Evidence map›Paper›PMID 33692434›Full record

Trial reportScientific reports2021

Mutation spectrum of NOD2 reveals recessive inheritance as a main driver of Early Onset Crohn's Disease.

Julie E Horowitz, Neil Warner, Jeffrey Staples, Eileen Crowley, Nehal Gosalia, Ryan Murchie, Cristopher Van Hout, Karoline Fiedler, Gabriel Welch, Alejandra Klauer King and 8 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Multi-omics characterization of Yao syndrome identifies three pathophysiological axes and disease-specific divergence from Blau syndrome.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  3. Article
  4. Review
  5. Review
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  7. Gut-heart axis: cardiac remodeling and heart failure in the context of inflammatory bowel disease and dysbiosis.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Review
  8. Cancers · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Role and molecular mechanism of NOD2 in chronic non-communicable diseases.Journal of molecular medicine (Berlin, Germany) · 2024
    Review
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 4 institutions in 2 countries.

Julie E HorowitzRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Neil WarnerSickKids Inflammatory Bowel Disease Center, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Jeffrey StaplesRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Eileen CrowleySickKids Inflammatory Bowel Disease Center, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Nehal GosaliaRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Ryan MurchieSickKids Inflammatory Bowel Disease Center, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Cristopher Van HoutRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Karoline FiedlerSickKids Inflammatory Bowel Disease Center, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Gabriel WelchRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Alejandra Klauer KingRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Jeffrey G ReidRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
John D OvertonRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Aris BarasRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Alan R ShuldinerRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Anne GriffithsSickKids Inflammatory Bowel Disease Center, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Omri GottesmanRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA.
Aleixo M MuiseSickKids Inflammatory Bowel Disease Center, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada. aleixo.muise@utoronto.ca.
Claudia Gonzaga-JaureguiRegeneron Genetics Center, Regeneron Pharmaceuticals Inc., 777 Saw Mill River Rd, Tarrytown, NY, USA. clau.gonzagajauregui@regeneron.com.
Regeneron (United States) · USSickKids Foundation · CAHospital for Sick Children · CAWestern University · CA

Funding

COngenital Diarrhea and Enteropathy (PediCODE) Consortium and BioRepositoryRC2DK118640 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI James Richard Goldenring, Izumi Kaji · 2019 to 2026
$14.8M
CIHR MOP119457NIDDK NIH HHS RC2 DK118640
6 · The paper itself

Abstract

Inflammatory bowel disease (IBD), clinically defined as Crohn's disease (CD), ulcerative colitis (UC), or IBD-unclassified, results in chronic inflammation of the gastrointestinal tract in genetically susceptible hosts. Pediatric onset IBD represents ≥ 25% of all IBD diagnoses and often presents with intestinal stricturing, perianal disease, and failed response to conventional treatments. NOD2 was the first and is the most replicated locus associated with adult IBD, to date. However, its role in pediatric onset IBD is not well understood. We performed whole-exome sequencing on a cohort of 1,183 patients with pediatric onset IBD (ages 0-18.5 years). We identified 92 probands with biallelic rare and low frequency NOD2 variants accounting for approximately 8% of our cohort, suggesting a Mendelian inheritance pattern of disease. Additionally, we investigated the contribution of recessive inheritance of NOD2 alleles in adult IBD patients from a large clinical population cohort. We found that recessive inheritance of NOD2 variants explains ~ 7% of cases in this adult IBD cohort, including ~ 10% of CD cases, confirming the observations from our pediatric IBD cohort. Exploration of EHR data showed that several of these adult IBD patients obtained their initial IBD diagnosis before 18 years of age, consistent with early onset disease. While it has been previously reported that carriers of more than one NOD2 risk alleles have increased susceptibility to Crohn's Disease (CD), our data formally demonstrate that recessive inheritance of NOD2 alleles is a mechanistic driver of early onset IBD, specifically CD, likely due to loss of NOD2 protein function. Collectively, our findings show that recessive inheritance of rare and low frequency deleterious NOD2 variants account for 7-10% of CD cases and implicate NOD2 as a Mendelian disease gene for early onset Crohn's Disease.

Indexed as

MutationAdolescentAdultAge of OnsetChildChild, PreschoolColitis, UlcerativeCrohn DiseaseFemaleHumansInfantInfant, NewbornMaleNod2 Signaling Adaptor ProteinNOD2 protein, humanNod2 Signaling Adaptor Protein

Identifiers

PMID33692434
PMCPMC7946957
OpenAlexW3135804138

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.