rs2066847

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This is a frameshift variant variant in the NOD2 gene.

Key Literature Trait Associations

Crohn's Disease

rs2066847 is the NOD2 3020insC variant — a single cytosine insertion causing a frameshift and premature stop codon (p.Leu1007fs). The truncated NOD2 protein cannot activate NF-κB, severely impairing gut innate immunity. Of the three major NOD2 Crohn's variants, this frameshift has the largest individual effect: one copy roughly quadruples risk, while homozygotes or compound heterozygotes face 17-40 fold elevation. Found in ~3-4% of Europeans. Note: this is an insertion/deletion, not a simple SNP — consumer arrays may not reliably genotype it.

Yazdanyar S et al. Genotyping for NOD2 genetic variants and crohn disease: a metaanalysis. Clinical Chemistry 55(11):1950-1957 (2009)
Allele CC
OR 3.80
p
Candidate gene study
Allele CC
OR
p
Candidate gene study
European
Allele CC
OR
p
Candidate gene study
multi-ancestry
Allele CC
OR 4.09
p
Candidate gene study
European

Colorectal cancer

Carriers of the rs2066847 insertion allele have modestly elevated colorectal cancer risk, likely mediated through impaired NOD2-driven mucosal immune surveillance. An updated 2025 systematic review and meta-analysis of 13 studies (5,013 cases, 4,463 controls) found OR 1.321 under the heterozygous model and OR 1.402 under the dominant model. An earlier broader meta-analysis of 30 studies found OR 1.23 (95% CI 1.10–1.38) across all carriers for overall cancer risk including colorectal. The absolute risk elevation is modest and most relevant in the context of established inflammatory bowel disease.

Allele C
OR 1.40
p 1.0e-3
N 9,476
Meta-analysis
multi-ancestry
Allele C
OR 1.23
p 1.0e-3
Meta-analysis
multi-ancestry

Sarcoidosis

Despite NOD2's established role in granulomatous inflammation, rs2066847 does not appear to confer significant sarcoidosis risk. A 2018 meta-analysis of 8 case-control studies (968 cases, 1,549 controls) found no significant association between rs2066847 and sarcoidosis susceptibility under any genetic model. In contrast, the related NOD2 variant rs2066845 did show significant association with sarcoidosis in the same analysis. The null finding for rs2066847 in sarcoidosis contrasts sharply with its large effect in Crohn's disease.

Chen X et al. NOD2/CARD15 gene polymorphisms and sarcoidosis susceptibility: review and meta-analysis. Sarcoidosis, Vasculitis, and Diffuse Lung Diseases : Official Journal of Wasog (2018)
Allele C
OR
p
N 2,517
Meta-analysis
European

GWAS Catalog Trait Associations (2)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

Research that mentions this SNP (8)

Gene Variants, mRNA and NOD1/2 Protein Levels in Tunisian Childhood Asthma
AssociationN=763Rafik Belhaj et al.(2019)· Lung

Case-control study of 338 Tunisian asthmatic children and 425 healthy controls examining NOD1/NOD2 polymorphisms. The NOD1 rs2075820 (E266K) AA genotype was a significant risk factor for childhood asthma (OR 4.6, p=0.0001), with higher effect in males. NOD1 mRNA and protein expression were significantly elevated in asthma patients (p<0.001).

Traits studied:Atopic asthmaChildhood asthmaNon-atopic asthma
The JAK2 variant rs10758669 in Crohn’s disease: altering the intestinal barrier as one mechanism of action
AssociationN=1,206Matthias Prager et al.(2012)· International Journal of Colorectal Disease

JAK2 variant rs10758669 significantly increases susceptibility to Crohn's disease (p=0.026, OR=1.25) and is associated with increased intestinal permeability (p=0.004, OR=2.996), suggesting a barrier dysfunction mechanism in IBD pathogenesis. STAT3 rs744166 also increased CD risk (p=0.04, OR=0.83), while IRGM variants showed no association with disease. The findings highlight JAK2's role in epithelial barrier function independent of NOD2 genotype.

