Evidence map›Paper›PMID 19196962›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2009

Genome-wide association study identifies NRG1 as a susceptibility locus for Hirschsprung's disease.

Maria-Mercè Garcia-Barcelo, Clara Sze-Man Tang, Elly Sau-Wai Ngan, Vincent Chi-Hang Lui, Yan Chen, Man-Ting So, Thomas Yuk-Yu Leon, Xiao-Ping Miao, Cathy Ka-Yee Shum, Feng-Qin Liu and 14 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 3 pooled it
12.7field-weighted citation impact, top 1% 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

104 citing papers in PubMed, 3 syntheses or guidelines pooled it, 187 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Article
  5. Article
  6. Combinatorial multiomic analysis from a pedigree of Sox10bioRxiv : the preprint server for biology · 2025
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  15. Article
  16. Genetics of Hirschsprung's disease.Pediatric surgery international · 2023
    Review
  17. Article
  18. Article
  19. Review
  20. Article

44 more citing papers are in PubMed but not listed here.

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

24 authors at 9 institutions in 4 countries.

Maria-Mercè Garcia-BarceloDepartment of Surgery, Li Ka Shing Faculty of Medicine, University of Hong Kong.
Clara Sze-Man Tang
Elly Sau-Wai Ngan
Vincent Chi-Hang Lui
Yan Chen
Man-Ting So
Thomas Yuk-Yu Leon
Xiao-Ping Miao
Cathy Ka-Yee Shum
Feng-Qin Liu
Ming-Yiu Yeung
Zhen-Wei Yuan
Wei-Hong Guo
Lei Liu
Xiao-Bing Sun
Liu-Ming Huang
Jin-Fa Tou
You-Qiang Song
Danny Chan
Kenneth M C Cheung
Kenneth Kak-Yuen Wong
Stacey S Cherny
Pak-Chung Sham
Paul Kwong-Hang Tam
Texas Endosurgery Institute · USCenter for Human Reproduction · USBeijing Children’s Hospital · CNBeijing City University · CNChildren's Hospital of Zhejiang University · CNChina Medical University · CNGenome Research Foundation · KRShandong First Medical University · CNUniversity of Hong Kong · HK

Funding

VARIANCE COMPONENTS MODELS FOR MAPPING QTLSR01EY012562 · NEI · UNIVERSITY OF COLORADO AT BOULDER · PI HEWITT, JOHN K · 1999 to 2006
$2.1M
NEI NIH HHS EY-12562NEI NIH HHS R01 EY012562
6 · The paper itself

Abstract

Hirschsprung's disease (HSCR), or aganglionic megacolon, is a congenital disorder characterized by the absence of enteric ganglia in variable portions of the distal intestine. RET is a well-established susceptibility locus, although existing evidence strongly suggests additional loci contributing to sporadic HSCR. To identify these additional genetic loci, we carried out a genome-wide association study using the Affymetrix 500K marker set. We successfully genotyped 293,836 SNPs in 181 Chinese subjects with sporadic HSCR and 346 ethnically matched control subjects. The SNPs most associated with HSCR were genotyped in an independent set of 190 HSCR and 510 control subjects. Aside from SNPs in RET, the strongest overall associations in plausible candidate genes were found for 2 SNPs located in intron 1 of the neuregulin1 gene (NRG1) on 8p12, with rs16879552 and rs7835688 yielding odds ratios of 1.68 [CI(95%):(1.40, 2.00), P = 1.80 x 10(-8)] and 1.98 [CI(95%):(1.59, 2.47), P = 1.12 x 10(-9)], respectively, for the heterozygous risk genotypes under an additive model. There was also a significant interaction between RET and NRG1 (P = 0.0095), increasing the odds ratio 2.3-fold to 19.53 for the RET rs2435357 risk genotype (TT) in the presence of the NRG1 rs7835688 heterozygote, indicating that NRG1 is a modifier of HSRC penetrance. Our highly significant association findings are backed-up by the important role of NRG1 as regulator of the development of the enteric ganglia precursors. The identification of NRG1 as an additional HSCR susceptibility locus not only opens unique fields of investigation into the mechanisms underlying the HSCR pathology, but also the mechanisms by which a discrete number of loci interact with each other to cause disease.

Indexed as

Genetic Predisposition to DiseaseGenome, HumanFemaleGenetic MarkersGenome-Wide Association StudyHirschsprung DiseaseHumansMaleNerve Tissue ProteinsNeuregulin-1Polymorphism, Single NucleotideProto-Oncogene Proteins c-retGenetic MarkersNerve Tissue ProteinsNeuregulin-1NRG1 protein, humanProto-Oncogene Proteins c-ret

Identifiers

PMID19196962
PMCPMC2650328
OpenAlexW2063905144

What OpenQuestion holds

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Registered trials

None linked

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.