Genome-wide association studies as well as murine models have shown that the interleukin 23 receptor (IL23R) pathway plays a pivotal role in chronic inflammatory diseases such as Crohn disease (CD), ulcerative colitis, psoriasis, and type 1 diabetes. Genome-wide association studies and targeted re-sequencing studies have revealed the presence of multiple potentially causal variants of the IL23R. Specifically the G149R, V362I, and R381Q IL23R⣠chain variants are linked to protection against the development of Crohn disease and ulcerative colitis in humans. Moreover, the exact mechanism of action of these receptor variants has not been elucidated. We show that all three of these IL23R⣠variants cause a reduction in IL23 receptor activation-mediated phosphorylation of the signaltransducing activator of transcription 3 (STAT3) and phosphorylation of signal transducing activator of transcription 4 (STAT4). The reduction in signaling is due to lower levels of cell surface receptor expression. For G149R, the receptor retention in the endoplasmic reticulum is due to an impairment of receptor maturation, whereas the R381Q and V362I variants have reduced protein stability. Finally, we demonstrate that the endogenous expression of IL23R⣠protein from V362I and R381Q variants in human lymphoblastoid cell lines exhibited lower expression levels relative to susceptibility alleles. Our results suggest a convergent cause of IL23R⣠variant protection against chronic inflammatory disease.Interleukin 23 receptors (IL23Rs) have been implicated in chronic inflammatory diseases through their role in initiating the differentiation of helper T cells (Th17). The Th17 pathway is important to control acute microbial infections (1-3), and deregulation of the pathway results in inflammatory bowel disease (IBD) 2 (4 -6). IL23R is expressed in specific subsets of T cells as well as other immune cells (7). Cells that express the IL23R polypeptide chain do not express IL12Râ€2, which is also a partner for IL12Râ€1 forming the interleukin 12 receptor (IL12R) (7). Recently, evidence has been presented that IL23R in type 3 innate lymphoid cells is involved in development of colitis through IL23 signaling (8). It is thus essential to understand how IL23RâŁ-protective variants affect IL23 signaling as evidence to support development of therapeutic strategies for IBD. To avoid confusion due to the nomenclature that denotes the IL23R heterodimer receptor from the individual chains, in this report the chain distinct to IL23R will be denoted as IL23R⣠and the heterodimer denoted as IL23R. IL23R signals through the interaction between two receptor chains, IL23R⣠and IL12Râ€1, and together signals by binding IL23 cytokine (9, 10). IL23R⣠constitutively interacts with Janus kinase 2 (JAK2). Binding of IL23 by IL23R results in activation of JAK2 and subsequent phosphorylation of the IL23R followed by recruitment of STAT3 and STAT4 and their phosphorylation (9). Phosphorylated STAT3 and STAT4 both form homodimers that translocate to the nucleus to transcribe pro...