Evidence map›Paper›PMID 21614018›Full record

ArticleGenes and immunity2011

Non-HLA genes modulate the risk of rheumatoid arthritis associated with HLA-DRB1 in a susceptible North American Native population.

H S El-Gabalawy, D B Robinson, N A Daha, K G Oen, I Smolik, B Elias, D Hart, C N Bernstein, Y Sun, Y Lu and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Genes and immunity, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
2.2field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Guideline
  2. Association betweenAging · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Article
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  11. Review
  12. Article
  13. Novel functional polymorphism onSaudi journal of biological sciences · 2022
    Article
  14. The Association BetweenFrontiers in medicine · 2021
    Article
  15. Article
  16. Associations ofCentral-European journal of immunology · 2019
    Article
  17. Article
  18. Article
  19. Article
  20. 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

12 authors at 4 institutions in 2 countries.

H S El-GabalawyDepartment of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. elgabalh@cc.umanitoba.ca
D B Robinson
N A Daha
K G Oen
I Smolik
B Elias
D Hart
C N Bernstein
Y Sun
Y Lu
J J Houwing-Duistermaat
K A Siminovitch
University of Manitoba · CALeiden University Medical Center · NLMount Sinai Hospital · CAUniversity Health Network · CA

Funding

Canadian Institutes of Health Research IIN-84042Canadian Institutes of Health Research MOP 7770Canadian Institutes of Health Research MOP 79321
6 · The paper itself

Abstract

Most of the genetic risk for rheumatoid arthritis (RA) is conferred by 'shared epitope' (SE), encoding alleles of HLA-DRB1. Specific North American Native (NAN) populations have RA prevalence rates of 2-5%, representing some of the highest rates estimated worldwide. As many NAN populations also demonstrate a high background frequency of SE, we sought to determine whether other genetic factors contribute to disease risk in this predisposed population. RA patients (n=333) and controls (n=490) from the Cree/Ojibway NAN population in Central Canada were HLA-DRB1 typed and tested for 21 single-nucleotide polymorphisms (SNPs) that have previously been associated with RA, including PTPN22, TRAF1-C5, CTLA4, PADI4, STAT4, FCRL3, CCL21, MMEL1-TNFRSF14, CDK6, PRKCQ, KIF5A-PIP4K2C, IL2RB, TNFAIP3, IL10-1082G/A and REL. Our findings indicate that SE is prevalent and represents a major genetic risk factor for RA in this population (82% cases versus 68% controls, odds ratio=2.2, 95% confidence interval 1.6-3.1, P<0.001). We also demonstrate that in the presence of SE, the minor allele of MMEL1-TNFRSF14 significantly reduces RA risk in a dominant manner, whereas TRAF1-C5 increases the risk. These findings point to the importance of non-HLA genes in determining RA risk in a population with a high frequency of disease predisposing HLA-DRB1 alleles.

Indexed as

Genetic Predisposition to DiseaseAllelesArthritis, RheumatoidFemaleGene FrequencyGenotypeHLA-DRB1 ChainsHumansIndians, North AmericanMaleModels, GeneticNeprilysinPolymorphism, Single NucleotideReceptors, Tumor Necrosis Factor, Member 14TNF Receptor-Associated Factor 1HLA-DRB1 ChainsMMEL1 protein, humanNeprilysinReceptors, Tumor Necrosis Factor, Member 14TNF Receptor-Associated Factor 1TNFRSF14 protein, human

Identifiers

PMID21614018
OpenAlexW2015786574

What OpenQuestion holds

Textmetadata
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.