Evidence map›Paper›PMID 21515602›Full record

SynthesisAnnals of the rheumatic diseases2011

Association of the 5-aminoimidazole-4-carboxamide ribonucleotide transformylase gene with response to methotrexate in juvenile idiopathic arthritis.

Anne Hinks, Halima Moncrieffe, Paul Martin, Simona Ursu, Sham Lal, Laura Kassoumeri, Tracey Weiler, David N Glass, Susan D Thompson, Lucy R Wedderburn and 1 more

Open access · bronzeAbstract readClinical TrialMeta-AnalysisMulticenter Study
In one paragraph

Synthesis in Annals of the rheumatic diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Genetic Variants of theInternational journal of molecular sciences · 2025
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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

11 authors at 5 institutions in 3 countries.

Anne HinksArthritis Research UK Epidemiology Unit, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK. anne.hinks@manchester.ac.uk
Halima Moncrieffe
Paul Martin
Simona Ursu
Sham Lal
Laura Kassoumeri
Tracey Weiler
David N Glass
Susan D Thompson
Lucy R Wedderburn
Wendy Thomson
University College London · GBManchester Academic Health Science Centre · GBCincinnati Children's Hospital Medical Center · USMedical University of the Americas · KNUniversity of Manchester · GB

Funding

Pediatric Rheumatology Tissue RepostoryP01AR048929 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI THOMPSON, SUSAN D · 2003 to 2015
$13.6M
PHARMACOGENOMICS OF JUVENILE RHEUMATOID ARTHRITISP60AR047784 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI LOVELL, DANIEL JOE · 2001 to 2012
$10.5M
ROLE OF ANGPTL4, AN ANGIOGENIC MEDIATOR, IN ARTHRITISP30AR047363 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI FLICK, MATTHEW J. · 2001 to 2015
$9.2M
Defining the complex genetics of JIARC1AR058587 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI THOMPSON, SUSAN D · 2009 to 2010
$1.0M
Arthritis Research UK 17552NHLBI NIH HHS N01 AR042272NIAMS NIH HHS P01 AR048929NIAMS NIH HHS P30 AR047363NIAMS NIH HHS P30AR47363NIAMS NIH HHS P60 AR047784NIAMS NIH HHS P60AR47784NIAMS NIH HHS RC1 AR058587
6 · The paper itself

Abstract

objectivesMethotrexate (MTX) is the mainstay treatment for juvenile idiopathic arthritis (JIA), however approximately 30% of children will fail to respond to the drug. Identification of genetic predictors of response to MTX would be invaluable in developing optimal treatment strategies for JIA. Using a candidate gene approach, single nucleotide polymorphisms (SNPs) within genes in the metabolic pathway of MTX, were investigated for association with response to treatment in JIA cases.

methodsTagging SNPs were selected across 13 MTX metabolic pathway genes and were genotyped using Sequenom genotyping technology in subjects recruited from the Sparks Childhood Arthritis Response to Medication Study. Response to MTX was defined using the American College of Rheumatology (ACR) paediatric response criteria and SNP genotype frequencies were compared between the worst and best responders (ACR-Ped70) to MTX. An independent cohort of US JIA cases was available for validation of initial findings.

resultsOne SNP within the inosine triphosphate pyrophosphatase gene (ITPA) and two SNPs within 5-aminoimidazole-4-carboxamide ribonucleotide transformylase gene (ATIC) were significantly associated with a poor response to MTX. One of the ATIC SNPs showed a trend towards association with MTX response in an independent cohort of US JIA cases. Meta-analysis of the two studies strengthened this association (combined p value=0.002).

conclusionsThis study presents association of a SNP in the ATIC gene with response to MTX in JIA. There is now growing evidence to support a role of the ATIC gene with response to MTX treatment. These results could contribute towards a better understanding of and ability to predict MTX response in JIA.

Indexed as

AdolescentAntirheumatic AgentsArthritis, JuvenileChildFemaleGene FrequencyGenetic Association StudiesGenotypeHumansHydroxymethyl and Formyl TransferasesMaleMetabolic Networks and PathwaysMethotrexateMultienzyme ComplexesNucleotide DeaminasesPolymorphism, Single NucleotideAntirheumatic AgentsHydroxymethyl and Formyl Transferasesinosine monophosphate synthaseMethotrexateMultienzyme ComplexesNucleotide Deaminases

Identifiers

PMID21515602
PMCPMC3128324
OpenAlexW2113202860

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.