Traits studied:Crohn's diseaseIntestinal permeabilityUlcerative colitis
Contribution of higher risk genes and European admixture to Crohnʼs disease in African Americans
AssociationN=708Ming-Hsi Wang et al.(2012)· Inflammatory Bowel Diseases

Study of 354 African American Crohn's disease cases and 354 controls examined the contribution of European admixture and major established CD risk genes. Mean European ancestry was similar between cases (20.9%) and controls (20.4%, p=0.58). Significant associations were found with NOD2 carrier status (OR 3.28, p=0.007), ATG16L1 Thr300Ala (p=0.003), IBD5 locus genes SLC22A4 L503F (p=0.05) and SLC22A5 g-207c (p=0.03), and IL23R rs2201841 (p=0.03), but not IRGM variants.

Traits studied:Crohn's disease
Confirmation of three inflammatory bowel disease susceptibility loci in a Chinese cohort
AssociationN=147Chaolan Lv et al.(2012)· International Journal of Colorectal Disease

This case-control study in a Chinese Han population evaluated eight IBD susceptibility loci previously identified in European GWAS. The study found that NOD2 P268S contributed to Crohn's disease susceptibility (P=0.025), IL23R rs11805303 conferred protective effect against ulcerative colitis (P=0.010), and PTPN2 rs2542151 was associated with increased UC risk (P=0.001). Phenotype-genotype analysis showed P268S was associated with early-onset disease and ileal involvement in CD patients.

Traits studied:Crohn's diseaseInflammatory bowel diseaseUlcerative colitis
Two independent genetic factors responsible for the associations of the IBD5 locus with Crohnʼs disease in the Czech population
AssociationN=939Ondrej Hradsky et al.(2011)· Inflammatory Bowel Diseases

This case-control study in 469 Czech Crohn's disease (CD) patients and 470 controls examined the IBD5 locus, identifying two independent genetic factors: rs6596075 (OR=0.70, protective allele G, p=0.018 in dominant model) and the haplotype tagged by rs2188962 and IGR2063b_1 (OR=1.38 for IGR2063b_1, p=0.00075 in log-additive model). The study demonstrates that these two genetic factors independently contribute to CD susceptibility at the IBD5 locus.

Traits studied:Crohn's disease
NOD2/CARD15 Mutations Correlate With Severe Pouchitis After Ileal Pouch-Anal Anastomosis
AssociationN=387Rishabh Sehgal et al.(2010)· Diseases of the Colon &amp; Rectum

This case-control association study examined NOD2/CARD15 mutations in IPAA patients with various post-surgical complications. NOD2 mutations were found in 67% of severe pouchitis patients (P<0.001), compared to 5.4% in asymptomatic IPAA patients and 8.5% in healthy controls, suggesting a genetic basis for severe pouchitis due to compromised host immune response to enteric bacteria.

Traits studied:Crohn's disease-like complicationsPouchitisUlcerative colitis
No association of the CARD8 (TUCAN) c.30T&gt;A (p.C10X) variant with Crohnʼs disease: A study in 3 independent European cohorts
AssociationN=1,753Carsten Büning et al.(2008)· Inflammatory Bowel Diseases

This study tested the association of the CARD8 c.30T>A (p.C10X, rs2043211) variant with Crohn's disease (CD) and ulcerative colitis (UC) in three independent European cohorts (Germany n=497, Hungary n=268, Netherlands n=156 CD patients vs. 832 matched controls). Unlike a previous report suggesting rs2043211 confers CD susceptibility (OR=1.35), no significant association was found across all three cohorts (pooled OR=0.96, p=0.60 for CD), with only a weak trend in Dutch CD patients (p=0.14).

Traits studied:Crohn's diseaseUlcerative colitis
Common variants in genes that mediate immunity and risk of multiple myeloma
AssociationN=672Elizabeth E. Brown et al.(2007)· International Journal of Cancer

A case-control study of 127 multiple myeloma (MM) cases and 545 controls examined 82 common variants in 45 genes mediating immunity. IL4R rs2107356 (−28120T homozygotes, OR=1.91, 95% CI 1.08-3.38) and FCGR2A rs1801274 (−120G homozygotes, OR=1.95, 95% CI 1.06-3.60) were significantly associated with increased MM risk. A haplotype in the LTA*TNF complex (LTA −82C/−90G*TNF −1036C/−487G/−417G, OR=1.63, 95% CI 1.02-2.61) was also associated with increased MM risk compared to controls.

Traits studied:Multiple myeloma

Gene information from NCBI Gene. Variant classifications from ClinVar.

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