The 2p15 locus has been linked to risk for inflammatory disorders such as ankylosing spondylitis, and more recently, Crohn’s disease. However, the precise gene in this region that is responsible for these associations remains uncertain. A metaanalysis of GWAS data as well eQTL analysis was employed to ascertain potential candidate genes in the 2p15 locus. The biologic relevance of the presumed associations were then analyzed utilizing conditional gene inactivation in mice. We identified a specific single nucleotide polymorphism (SNP) in the 2p15 region that was linked to higher risk for ulcerative colitis. This SNP was located just 3′ of the COMMD1 gene and eQTL analysis in 2 different cohorts indicated that this SNP correlates with differential expression of COMMD1 mRNA in normal subjects. To further examine the potential role of COMMD1 in IBD pathogenesis, we employed murine models of conditional gene inactivation. We show that Commd1 loss in the myeloid lineage, a central arm of the innate immune system, leads to exaggerated inflammatory responses due to decreased termination of NF-kB initiated gene expression. Moreover, these animals demonstrate an increased predisposition to colitis in a variety of models, including DSS-induced colitis and IL-10 deficiency. In addition to greater inflammation, an increased progression to dysplasia and frank neoplasia was also evident. Finally, we find that mucosal inflammation in IBD patients leads to decreased COMMD1 expression. This suppression of COMMD1, which is pro-inflammatory, is mediated by IFN-gamma dependent signal transduction pathways that affect COMMD1 mRNA stability. Altogether, our studies demonstrate that the COMMD1 gene plays an anti-inflammatory role and that decreased expression plays a role in the pathogenesis of IBD.
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