Evidence map›Paper›PMID 23055271›Full record

ArticleAnnals of neurology2012

Risk for myasthenia gravis maps to a (151) Pro→Ala change in TNIP1 and to human leukocyte antigen-B*08.

Peter K Gregersen, Roman Kosoy, Annette T Lee, Janine Lamb, Jon Sussman, David McKee, Kim R Simpfendorfer, Ritva Pirskanen-Matell, Frederik Piehl, Qiang Pan-Hammarstrom and 19 more

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 3 pooled it
5.1field-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

79 citing papers in PubMed, 3 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. PTPN22 R620W Polymorphism is Associated with Myasthenia Gravis Risk: A Systematic Review and Meta-Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2015
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  19. New Insights on DR and DQ Human Leukocyte Antigens in Anti-LGI1 Encephalitis.Neurology(R) neuroimmunology & neuroinflammation · 2023
    Article
  20. Article

19 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

29 authors at 17 institutions in 8 countries.

Peter K GregersenRobert S. Boas Center for Genomics and Human Genetics, Feinstein Institute for Medical Research, North Shore LIJ Health System, Manhasset, NY 11030, USA. peterg@nshs.edu
Roman Kosoy
Annette T Lee
Janine Lamb
Jon Sussman
David McKee
Kim R Simpfendorfer
Ritva Pirskanen-Matell
Frederik Piehl
Qiang Pan-Hammarstrom
Jan J G M Verschuuren
Maarten J Titulaer
Erik H Niks
Alexander Marx
Philipp Ströbel
Björn Tackenberg
Michael Pütz
Angelina Maniaol
Ahmed Elsais
Chantal Tallaksen
Hanne F Harbo
Benedicte A Lie
Soumya Raychaudhuri
Paul I W de Bakker
Arthur Melms
Henri-Jean Garchon
Nicholas Willcox
Lennart Hammarstrom
Michael F Seldin
Karolinska University Hospital · SELeiden University Medical Center · NLOslo University Hospital · NOFeinstein Institute for Medical Research · USGreater Manchester STEM Centre · GBHeidelberg University · DEPhilipps University of Marburg · DEUniversity of California, Davis · USUniversity of Oslo · NOBrigham and Women's Hospital · USInserm · FRKarolinska Institutet · SEMRC Weatherall Institute of Molecular Medicine · GBNorthwell Health · USUniversitätsklinikum Erlangen · DEUniversity Medical Center Utrecht · NLUniversity of Manchester · GB

Funding

Mapping Autoimmune Phenotypes in Multiplex FamiliesR01AI068759 · NIAID · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI GREGERSEN, PETER K. · 2007 to 2011
$4.7M
Fine-mapping the MHC associations in rheumatoid arthritis from GWAS dataR01AR062886 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI RAYCHAUDHURI, SOUMYA · 2012 to 2013
$783k
Medical Research CouncilNIAID NIH HHS R01 AI068759NIAID NIH HHS R01-AI-68759NIAMS NIH HHS R01 AR062886
6 · The paper itself

Abstract

objectiveThe objective of this study is to comprehensively define the genetic basis of early onset myasthenia gravis (EOMG).

methodsWe have carried out a 2-stage genome-wide association study on a total of 649 North European EOMG patients. Cases were matched 1:4 with controls of European ancestry. We performed imputation and conditional analyses across the major histocompatibility complex, as well as in the top regions of association outside the human leukocyte antigen (HLA) region.

resultsWe observed the strongest association in the HLA class I region at rs7750641 (p = 1.2 × 10(-92) ; odds ratio [OR], 6.25). By imputation and conditional analyses, HLA-B*08 proves to be the major associated allele (p = 2.87 × 10(-113) ; OR, 6.41). In addition to the expected association with PTPN22 (rs2476601; OR, 1.71; p = 8.2 × 10(-10) ), an imputed coding variant (rs2233290) at position 151 (Pro→Ala) in the TNFAIP3-interacting protein 1, TNIP1, confers even stronger risk than PTPN22 (OR, 1.91; p = 3.2 × 10(-10) ).

interpretationThe association at TNIP1 in EOMG implies disease mechanisms involving ubiquitin-dependent dysregulation of NF-κB signaling. The localization of the major HLA signal to the HLA-B*08 allele suggests that CD8(+) T cells may play a key role in disease initiation or pathogenesis.

Indexed as

Genetic Predisposition to DiseaseAdultAge of OnsetAlanineCase-Control StudiesDNA-Binding ProteinsEuropeFemaleGene FrequencyGenome-Wide Association StudyGenotypeHLA-B8 AntigenHumansMaleMeta-Analysis as TopicMyasthenia GravisAlanineDNA-Binding ProteinsHLA-B8 AntigenProlineTNIP1 protein, human

Identifiers

PMID23055271
PMCPMC3535539
OpenAlexW2103771202

What OpenQuestion holds

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Read underepoch 390

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.