RT Journal Article SR Electronic T1 IDDF2024-ABS-0451 Comparison of the serum and gut tissue cytokine profile in crohn’s disease patients with ATG16L1 gene polymorphism (rs2241880) JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP A231 OP A231 DO 10.1136/gutjnl-2024-IDDF.160 VO 73 IS Suppl 2 A1 Lyamina, Svetlana A1 Kalish, Sergey A1 Kozhevnikova, Ekaterina A1 Ivanova, Tatiana A1 Galakhov, Vyacheslav A1 Andreev, Nikolai A1 Speranskaya, Anna A1 Sonets, Ignat A1 Korneenko, Elena A1 Zaborovskiy, Andrey A1 Ilina, Elena A1 Govorun, Vadim A1 Maev, Igor YR 2024 UL http://gut.bmj.com/content/73/Suppl_2/A231.2.abstract AB Background The pathogenesis of Crohn’s disease (CD) is considered from a multifactorial perspective with an undeniable contribution of the genetic component. The various ATG16L1 gene variants are strongly associated with susceptibility to Crohn’s disease in different populations. It is also known that the cytokine profile is considered as a complex signature of the inflammatory process both locally and in an organism. The aim of the study was to assess the local and systemic cytokine profile in L1 ileal CD patients in clinical remission.Methods Serum samples, ileal and rectal tissue biopsies were obtained from CD patients (n=11) aged 19 - 66 y.o. All patients had previously documented L1 ileal CD and clinical remission. DNA samples of CD patients for exome sequencing were isolated from the whole blood. Identified rs2241880 had a coverage depth of more than 30x (MGI, FCL PE100, 6 GB per sample). The risk allele of ATG16L1 (rs2241880) was found in 7 of 11 L1 ileal CD patients. The local (ileal and rectal biopsies) and systemic (serum) cytokine profile were analyzed by bio-plex technology (pro-human cytokine 27-plex assay #M500KCAF0Y) in accordance with the manufacturer’s instructions.Results Integral local and systemic cytokine profile analysis showed significant variability in cytokine profile in patients according to the allelic variant of ATG16L1 (rs2241880). The most significant differences in CD patients with risk allele of ATG16L1 (rs2241880) were found in IL-8, IL-9, IL-17, MCP-1, MIP-1a, MIP-1b, and RANTES profiles in gut tissue and serum compared to patients without risk allele of ATG16L1. The most significant variability was assessed in IL-9: 171.7±10,01 pg/ml (serum) vs 1251.0±66,26 pg/mg (ileal) vs 422.0±140.62 pg/mg (rectal), IL-17: 60.0±1.57 pg/ml (serum) vs 113.5±29.5 pg/mg (ileal) vs 108,25+24,75 pg/mg (rectal), RANTES: 41.98+8.55 pg/ml (serum) vs 204.25+130.5 pg/ml (ileal) vs 186.5+75.5 pg/mg (rectal).Conclusions SNP analysis in combination with an immunological portrait are additional methods for precision medicine in Crohn’s disease even in the state of clinical remission.