Evidence map›Paper›PMID 20186855›Full record

ArticleAnnals of neurology2010

What role for genetics in the prediction of multiple sclerosis?

Stephen Sawcer, Maria Ban, James Wason, Frank Dudbridge

Abstract read
In one paragraph

Article in Annals of neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Noise in multiple sclerosis: unwanted and necessary.Annals of clinical and translational neurology · 2014
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Multiple sclerosis.The Journal of clinical investigation · 2012
    Review
  11. The immunogenetic architecture of autoimmune disease.Cold Spring Harbor perspectives in biology · 2012
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
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

4 authors.

Stephen SawcerDepartment of Clinical Neurosciences, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK. sjs1016@mole.bio.cam.ac.uk
Maria Ban
James Wason
Frank Dudbridge

Funding

A Haplotype Map for Multiple SclerosisR01NS049477 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAUSER, STEPHEN L · 2005 to 2014
$15.3M
Medical Research Council G0700061Medical Research Council MC_U105292688Medical Research Council U.1052.00.012.00001.01NINDS NIH HHS R01 NS049477Wellcome Trust 084702Wellcome Trust 084702/Z/08/Z
6 · The paper itself

Abstract

For most of us, the foundations of our understanding of genetics were laid by considering Mendelian diseases in which familial recurrence risks are high, and mutant alleles are both necessary and sufficient. One consequence of this deterministic teaching is that our conceptualization of genetics tends to be dominated by the notion that the genetic aspects of disease are caused by rare alleles exerting large effects. Unfortunately, the preconceptions that flow from this training are frequently erroneous and misleading in the context of common traits, where familial recurrence risks are modest, and for the most part the relevant alleles are neither rare, necessary, nor sufficient. For these common traits, the genetic architecture is far more complex, with susceptibility rather than causality resulting from the combined effects of many alleles, each exerting only a modest effect on risk. None of these alleles is sufficient to cause disease on its own, and none is essential for the development of disease. Furthermore, most are carried by large sections of the population, the vast majority of which does not develop the disease. One consequence of our innate belief in the Mendelian paradigm is that we have an inherent expectation that knowledge about the genetic basis for a disease should allow genetic testing and thereby accurate risk prediction. There is an inevitable feeling that the same should be true in complex disease, but is it?

Indexed as

Genetic Predisposition to DiseaseDiagnosis, DifferentialFemaleGene FrequencyHumansMaleModels, GeneticMultiple SclerosisPolymorphism, Single NucleotideProbabilityPrognosisRiskRisk FactorsROC CurveSex Factors

Identifiers

PMID20186855
PMCPMC2830384

What OpenQuestion holds

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Read underepoch 390

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.