Evidence map›Paper›PMID 21989592›Full record

ArticleArthritis and rheumatism2012

Impact of interactions of cigarette smoking with NAT2 polymorphisms on rheumatoid arthritis risk in African Americans.

Ted R Mikuls, Tricia Levan, Karen A Gould, Fang Yu, Geoffrey M Thiele, Kimberly K Bynote, Doyt Conn, Beth L Jonas, Leigh F Callahan, Edwin Smith and 5 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis and rheumatism, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Smoking and rheumatoid arthritis.International journal of molecular sciences · 2014
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Racial and ethnic disparities in rheumatoid arthritis.Current rheumatology reports · 2012
    Review
  15. Review
  16. 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

15 authors at 11 institutions in 1 country.

Ted R MikulsDepartment of Medicine, University of Nebraska Medical Center and Omaha VA Medical Center, Omaha, NE 68198-6270, USA. tmikuls@unmc.edu
Tricia Levan
Karen A Gould
Fang Yu
Geoffrey M Thiele
Kimberly K Bynote
Doyt Conn
Beth L Jonas
Leigh F Callahan
Edwin Smith
Richard Brasington
Larry W Moreland
Richard Reynolds
Angelo Gaffo
S Louis Bridges
University of North Carolina at Chapel Hill · USCancer Research And Biostatistics · USCenter for Rheumatology · USEmory University · USMedical University of South Carolina · USOmaha VA Medical Center · USPediatrics and Genetics · USPulmonary and Critical Care Associates · USUniversity of Nebraska Medical Center · USUniversity of Pittsburgh · USWashington University in St. Louis · US

Funding

UAB CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE (CCTS) UL1: BPCAUL1RR025777 · NCRR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUAY-WOODFORD, LISA MARIE · 2008 to 2011
$22.3M
Sex Related Determinants Of Pain In FibromyalgiaP60AR048095 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI REDDEN, DAVID T · 2002 to 2012
$11.7M
SOUTH CAROLINA CLINICAL & TRANSLATIONAL RESEARCH INSTITUTE (SCTR)UL1RR029882 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2009 to 2011
$10.1M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
Genome-Wide Association Study in African-Americans with Rheumatoid ArthritisR01AR057202 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BRIDGES, S LOUIS · 2009 to 2013
$4.2M
VASCULAR CALCIUM--AN EPIDEMIOLOGIC STUDYR01HL048050 · NHLBI · UNIVERSITY OF IOWA · PI MAHONEY, LARRY T · 1992 to 2004
$3.0M
REGULATION OF LUNG SURFACTANT PROTEIN B GENE EXPRESSIONR01HL048048 · NHLBI · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · PI BOGGARAM, VIJAYAKUMAR · 1998 to 2006
$1.3M
CLEAR-264002247N01AR002247 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 2000 to 2004
$805k
RA Comorbidity Bone Health in Men and African AmericansK23AR050004 · NIAMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI MIKULS, TED RICHARD · 2004 to 2008
$498k
CORONARY ARTERY DISEASE RISK DEVELOPMENT IN YOUNG ADULTS-N01HC95095-268095095N01HC095095 · HC · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WILLIAMS, DALE · 1989 to 2006
$376k
Gene-Environment Interactions in RA Autoimmunity and Disease SeverityR03AR054539 · NIAMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI MIKULS, TED RICHARD · 2007 to 2009
$218k
CORONARY HEART DISEASE RISK IN YOUNG ADULTSN01HC048047 · HC · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEWIS, CORA E · 1985 to 2000
$171k
NCATS NIH HHS UL1 TR000062NCRR NIH HHS 5UL1-RR-025777-03NCRR NIH HHS UL1 RR025777NCRR NIH HHS UL1 RR029882NCRR NIH HHS UL1-RR-029882NHLBI NIH HHS N01 HC048047NHLBI NIH HHS N01 HC048048NHLBI NIH HHS N01 HC048049NHLBI NIH HHS N01 HC048050NHLBI NIH HHS N01 HC095095NHLBI NIH HHS N01-HC-48047NHLBI NIH HHS N01-HC-48048NHLBI NIH HHS N01-HC-48049NHLBI NIH HHS N01-HC-48050NHLBI NIH HHS N01-HC-95095NIAMS NIH HHS K23 AR050004NIAMS NIH HHS K23-AR-050004NIAMS NIH HHS N01 AR002247NIAMS NIH HHS N01-AR-6-2278NIAMS NIH HHS P60 AR048095NIAMS NIH HHS R01 AR057202NIAMS NIH HHS R03 AR054539NIAMS NIH HHS R03-AR-054539
6 · The paper itself

Abstract

objectiveTo examine whether polymorphisms in genes coding for drug-metabolizing enzymes (DMEs) have an impact on rheumatoid arthritis (RA) risk due to cigarette smoking in African Americans.

methodsSmoking status was evaluated in African American patients with RA compared with non-RA controls, with smoking exposure categorized as heavy smoker (≥10 pack-years) versus never smoker/<10 pack-years. Individuals were genotyped for a homozygous deletion polymorphism in the M1 gene loci of glutathione S-transferase (GSTM1-null) in addition to tagging single-nucleotide polymorphisms (SNPs) in N-acetyltransferase 1 (NAT1), NAT2, and epoxide hydrolase 1 (EPXH1). Associations of these genotypes with RA risk were examined using logistic regression, and gene-smoking interactions were assessed.

resultsThere were no significant associations of any DME genotype with RA. After adjustment for multiple comparisons, there were significant additive interactions between heavy smoking and the NAT2 SNPs rs9987109 (P(additive) = 0.000003) and rs1208 (P(additive) = 0.00001); the attributable proportion due to interaction ranged from 0.61 to 0.67. None of the multiplicative gene-smoking interactions examined remained significant with regard to overall disease risk, after adjustment for multiple testing. There was no evidence of significant gene-smoking interactions in analyses of GSTM1-null, NAT1, or EPXH1. DME gene-smoking interactions were similar when cases were limited to those patients who were positive for anti-citrullinated protein antibodies.

conclusionAmong African Americans, RA risk imposed by heavy smoking appears to be mediated in part by genetic variation in NAT2. While further studies are needed to elucidate the mechanisms underpinning these interactions, these SNPs appear to identify African American smokers at a much higher risk for RA, in whom the relative risk is at least 2-fold higher when compared to nonsmokers lacking these risk alleles.

Indexed as

Genetic Predisposition to DiseasePolymorphism, Single NucleotideArthritis, RheumatoidArylamine N-AcetyltransferaseBlack or African AmericanCase-Control StudiesEpoxide HydrolasesFemaleGenotypeHumansMaleMiddle AgedRisk FactorsSmokingUnited StatesArylamine N-AcetyltransferaseEPHX1 protein, humanEpoxide HydrolasesNAT2 protein, human

Identifiers

PMID21989592
PMCPMC3272109
OpenAlexW1978827202

What OpenQuestion holds

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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.