Microscopic colitis
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Summary
Microscopic colitis (MONDO:0000702) is a disease with 26 GWAS associations across 3 studies and 16 clinical trials. Top therapeutic interventions include budesonide, mesalamine, and rifaximin. A subtype of colitis — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- GWAS associations: 26
- Clinical trials: 16
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | microscopic colitis |
| Mondo ID | MONDO:0000702 |
| EFO | EFO:1001295 |
| MeSH | D046728 |
| Orphanet | 58220 |
| DOID | DOID:0060182 |
| ICD-10-CM | K52.83 |
| ICD-11 | 1122828822 |
| NCIT | C38504 |
| SNOMED CT | 235753003 |
| UMLS | C0400821 |
| MedGen | 98005 |
| Is cancer (heuristic) | no |
Data availability: 26 GWAS associations (3 studies).
Disease family
This is a subtype of colitis. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by body system or component › digestive system disorder › intestinal disorder › gastroenteritis › colitis › microscopic colitis
Related subtypes (8): ischemic colitis, chemical colitis, diversion colitis, ulcerative colitis, ileocolitis, indeterminate colitis, infectious colitis, proctocolitis
Subtypes (3): collagenous colitis, lymphocytic colitis, eosinophilic colitis
Genetics & variants
GWAS landscape
26 GWAS associations across 3 studies. Top hits map to 1 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs9267445 | 4e-39 | MICB - PPIAP9 | C | 1.8 |
| rs35099084 | 2e-08 | CLEC16A | C | 1.3 |
| chr6:31355318 | 3e-08 | ? | 0 | |
| chr6:106000790 | 9e-08 | ? | 0 | |
| chr4:108478191 | 3e-07 | ? | 0 | |
| chr15:64768700 | 3e-07 | ? | 0 | |
| chr13:54703907 | 3e-07 | ? | 0 | |
| chr8:12517525 | 5e-07 | ? | 0 | |
| chr17:6571439 | 6e-07 | ? | 0 | |
| chr4:24338324 | 1e-06 | ? | 0 | |
| chr7:25573204 | 1e-06 | ? | 0 | |
| chr16:26117039 | 1e-06 | ? | 0 | |
| chr1:102300829 | 1e-06 | ? | 0 | |
| chr7:47391321 | 2e-06 | ? | 0 | |
| chr11:105858586 | 2e-06 | ? | 0 | |
| chr6:65350792 | 3e-06 | ? | 0 | |
| chr11:11931183 | 3e-06 | ? | 0 | |
| chr20:2374455 | 3e-06 | ? | 0 | |
| chr2:44211546 | 4e-06 | ? | 0 | |
| chr5:24256226 | 4e-06 | ? | 0 | |
| chr2:29002900 | 5e-06 | ? | 0 | |
| chr5:6222490 | 5e-06 | ? | 0 | |
| chr14:41804188 | 6e-06 | ? | 0 | |
| chr1:211852006 | 7e-06 | ? | 0 | |
| chr3:21580556 | 8e-06 | ? | 0 | |
| chr6:104003704 | 8e-06 | ? | 0 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90204144 | Zheng T | 2023 | 2,599 | 552,343 | HLA signatures as pathophysiological discriminants of microscopic colitis subtypes. |
| GCST009081 | Green HD | 2019 | 423 | 445,232 | Genome-wide association study of microscopic colitis in the UK Biobank confirms immune-related pathogenesis. |
| GCST009080 | Green HD | 2019 | 98 | 46,397 | Genome-wide association study of microscopic colitis in the UK Biobank confirms immune-related pathogenesis. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 26 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 2 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 24 |
Functional consequences
| Consequence | Count |
|---|---|
| unknown | 24 |
| intergenic_variant | 1 |
| intron_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs9267445 | 6 | 31515704 | G>C | 0.12 | intergenic_variant | MICB - PPIAP9 | 4e-39 | Tier 4: intronic/intergenic |
| rs35099084 | 16 | 11095760 | C>G,T | 0.192 | intron_variant | CLEC16A | 2e-08 | Tier 4: intronic/intergenic |
| chr6:31355318 | 3e-08 | Tier 4: intronic/intergenic | ||||||
| chr6:106000790 | 9e-08 | Tier 4: intronic/intergenic | ||||||
| chr4:108478191 | 3e-07 | Tier 4: intronic/intergenic | ||||||
| chr15:64768700 | 3e-07 | Tier 4: intronic/intergenic | ||||||
| chr13:54703907 | 3e-07 | Tier 4: intronic/intergenic | ||||||
