The IBD6 locus on chromosome 19p was identified via genomewide linkage as a susceptibility locus common to the different form of IBD. In this study we aimed to identify specific risk factors responsible for the linkage signal in this region. As discussed in a recent meta-analysis on Crohn’s disease
27, the high linkage in regions such as 5q and 6p are result of the combined effect of several genes. The identification of one modest impact gene in this specific study combined to the previous identification of MYO9B led us to believe that the 19p region also contains several susceptibility genes for IBD such as MAST3.
We report here the results of our two-stage association mapping study performed on a combined cohort of more than 1500 IBD cases and their respective parental or matched controls. A single SNP, rs273506, located in the second intron of the
MAST3 gene, was found to be associated in the screening and replication IBD cohorts with a combined P-value of 1.8×10
−4. Through LD and correlation patterns, we confirmed that the association signal was coming from
MAST3 and not one of the flanking genes such as
IL12RB1, a gene involved in the same immune pathway as
IL23R which as been associated to IBD
6.
Further analysis of the genetic variation in
MAST3 identified four associated coding SNPs including one non-synonymous variant, S861G, and three synonymous coding SNPs (H174H, I536I, G1045G). The strength of the risk conferred by each of these coding variants of the
MAST3 gene (OR of ~1.18 with 95% CI [1.04, 1.34]) is in the same range as the OR of other common SNPs that have been recently associated to IBD
5; 7; 8; 10; 11. Consistent with the fact that they are on the same haplotype, all
MAST3 coding SNPs typed have the same OR. The SNP S861G, being non synonymous, seems the most likely of the variants tested in MAST3 to have a functional consequence although regulatory SNPs in non-coding region have been shown to influence gene expression
28. Thus we can not formally exclude the possibility that another variant than S861G is the actual causal variant.
Sequence identity analyses as well as functional assays have shown that MAST3 is a kinase
21. Kinases are implicated in numerous cell processes several of which are important in regulation of immune responses. The MAST family is a relatively unknown branch of the kinases. The expression of the
MAST family members is diverse;
MAST2 and
MAST4 are almost ubiquitous whereas
MAST1 is most expressed in the brain and
MASTL, in B lymphocytes
29. Here we show that
MAST3 is mostly expressed in antigen presenting cells and lymphocytes. The MAST proteins contain a serine/threonine kinase domain and a PDZ protein interaction domain, not found in MASTL, which modulates interaction with different substrates. Not much is known about the protein interactions of MAST3, but PTEN, a regulator of cell growth and apoptosis, has been shown be a substrate
21. Valiente
et al. showed via transfection and co-immunoprecipitation that MAST3 binds PTEN through its PDZ domain and by doing so increases PTEN stability, which in turn facilitates its phosphorylation by MAST3 and other kinases
21.
Although little is known about MAST3 function, studies of the other family members can provide some insight. For example, the MAST2 protein has been shown to be involved in pathways important for inflammation as it regulates IL-12 p40 synthesis and NF-κB activation
25; 26. NF-κB is a transcription factor known to activate the expression of many genes, including cytokines and cytokine subunits such as IL-12 p40, involved in the development of immune cells and the activation of inflammatory processes. IL-12 p40 is a subunit of IL-12, a cytokine involved in the differentiation of Th
1 cells and the production of other inflammatory cytokines such as INFγ and TNF-α. IL-12 p40 is also a subunit of IL23, a cytokine involved in the proliferation of Th
17 cells which in turn activates myeloid cells and NK cells to produce inflammatory cytokines, including IL6, TNFα and IL17, that drive intestinal inflammation
30. A genomewide association study on IBD identified a strong association to the
IL23R gene
6 highlighting the role of the IL23 axis in immune diseases. Given the high sequence identity within functional domains of the
MAST family members and the role of
MAST2 in inflammation,
MAST3 is likely to be involved in similar pathways. Previous studies have reported that
MAST2 is expressed in epithelial cells and antigen presenting cells
25. Consequently, we examined the expression of
MAST3 in a panel of cell lines and found the highest expression of
MAST3 in HEK293 cells and THP-1 monocytes. Further expression analysis revealed that
MAST3 is also expressed in primary murine and human immune cells (CD4+ and CD8+ T cells, CD19+ B cells). We next tested the influence of MAST3 on the specific activation of NF-κB via TLR4 and TLR5 signaling and found that MAST3 is involved in the regulation of NF-κB activation via TLR4 but not TLR5 signaling pathways. Members of the Toll family of transmembrane receptors (TLRs) recognize diverse structures associated with pathogenic organisms and can trigger an immune response. Deregulation of the immune response to commensal microbial gut flora is one of the potential causes of IBD. TLR4 responds to LPS, a major component of gram-negative bacteria cell wall. The interaction of LPS with TLR4 results in the recruitment of adaptor protein MyD88 and phosphorylation of IRAK and TRAF6 which leads to the phosphorylation of IKKs and the release of NF-κB from its inhibitor, IκB
31. A variant of
TLR4, 299G, was recently found to be associated to IBD and CD
32. Decreases in airway responsiveness to inhaled LPS, NF-κB activation and
IL1 expression are among the biological consequences of this variant
33. The MAST2 protein has been shown to play a role in the NF-κB pathway through the binding and stabilization of TRAF6
25. We hypothesize that the MAST3 kinase is similarly involved in the stabilization and/or phosphorylation of one the components of the TLR4 cascade downstream of LPS binding to TLR4 receptor and upstream of NF-κB activation and thus regulating NF-κB activity. It is likely that MAST3 functions at a crossroad defining the nature of the mucosal immune system’s encounters with luminal bacteria. Additional functional analyses will be needed to identify MAST3 targets in this cascade. Elucidation of MAST3’s role in regulating protein interactions in intestinal inflammation will help to define the complex molecular events that contribute to IBD. Our findings add to the growing list of genes (e.g. CARD15, MST1, etc.) that indicate a pivotal role for modulators of NF-κB activity, and more broadly genes of the innate immune response to microflora (e.g. ATG16L1, IRGM etc.), in IBD pathogenesis.