A shared genetic pre-disposition, chronic inflammation, and treatment with similar biologics between Rheumatoid arthritis (RA) and Crohn's disease (CD) have intrigued us to investigate whether the two disorders share trigger association or possible causation. We hypothesized earlier that Single Nucleotide Polymorphisms (SNPs) in the negative regulators
Protein Tyrosine Phosphatase Non-receptor type 2 and 22
(
PTPN2/22)
lead to a dysregulated immune response, susceptibility to environmental triggers, and continued apoptosis as seen in chronic inflammation in RA and CD. To test the hypothesis, peripheral leukocytes samples from 132 consented subjects were genotyped for 9 SNPs in
PTPN2
/22 using TaqMan™ genotyping. The effect of the SNPs on
PTPN2
/22 and
IFN-
γ expression was determined using real time PCR. T-cell proliferation and response to phytohematoagglutonin (PHA) mitogen and mycobacterial antigens were determined by BrdU proliferation assay. Blood samples were also analyzed for the
Mycobacterium avium
subspecies
paratuberculosis
(MAP)
IS900
gene by nPCR. Out of 9 SNPs examined, heterozygous (TC) or minor (CC) alleles of
PTPN2
:
rs478582
occurred in 79% RA compared to 60% healthy controls (
p
-values ≤ 0.05; OR = 2.28). Similarly, heterozygous (GA) or minor (AA) alleles of
PTPN22:rs2476601
occurred in 29% RA compared to 6% healthy controls (
p
-values ≤ 0.05; OR = 5.90).
PTPN2/22
expression in RA was decreased by 1.2-fold compared to healthy controls.
PTPN2:rs478582
upregulated
IFN-
γ in RA by 1.5-fold. Combined
PTPN2:rs478582
and
PTPN22:rs2476601
increased T-cell proliferation by 2.7-fold when treated with PHA. Surprisingly, MAP DNA was detected in 34% of RA samples compared to 8% healthy controls, (
p
-values ≤ 0.05, OR = 5.74). RA samples with
PTPN2:rs478582
and/or
PTPN22:rs2476601
were more positive for MAP than samples without polymorphisms. Combined occurrence of
PTPN2:rs478582
and
PTPN22:rs2476601
in association with the presence of MAP has significantly increased T-cell response and elevated
IFN-
γ expression in RA samples. The data suggest that genetic polymorphisms may play vital role in T-cell regulation, susceptibility to mycobacteria and ultimately response to treatment. This is the first study to report the detection of MAP DNA in the blood of RA patients; further studies are needed using larger number of samples.