The tag SNPs that we selected, from the PARD3 and MAGI2 genes, were not strongly connected by linkage disequilibrium (r2 < 0.7). It is therefore unlikely that the associations that were identified resulted from a bystander effect of associations with other truly causative genes that are flanking these 2 tight junction–related genes. The haploblock structure of each of these 2 large genes was such that it not only excluded neighboring genes, but also forced us for practical reasons to direct our tag SNP selection toward exons and exon–intron junctions, and thus to ignore the contribution of intronic tag SNPs. This could have let us to underestimate the real effect of these gene variants on the disease risks. Because they focused solely on MAGI2, instead of the entire tight junction pathway like we did, McGovern et al could effectively scan this gene in more detail for associations (Inflamm Bowel Dis 2008 Aug 21 [Epub ahead of print]). It is conventional wisdom that the associated common variants are unlikely to be the causative mutations, but that other, more rare, unidentified variants located on the same haplotypes are likely responsible for the effect. To find these causative rare variants in large genes like PARD3 and MAGI2 will be a daunting task, requiring new techniques like high-throughput resequencing. It should also be kept in mind that these causative variants may contribute to the risk by exerting only subtle effects on the intestinal barrier when under stress from external sources like gluten for celiac disease or intestinal microbes in IBD. The notion of mutations leading to dysfunctional proteins should probably be abandoned for complex diseases where multiple genetic and environmental factors in concert impose enhanced disease risk on the individual. A Common Barrier Defect for Celiac Disease and Ulcerative ColitisGastroenterologyVol. 135Issue 6PreviewWapenaar MC, Monsuur AJ, van Bodegraven AA, et al. Associations with tight junction genes PARD3 and MAGI2 in Dutch patients point to a common barrier defect for celiac disease and ulcerative colitis. Gut 2008;57:463–467. Full-Text PDF