Evidence map›Paper›PMID 19417005›Full record

ArticleHuman molecular genetics2009

Combined effects of three independent SNPs greatly increase the risk estimate for RA at 6q23.

Gisela Orozco, Anne Hinks, Steve Eyre, Xiayi Ke, Laura J Gibbons, John Bowes, Edward Flynn, Paul Martin, Wellcome Trust Case Control Consortium, YEAR consortium and 12 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Human molecular genetics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

47 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Growth-Associated SNPs of theAnimals : an open access journal from MDPI · 2026
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  7. Mutations in theInternational journal of molecular sciences · 2024
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  8. Article
  9. Variation in theAnimals : an open access journal from MDPI · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Association BetweenAnimals : an open access journal from MDPI · 2020
    Article
  15. Article
  16. Genetics of immune-mediated inflammatory diseases.Clinical and experimental immunology · 2018
    Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

22 authors.

Gisela Orozcoarc-Epidemiology Unit, Stopford Building, The University of Manchester, Manchester M13 9PT, UK. gisela.orozco@manchester.ac.uk
Anne Hinks
Steve Eyre
Xiayi Ke
Laura J Gibbons
John Bowes
Edward Flynn
Paul Martin
Wellcome Trust Case Control Consortium
YEAR consortium
Anthony G Wilson
Deborah E Bax
Ann W Morgan
Paul Emery
Sophia Steer
Lynne Hocking
David M Reid
Paul Wordsworth
Pille Harrison
Wendy Thomson
Anne Barton
Jane Worthington

Funding

Arthritis Research UK 17552Medical Research Council G0000934Medical Research Council G0600329Versus Arthritis 18475Wellcome Trust 061858Wellcome Trust 068545/Z/02Wellcome Trust 090532
6 · The paper itself

Abstract

The most consistent finding derived from the WTCCC GWAS for rheumatoid arthritis (RA) was association to a SNP at 6q23. We performed a fine-mapping of the region in order to search the 6q23 region for additional disease variants. 3962 RA patients and 3531 healthy controls were included in the study. We found 18 SNPs associated with RA. The SNP showing the strongest association was rs6920220 [P = 2.6 x 10(-6), OR (95% CI) 1.22 (1.13-1.33)]. The next most strongly associated SNP was rs13207033 [P = 0.0001, OR (95% CI) 0.86 (0.8-0.93)] which was perfectly correlated with rs10499194, a SNP previously associated with RA in a US/European series. Additionally, we found a number of new potential RA markers, including rs5029937, located in the intron 2 of TNFAIP3. Of the 18 associated SNPs, three polymorphisms, rs6920220, rs13207033 and rs5029937, remained significant after conditional logistic regression analysis. The combination of the carriage of both risk alleles of rs6920220 and rs5029937 together with the absence of the protective allele of rs13207033 was strongly associated with RA when compared with carriage of none [OR of 1.86 (95% CI) (1.51-2.29)]. This equates to an effect size of 1.50 (95% CI 1.21-1.85) compared with controls and is higher than that obtained for any SNP individually. This is the first study to show that the confirmed loci from the GWA studies, that confer only a modest effect size, could harbour a significantly greater effect once the effect of additional risk variants are accounted for.

Indexed as

Genetic Predisposition to DiseasePolymorphism, Single NucleotideAdultArthritis, RheumatoidCase-Control StudiesChromosome MappingChromosomes, Human, Pair 6DNA-Binding ProteinsFemaleGenome-Wide Association StudyHumansIntracellular Signaling Peptides and ProteinsMaleMiddle AgedNuclear ProteinsTumor Necrosis Factor alpha-Induced Protein 3DNA-Binding ProteinsIntracellular Signaling Peptides and ProteinsNuclear ProteinsTNFAIP3 protein, humanTumor Necrosis Factor alpha-Induced Protein 3

Identifiers

PMID19417005
PMCPMC2701332

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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.