295: CFTR deltaF508 and CF-risk variants protect against IBD in large exome study

Yu M et al., Cell Genomics, 6 (2026) 101071. doi:10.1016/j.xgen.2025.101071 - Large-scale exome sequencing shows CFTR risk variants, including deltaF508, reduce susceptibility to inflammatory bowel disease, suggesting targeted CFTR modulation as a potential IBD therapy. Key terms: CFTR, deltaF508, inflammatory bowel disease, exome sequencing, rare-variant burden test. Study Highlights:The authors analyzed large-scale human exome and genome sequencing data (38,558 cases and 66,945 controls in European discovery; 42,475 cases and 192,050 controls in replication across ancestries) using single-variant tests and gene-based rare-variant burden tests. They report a protective single-variant association for CFTR deltaF508 with IBD (meta-analysis p = 8.96E-11, OR = 0.82) and a significant protective gene-level burden of clinically annotated CF-risk variants (meta-analysis p = 3.9E-7, OR = 0.85). The study also compared variant prioritization methods and found clinically curated CFTR2 annotations outperform in silico predictors such as AlphaMissense for powering burden tests. Replication signals were observed in non-European groups at nominal significance and the results support exploration of selective, tissue-targeted CFTR modulators as a potential therapeutic implication. Conclusion:Clinically annotated CFTR risk variants, including deltaF508, confer a reproducible protective effect against IBD in large sequencing cohorts, supporting investigation of selective tissue-targeted CFTR modulation while balancing cystic fibrosis risks. Music:Enjoy the music based on this article at the end of the episode. Article title:Cystic fibrosis risk variants confer protection against inflammatory bowel disease First author:Yu M Journal:Cell Genomics, 6 (2026) 101071. doi:10.1016/j.xgen.2025.101071 DOI:10.1016/j.xgen.2025.101071 Reference:Yu M., Zhang Q., Yuan K., Sazonovs A., Stevens C.R., Fachal L., et al. Cystic fibrosis risk variants confer protection against inflammatory bowel disease. Cell Genomics. 6 (2026) 101071. https://doi.org/10.1016/j.xgen.2025.101071 License:This episode is based on an open-access article published under the Creative Commons Attribution 4.0 International License (CC BY 4.0) - https://creativecommons.org/licenses/by/4.0/ Support:Base by Base – Stripe donations: https://donate.stripe.com/7sY4gz71B2sN3RWac5gEg00 Official website https://basebybase.com On PaperCast Base by Base you’ll discover the latest in genomics, functional genomics, structural genomics, and proteomics. Episode link: https://basebybase.com/episodes/cftr-deltaf508-ibd-protection QC:This episode was checked against the original article PDF and publication metadata for the episode release published on 2026-02-19. QC Scope:- article metadata and core scientific claims from the narration- excludes analogies, intro/outro, and music- transcript coverage: Audited the Results and Discussion segments of the transcript, including the DeltaF508 association with IBD, CFTR2-based burden tests, replication across ancestries, AlphaMissense evaluation and mechanistic discussion about mucus and BEST4+ enterocytes, and therapeutic implications.- transcript topics: CFTR deltaF508 single-variant association with IBD; CFTR2-based rare-variant burden test; negative control with non-CF-risk variants; ancestry-adjusted analysis and replication (EUR, AFR.AMR, EAS); CFTR variant prioritization: AlphaMissense vs CFTR2; mechanistic discussion: mucus hydration and BEST4+ enterocytes QC Summary:- factual score: 10/10- metadata score: 10/10- supported core claims: 8- claims flagged for review: 0- metadata checks passed: 4- metadata issues found: 0 Metadata Audited:- article_doi- article_title- article_journal...