Evidence map›Paper›PMID 19020530›Full record

ArticleGenes and immunity2009

The shared CTLA4-ICOS risk locus in celiac disease, IgA deficiency and common variable immunodeficiency.

K Haimila, E Einarsdottir, A de Kauwe, L L E Koskinen, Q Pan-Hammarström, T Kaartinen, K Kurppa, F Ziberna, T Not, S Vatta and 12 more

Open access · bronzeAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Genes and immunity, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 49 citations in OpenAlex.

  1. Immunoglobulin a Deficiency in Coeliac Disease: A Scoping Review.United European gastroenterology journal · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Innate Mechanisms in Selective IgA Deficiency.Frontiers in immunology · 2021
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Selective IgA deficiency.Journal of clinical immunology · 2010
    Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 8 institutions in 4 countries.

K HaimilaResearch and Development, Finnish Red Cross Blood Service, Helsinki, Finland. katri.haimila@bts.redcross.fi
E Einarsdottir
A de Kauwe
L L E Koskinen
Q Pan-Hammarström
T Kaartinen
K Kurppa
F Ziberna
T Not
S Vatta
A Ventura
I R Korponay-Szabo
R Adány
Z Pocsai
G Széles
E Dukes
K Kaukinen
M Mäki
S Koskinen
J Partanen
L Hammarström
P Saavalainen
University of Helsinki · FIFinnish Red Cross · FIUniversity of Debrecen · HUIRCCS Materno Infantile Burlo Garofolo · ITKarolinska Institutet · SETampere University · FIUniversity of Trieste · ITTampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IgA deficiency (IgAD) and common variable immunodeficiency (CVID) often co-occur in families, associating with chronic inflammatory diseases such as celiac disease (CD). ICOS (inducible co-stimulator) and CTLA4 (cytotoxic T-lymphocyte-associated protein-4) may be important in both disorders, as ICOS is necessary for Ig class-switching and CTLA4 negatively regulates T-cell activation. Linkage and association of CD with CTLA4-ICOS is well documented, we thus aimed to further pinpoint CD susceptibility by haplotype-tagging analysis. We genotyped 663 CD families from Finland and Hungary, 575 additional CD patients from Finland, Hungary and Italy; 275 Swedish and Finnish IgAD individuals and 87 CVID individuals for 14-18 genetic markers in CTLA4-ICOS. Association was found between CTLA4-ICOS and both IgAD (P=0.0015) and CVID (P=0.0064). We confirmed linkage of CTLA4-ICOS with CD (LOD 2.38, P=0.0005) and found association of CTLA4-ICOS with CD (P=0.0009). Meta-analysis of the IgAD, CVID and CD materials revealed intergenic association (P=0.0005). Disease-associated markers were associated with lower ICOS and higher CTLA4 expression, indicating that the risk haplotypes contain functional variants. In summary, we identified a novel shared risk locus for IgAD, CVID and CD, the first report of association between CTLA4-ICOS and IgAD. Association between CD and CTLA4-ICOS was also confirmed in a large European data set.

Indexed as

Antigens, CDAntigens, Differentiation, T-LymphocyteCeliac DiseaseCommon Variable ImmunodeficiencyCTLA-4 AntigenFemaleFinlandGenetic LinkageGenotypeHumansHungaryIgA DeficiencyInducible T-Cell Co-Stimulator ProteinMaleQuantitative Trait LociAntigens, CDAntigens, Differentiation, T-LymphocyteCTLA-4 AntigenCTLA4 protein, humanICOS protein, humanInducible T-Cell Co-Stimulator Protein

Identifiers

PMID19020530
OpenAlexW2038884795

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.