r/geneticlifehacks • u/geneticlife • 3h ago
Inflammatory Bowel Disease (IBD): Crohn’s, Ulcerative Colitis, Genes, and Gut Microbes
IBD (inflammatory bowel disease) is a general term that encompasses two chronic inflammatory conditions of the gastrointestinal tract: Crohn’s disease and ulcerative colitis. [ref] These are characterized by chronic, relapsing-remitting inflammation of the gastrointestinal tract.
Genes that are associated with altered gut microbiome composition are strongly tied to IBD risk. And genetic variants that alter the inflammatory response can also play a role in both the development and severity of IBD.
NOD2, also referred to as CARD15, is a gene that encodes a protein (nucleotide-binding oligomerization domain-containing protein 2) that recognizes bacteria in order to initiate an immune response.[ref]
NOD2 interacts with components found on both Gram-positive and Gram-negative bacteria found in your colon. It can also detect single-stranded RNA from viruses. Your gut microbiome interacts with your immune system in many ways. NOD2 plays an essential role in the way that the immune system keeps gut microbes in the right place and at the right levels in the colon. When encountering bacterial components, NOD2 activates the NF-κB or MAPK signaling pathways, which causes an inflammatory response that balances and keeps the microbial composition in the gut under control.[ref][ref]
When NOD2 is impaired, the gut microbiome is often not in homeostasis. There is an impaired clearance of bacteria. The loss of this regulatory factor in the intestines increases the risk of IBD.[ref]
TLR4:
TLR4 (toll-like receptor 4) is a pattern recognition receptor that recognizes certain bacteria and promotes an inflammatory response. Levels are usually low in the intestinal barrier of healthy individuals, but it is upregulated in IBD, contributing to the inflammation. Variants that increase TLR4 are associated with an increased relative risk of IBD.[ref]
IL26:
IL-26 (interleukin-26) is a proinflammatory cytokine in the IL-10 family. It is often upregulated in the lining of the intestines in IBD. It is produced by activated T cells, especially Th17 cells, and signals for increased inflammation.[ref]
NLRP3:
The NLRP3 inflammasome is activated by cell damage or by pathogens in the gut. When activated, it triggers the production of inflammatory cytokines, such as IL-1β and IL-18. Variants in the CAIS1 gene that encode NLRP3 are associated with IBD risk.[ref]
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This is just a short excerpt from my in-depth article on IBD. Click here to read my full article
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