Evidence map›Paper›PMID 23593147›Full record

SynthesisPloS one2013

Genetic variants in the folate pathway and the risk of neural tube defects: a meta-analysis of the published literature.

Ti Zhang, Jiao Lou, Rong Zhong, Jing Wu, Li Zou, Yu Sun, Xuzai Lu, Li Liu, Xiaoping Miao, Guanglian Xiong

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 8 pooled it
8.3field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 8 syntheses or guidelines pooled it, 96 citations in OpenAlex.

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  12. MaternalGenes · 2026
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  14. Reassessment ofMaternal-fetal medicine (Wolters Kluwer Health, Inc.) · 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

10 authors at 2 institutions in 1 country.

Ti ZhangDepartment of Epidemiology and Biostatistics and MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jiao Lou
Rong Zhong
Jing Wu
Li Zou
Yu Sun
Xuzai Lu
Li Liu
Xiaoping Miao
Guanglian Xiong
Huazhong University of Science and Technology · CNGuangdong Pharmaceutical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeural Tube Defects (NTDs) are among the most prevalent and most severe congenital malformations worldwide. Polymorphisms in key genes involving the folate pathway have been reported to be associated with the risk of NTDs. However, the results from these published studies are conflicting. We surveyed the literature (1996-2011) and performed a comprehensive meta-analysis to provide empirical evidence on the association. METHODS AND

findingsWe investigated the effects of 5 genetic variants from 47 study populations, for a total of 85 case-control comparisons MTHFR C677T (42 studies; 4374 cases, 7232 controls), MTHFR A1298C (22 studies; 2602 cases, 4070 controls), MTR A2756G (9 studies; 843 cases, 1006 controls), MTRR A66G (8 studies; 703 cases, 1572 controls), and RFC-1 A80G (4 studies; 1107 cases, 1585 controls). We found a convincing evidence of dominant effects of MTHFR C677T (OR 1.23; 95%CI 1.07-1.42) and suggestive evidence of RFC-1 A80G (OR 1.55; 95%CI 1.24-1.92). However, we found no significant effects of MTHFR A1298C, MTR A2756G, MTRR A66G in risk of NTDs in dominant, recessive or in allelic models.

conclusionsOur meta-analysis strongly suggested a significant association of the variant MTHFR C677T and a suggestive association of RFC-1 A80G with increased risk of NTDs. However, other variants involved in folate pathway do not demonstrate any evidence for a significant marginal association on susceptibility to NTDs.

Indexed as

Metabolic Networks and PathwaysAllelesCase-Control StudiesFerredoxin-NADP ReductaseFolic AcidGene FrequencyHumansMethylenetetrahydrofolate Reductase (NADPH2)Neural Tube DefectsOdds RatioPhosphotransferases (Alcohol Group Acceptor)Polymorphism, GeneticPublication BiasReplication Protein C5-methylthioribose kinaseFerredoxin-NADP ReductaseFolic Acidmethionine synthase reductaseMethylenetetrahydrofolate Reductase (NADPH2)MTHFR protein, humanPhosphotransferases (Alcohol Group Acceptor)Replication Protein CRFC1 protein, human

Identifiers

PMID23593147
PMCPMC3617174
OpenAlexW2066461313

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.