Evidence map›Paper›PMID 20848476›Full record

ArticleInflammatory bowel diseases2010

Genetic predictors of medically refractory ulcerative colitis.

Talin Haritunians, Kent D Taylor, Stephan R Targan, Marla Dubinsky, Andrew Ippoliti, Soonil Kwon, Xiuqing Guo, Gil Y Melmed, Dror Berel, Emebet Mengesha and 6 more

Open access · greenAbstract read
In one paragraph

Article in Inflammatory bowel diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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

76 citing papers in PubMed, 2 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Pooled it
  2. TNFRSF1B Is Associated with ANCA in IBD.Inflammatory bowel diseases · 2016
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Managing Acute Severe Ulcerative Colitis in 2025 and Beyond.Current gastroenterology reports · 2026
    Review
  8. Review
  9. Review
  10. Review
  11. The Pathogenesis of Inflammatory Bowel Diseases.The Surgical clinics of North America · 2025
    Review
  12. Review
  13. Article
  14. Precision medicine in inflammatory bowel disease.Precision clinical medicine · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article

16 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

16 authors at 2 institutions in 1 country.

Talin HarituniansMedical Genetics Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. Talin.Haritunians@cshs.org
Kent D Taylor
Stephan R Targan
Marla Dubinsky
Andrew Ippoliti
Soonil Kwon
Xiuqing Guo
Gil Y Melmed
Dror Berel
Emebet Mengesha
Bruce M Psaty
Nicole L Glazer
Eric A Vasiliauskas
Jerome I Rotter
Phillip R Fleshner
Dermot P B McGovern
Cedars-Sinai Medical Center · USUniversity of Washington · US

Funding

ZONA-FREE HAMSTER OVA ASSAY AS AN INDICATOR OF MALE FERTILITYM01RR000425 · NCRR · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI ANDERSON, GAIL V · 1985 to 2011
$74.2M
Transgenic & Knock-out MouseP30DK063491 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PETER J TONTONOZ · 2003 to 2026
$40.4M
Using polygenic scores to enhance both variant discovery, and understanding of functional consequences of genetic variation in IBD.P01DK046763 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI TARGAN, STEPHAN R. · 1992 to 2020
$31.1M
TNF ALPHA AND CROHNS DISEASE MUCOSAL INFLAMMATIONR01DK056328 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI TARGAN, STEPHAN R. · 1999 to 2018
$6.9M
WGA Study to Identify Genetic Variants Associated with CV Events in CHSR01HL087652 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE M · 2007 to 2009
$5.1M
CHS Events Follow-up StudyU01HL080295 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE M · 2005 to 2008
$4.6M
INSULIN RECEPTORS AND THE GLUCOSE TRANSPORT SYSTEMR01DK033651 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI OLEFSKY, JERROLD MICHAEL · 1986 to 2013
$2.2M
THE ROLE OF GWAS IDENTIFIED VARIANTS AS PREDICTORS OF OUTCOME TO ANTI-TNFa THERAPR21DK084554 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI DUBINSKY, MARLA C · 2009 to 2010
$840k
Parental Expression of Immune Responses In Pediatric Crohn's DiseaseR03DK076984 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI DUBINSKY, MARLA C · 2007 to 2008
$157k
CHS-ULTRASOUND READINGN01HC045133 · HC · GEISINGER HEALTH SYSTEM · PI O'LEARY, DANIEL H. · 1994 to 2000
$155k
CORONARY HEART DISEASE &STROKE IN PEOPLE AGED 65-84N01HC085083 · HC · UNIVERSITY OF CALIFORNIA DAVIS · PI ROBBINS, JOHN A · 1988 to 1999
–
CORONARY HEART DISEASE AND STROKE IN PEOPLE AGED 65-84N01HC085084 · HC · UNIVERSITY OF CALIFORNIA IRVINE · PI GARDIN, JULIUS M. · 1988 to 1991
–
NCRR NIH HHS M01 RR000425NCRR NIH HHS M01-RR00425NHLBI NIH HHS N01 HC015103NHLBI NIH HHS N01 HC035129NHLBI NIH HHS N01 HC045133NHLBI NIH HHS N01 HC055222NHLBI NIH HHS N01 HC075150NHLBI NIH HHS N01 HC085079NHLBI NIH HHS N01 HC085080NHLBI NIH HHS N01 HC085082NHLBI NIH HHS N01 HC085084NHLBI NIH HHS N01 HC085085NHLBI NIH HHS N01 HC085086NHLBI NIH HHS N01 HC-55222NHLBI NIH HHS N01-HC-75150NHLBI NIH HHS N01-HC-85079NHLBI NIH HHS N01-HC-85086NHLBI NIH HHS R01 HL087652NHLBI NIH HHS U01 HL080295NIDDK NIH HHS DK063491NIDDK NIH HHS DK084554NIDDK NIH HHS DK76984NIDDK NIH HHS P01 DK046763NIDDK NIH HHS P01-DK046763NIDDK NIH HHS P30 DK063491NIDDK NIH HHS R01 DK033651NIDDK NIH HHS R01 DK056328NIDDK NIH HHS R03 DK076984NIDDK NIH HHS R21 DK084554
6 · The paper itself

Abstract

backgroundAcute severe ulcerative colitis (UC) remains a significant clinical challenge and the ability to predict, at an early stage, those individuals at risk of colectomy for medically refractory UC (MR-UC) would be a major clinical advance. The aim of this study was to use a genome-wide association study (GWAS) in a well-characterized cohort of UC patients to identify genetic variation that contributes to MR-UC.

methodsA GWAS comparing 324 MR-UC patients with 537 non-MR-UC patients was analyzed using logistic regression and Cox proportional hazards methods. In addition, the MR-UC patients were compared with 2601 healthy controls.

resultsMR-UC was associated with more extensive disease (P = 2.7 × 10(-6)) and a positive family history of UC (P = 0.004). A risk score based on the combination of 46 single nucleotide polymorphisms (SNPs) associated with MR-UC explained 48% of the variance for colectomy risk in our cohort. Risk scores divided into quarters showed the risk of colectomy to be 0%, 17%, 74%, and 100% in the four groups. Comparison of the MR-UC subjects with healthy controls confirmed the contribution of the major histocompatibility complex to severe UC (peak association: rs17207986, P = 1.4 × 10(-16)) and provided genome-wide suggestive association at the TNFSF15 (TL1A) locus (peak association: rs11554257, P = 1.4 × 10(-6)).

conclusionsA SNP-based risk scoring system, identified here by GWAS analyses, may provide a useful adjunct to clinical parameters for predicting the natural history of UC. Furthermore, discovery of genetic processes underlying disease severity may help to identify pathways for novel therapeutic intervention in severe UC.

Indexed as

Genome-Wide Association StudyAcute DiseaseAdolescentAdultCohort StudiesColectomyColitis, UlcerativeFemaleGenetic LociHumansMajor Histocompatibility ComplexMalePolymorphism, Single NucleotideRisk FactorsSeverity of Illness IndexTumor Necrosis Factor Ligand Superfamily Member 15TNFSF15 protein, humanTumor Necrosis Factor Ligand Superfamily Member 15

Identifiers

PMID20848476
PMCPMC2959149
OpenAlexW2014700549

What OpenQuestion holds

Textmetadata
LicenceTDM
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.