Evidence map›Paper›PMID 19493349›Full record

ArticleBMC medical genetics2009

118 SNPs of folate-related genes and risks of spina bifida and conotruncal heart defects.

Gary M Shaw, Wei Lu, Huiping Zhu, Wei Yang, Farren B S Briggs, Suzan L Carmichael, Lisa F Barcellos, Edward J Lammer, Richard H Finnell

Open access · goldAbstract read
In one paragraph

Article in BMC medical genetics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 8 pooled it
7.6field-weighted citation impact, top 2% 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

100 citing papers in PubMed, 8 syntheses or guidelines pooled it, 176 citations in OpenAlex.

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  9. Genetic impairments in folate enzymes increase dependence on dietary choline for phosphatidylcholine production at the expense of betaine synthesis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2016
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40 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

9 authors at 3 institutions in 1 country.

Gary M ShawDepartment of Pediatrics, Division of Neonatal & Developmental Medicine, Stanford University School of Medicine, Stanford, CA, USA. gmshaw@stanford.edu
Wei Lu
Huiping Zhu
Wei Yang
Farren B S Briggs
Suzan L Carmichael
Lisa F Barcellos
Edward J Lammer
Richard H Finnell
Texas A&M Health Science Center · USUniversity of California, Berkeley · USMarch of Dimes · US

Funding

Chromosomal microdeletions causing heart defectsR01HL092330 · NHLBI · CHILDREN'S HOSPITAL & RES CTR AT OAKLAND · PI KING, JANET C · 2009 to 2014
$3.6M
Gene-nutrient Etiologies of Neural Tube DefectsR01NS050249 · NINDS · STANFORD UNIVERSITY · PI SHAW, GARY M · 2005 to 2010
$2.1M
Conotruncal defects: genetic and nutritional riskR01HL077708 · NHLBI · CHILDREN'S HOSPITAL & RES CTR AT OAKLAND · PI LAMMER, EDWARD JAMES · 2006 to 2010
$1.9M
Gene and Nutrient Etiologies of Human Heart DefectsR01HL085859 · NHLBI · STANFORD UNIVERSITY · PI SHAW, GARY M · 2006 to 2010
$1.7M
NHLBI NIH HHS R01 HL077708NHLBI NIH HHS R01 HL085859NHLBI NIH HHS R01 HL092330NINDS NIH HHS R01 NS050249PHS HHS U50/CCU913241
6 · The paper itself

Abstract

backgroundFolic acid taken in early pregnancy reduces risks for delivering offspring with several congenital anomalies. The mechanism by which folic acid reduces risk is unknown. Investigations into genetic variation that influences transport and metabolism of folate will help fill this data gap. We focused on 118 SNPs involved in folate transport and metabolism.

methodsUsing data from a California population-based registry, we investigated whether risks of spina bifida or conotruncal heart defects were influenced by 118 single nucleotide polymorphisms (SNPs) associated with the complex folate pathway. This case-control study included 259 infants with spina bifida and a random sample of 359 nonmalformed control infants born during 1983-86 or 1994-95. It also included 214 infants with conotruncal heart defects born during 1983-86. Infant genotyping was performed blinded to case or control status using a designed SNPlex assay. We examined single SNP effects for each of the 118 SNPs, as well as haplotypes, for each of the two outcomes.

resultsFew odds ratios (ORs) revealed sizable departures from 1.0. With respect to spina bifida, we observed ORs with 95% confidence intervals that did not include 1.0 for the following SNPs (heterozygous or homozygous) relative to the reference genotype: BHMT (rs3733890) OR = 1.8 (1.1-3.1), CBS (rs2851391) OR = 2.0 (1.2-3.1); CBS (rs234713) OR = 2.9 (1.3-6.7); MTHFD1 (rs2236224) OR = 1.7 (1.1-2.7); MTHFD1 (hcv11462908) OR = 0.2 (0-0.9); MTHFD2 (rs702465) OR = 0.6 (0.4-0.9); MTHFD2 (rs7571842) OR = 0.6 (0.4-0.9); MTHFR (rs1801133) OR = 2.0 (1.2-3.1); MTRR (rs162036) OR = 3.0 (1.5-5.9); MTRR (rs10380) OR = 3.4 (1.6-7.1); MTRR (rs1801394) OR = 0.7 (0.5-0.9); MTRR (rs9332) OR = 2.7 (1.3-5.3); TYMS (rs2847149) OR = 2.2 (1.4-3.5); TYMS (rs1001761) OR = 2.4 (1.5-3.8); and TYMS (rs502396) OR = 2.1 (1.3-3.3). However, multiple SNPs observed for a given gene showed evidence of linkage disequilibrium indicating that the observed SNPs were not individually contributing to risk. We did not observe any ORs with confidence intervals that did not include 1.0 for any of the studied SNPs with conotruncal heart defects. Haplotype reconstruction showed statistical evidence of nonrandom associations with TYMS, MTHFR, BHMT and MTR for spina bifida.

conclusionOur observations do not implicate a particular folate transport or metabolism gene to be strongly associated with risks for spina bifida or conotruncal defects.

Indexed as

Polymorphism, Single NucleotideBiological TransportCaliforniaCase-Control StudiesFolic AcidGenetic Predisposition to DiseaseGenotypeHaplotypesHeart Defects, CongenitalHumansInfantMethylenetetrahydrofolate Reductase (NADPH2)Odds RatioRisk FactorsSpinal DysraphismFolic AcidMethylenetetrahydrofolate Reductase (NADPH2)

Identifiers

PMID19493349
PMCPMC2700092
OpenAlexW2086967210

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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.