Combined carriership of TLR9-1237C and CD14-260T alleles enhances the risk of developing chronic relapsing pouchitis

K M Lammers, S Ouburg, S A Morré, J B A Crusius, P Gionchett, F Rizzello, C Morselli, E Caramelli, R Conte, G Poggioli, M Campieri, A S Peña

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AIM: To investigate the single nucleotide polymorphisms (SNPs) in genes involved in bacterial recognition and the susceptibility to pouchitis or pouchitis severity.

METHODS: Analyses of CD14 -260C>T, CARD15/NOD2 3020insC, Toll-like receptor (TLR)4 +896A>G, TLR9 -1237T>C, TLR9+2848G>A, and IRAKM + 22148G>A SNPs were performed in 157 ileal-pouch anal anastomosis (IPAA) patients (79 patients who did not develop pouchitis, 43 infrequent pouchitis patients, 35 chronic relapsing pouchitis patients) and 224 Italian Caucasian healthy controls.

RESULTS: No significant differences were found in SNP frequencies between controls and IPAA patients. However, a significant difference in carriership frequency of the TLR9-1237C allele was found between the infrequent pouchitis and chronic relapsing pouchitis groups [P = 0.028, oddos ratio (OR) = 3.2, 95%CI = 1.2-8.6]. This allele uniquely represented a 4-locus TLR9 haplotype comprising both studied TLR9 SNPs in Caucasians. Carrier trait analysis revealed an enhanced combined carriership of the alleles TLR9 -1237C and CD14 -260T in the chronic relapsing pouchitis and infrequent pouchitis group (P = 0.018, OR = 4.1, 95%CI = 1.4 -12.3).

CONCLUSION: There is no evidence that the SNPs predispose to the need for IPAA surgery. The significant increase of the combined carriership of the CD14 -260T and TLR9 -1237C alleles in the chronic relapsing pouchitis group suggests that these markers identify a subgroup of IPAA patients with a risk of developing chronic or refractory pouchitis.

Original languageEnglish
Pages (from-to)7323-7329
Number of pages7
JournalWorld journal of gastroenterology
Issue number46
Publication statusPublished - 14 Dec 2005


  • Adult
  • Alleles
  • Base Sequence
  • Case-Control Studies
  • Chronic Disease
  • Colonic Pouches/adverse effects
  • DNA/genetics
  • Female
  • Gene Frequency
  • Haplotypes
  • Humans
  • Lipopolysaccharide Receptors/genetics
  • Male
  • Middle Aged
  • Polymorphism, Single Nucleotide
  • Pouchitis/etiology
  • Recurrence
  • Risk Factors
  • Toll-Like Receptor 9/genetics

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