene may be used to develop genetic-based personalized treatment strategies for IBD patients in the future.https://jpedres.org/articles/effects-of-the-sting-r232h232-variant-on-the-prognosis-of-inflammatory-bowel-disease/doi/jpr.galenos.2024.42800stingr232/h232inflammatory bowel diseasecrohn’s diseaseulcerative colitis
spellingShingle Gizem Akyol
Miray Karakoyun
Doğan Barut
Timur Köse
Vildan Bozok
Effects of the STING R232/H232 Variant on the Prognosis of Inflammatory Bowel Disease
Journal of Pediatric Research
sting
r232/h232
inflammatory bowel disease
crohn’s disease
ulcerative colitis
title Effects of the STING R232/H232 Variant on the Prognosis of Inflammatory Bowel Disease
title_full Effects of the STING R232/H232 Variant on the Prognosis of Inflammatory Bowel Disease
title_fullStr Effects of the STING R232/H232 Variant on the Prognosis of Inflammatory Bowel Disease
title_full_unstemmed Effects of the STING R232/H232 Variant on the Prognosis of Inflammatory Bowel Disease
title_short Effects of the STING R232/H232 Variant on the Prognosis of Inflammatory Bowel Disease
title_sort effects of the sting r232 h232 variant on the prognosis of inflammatory bowel disease
topic sting
r232/h232
inflammatory bowel disease
crohn’s disease
ulcerative colitis
url https://jpedres.org/articles/effects-of-the-sting-r232h232-variant-on-the-prognosis-of-inflammatory-bowel-disease/doi/jpr.galenos.2024.42800
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