| chr8:12517525 | 5e-07 | Tier 4: intronic/intergenic | ||||||
| chr17:6571439 | 6e-07 | Tier 4: intronic/intergenic | ||||||
| chr4:24338324 | 1e-06 | Tier 4: intronic/intergenic | ||||||
| chr7:25573204 | 1e-06 | Tier 4: intronic/intergenic | ||||||
| chr16:26117039 | 1e-06 | Tier 4: intronic/intergenic | ||||||
| chr1:102300829 | 1e-06 | Tier 4: intronic/intergenic | ||||||
| chr7:47391321 | 2e-06 | Tier 4: intronic/intergenic | ||||||
| chr11:105858586 | 2e-06 | Tier 4: intronic/intergenic | ||||||
| chr6:65350792 | 3e-06 | Tier 4: intronic/intergenic | ||||||
| chr11:11931183 | 3e-06 | Tier 4: intronic/intergenic | ||||||
| chr20:2374455 | 3e-06 | Tier 4: intronic/intergenic | ||||||
| chr2:44211546 | 4e-06 | Tier 4: intronic/intergenic | ||||||
| chr5:24256226 | 4e-06 | Tier 4: intronic/intergenic | ||||||
| chr2:29002900 | 5e-06 | Tier 4: intronic/intergenic | ||||||
| chr5:6222490 | 5e-06 | Tier 4: intronic/intergenic | ||||||
| chr14:41804188 | 6e-06 | Tier 4: intronic/intergenic | ||||||
| chr1:211852006 | 7e-06 | Tier 4: intronic/intergenic | ||||||
| chr3:21580556 | 8e-06 | Tier 4: intronic/intergenic | ||||||
| chr6:104003704 | 8e-06 | Tier 4: intronic/intergenic |
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
Drugs indicated for this disease
0 approved, 1 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Budesonide | Phase 3 (in late-stage trials) |
Clinical trials & evidence
Clinical trials
Clinical trials: 16.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 10 |
| PHASE2 | 3 |
| PHASE3 | 1 |
| PHASE2/PHASE3 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00180050 | PHASE3 | COMPLETED | Budesonide Treatment for Lymphocytic Colitis |
| NCT00952952 | PHASE2/PHASE3 | COMPLETED | Trial of Mesalamine for the Treatment of Active Microscopic Colitis |
| NCT04043897 | PHASE2 | RECRUITING | Efficacy and Safety of Oral Rifaximin in Patients With Active Microscopic Colitis |
| NCT05915104 | PHASE2 | NOT_YET_RECRUITING | Efficacy and Safety of Budesonide MMX® vs. Budesonide CR for Induction of Remission in Microscopic Colitis |
| NCT07156175 | PHASE2 | RECRUITING | A Study to Investigate the Efficacy and Safety of SAR444336 in Adults With Microscopic Colitis in Clinical Remission |
| NCT05998174 | EARLY_PHASE1 | UNKNOWN | Faecal Microbiota Transplantation for Microscopic Colitis |
| NCT06530836 | Not specified | ACTIVE_NOT_RECRUITING | Chronic Diarrhea Owing to Underlying Microscopic Colitis |
| NCT06657001 | Not specified | ENROLLING_BY_INVITATION | Enabling Microbiomics- Driven Personalized Nutrition |
| NCT01928667 | Not specified | COMPLETED | Case-Control Study to Identify Risk Factors for Microscopic Colitis |
| NCT02303132 | Not specified | COMPLETED | Ussing Experiments to Evaluate the Role of Medication-induced Microscopic Colitis |
| NCT03275467 | Not specified | COMPLETED | Faecal Microbiota Transplantation in Patients With Microscopic Colitis |
| NCT03477032 | Not specified | UNKNOWN | FMT in Inflammatory Bowel Disease |
| NCT05058131 | Not specified | UNKNOWN | Modulation of Intestinal Barrier Function and Inflammation Via Butyrate-promoting Dietary Fibre |
| NCT05579444 | Not specified | TERMINATED | Systems Biology of Gastrointestinal and Related Diseases |
| NCT06031064 | Not specified | UNKNOWN | External Validation of a Microscopic Colitis Clinical Scoring System in Patients With Chronic Watery Diarrhoea |
| NCT06172647 | Not specified | UNKNOWN | Mucosa Adherent Intestinal Microbiome in Microscopic Colitis and Colorectal Cancer |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| BUDESONIDE | 4 | 2 |
| MESALAMINE | 4 | 1 |
| RIFAXIMIN | 4 | 1 |
| CHEMBL249466 | 0 | 1 |
Related Atlas pages
- Drugs: Budesonide, Mesalamine, Rifaximin