Evidence map›Paper›PMID 24204921›Full record

ArticlePloS one2013

SMAD3 rs17228212 gene polymorphism is associated with reduced risk to cerebrovascular accidents and subclinical atherosclerosis in anti-CCP negative Spanish rheumatoid arthritis patients.

Mercedes García-Bermúdez, Raquel López-Mejías, Fernanda Genre, Santos Castañeda, Carlos González-Juanatey, Javier Llorca, Alfonso Corrales, José A Miranda-Filloy, Javier Rueda-Gotor, Carmen Gómez-Vaquero and 10 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  7. Mechanisms of vascular comorbidity in autoimmune diseases.Current opinion in rheumatology · 2018
    Review
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4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

20 authors at 12 institutions in 1 country.

Mercedes García-BermúdezInstituto de Parasitología y Biomedicina López-Neyra, IPBLN-CSIC, Granada, Spain.
Raquel López-Mejías
Fernanda Genre
Santos Castañeda
Carlos González-Juanatey
Javier Llorca
Alfonso Corrales
José A Miranda-Filloy
Javier Rueda-Gotor
Carmen Gómez-Vaquero
Luis Rodríguez-Rodríguez
Benjamín Fernández-Gutiérrez
Dora Pascual-Salcedo
Alejandro Balsa
Francisco J López-Longo
Patricia Carreira
Ricardo Blanco
Isidoro González-Álvaro
Javier Martín
Miguel A González-Gay
Fundación Marques de Valdecilla · ESHospital Clínico San Carlos · ESHospital Universitario de La Princesa · ESHospital Universitario La Paz · ESBellvitge University Hospital · ESConsejo Superior de Investigaciones Científicas · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario HM Madrid · ESHospital Universitario Lucus Augusti · ESHospital Xeral Calde · ESInstituto de Parasitología y Biomedicina "López - Neyra" · ESUniversidad de Cantabria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledRheumatoid arthritis (RA) is a complex polygenic inflammatory disease associated with accelerated atherosclerosis and increased risk of cardiovascular (CV) disease. Previous genome-wide association studies have described SMAD3 rs17228212 polymorphism as an important signal associated with CV events. The aim of the present study was to evaluate for the first time the relationship between this gene polymorphism and the susceptibility to CV manifestations and its potential association with the presence of subclinical atherosclerosis assessed by the evaluation of carotid intima-media thickness (cIMT) in patients with RA.

methodsOne thousand eight hundred and ninety-seven patients fulfilling classification criteria for RA were genotyped for SMAD3 rs17228212 gene polymorphism through TaqMan genotyping assay. Also, subclinical atherosclerosis determined by the assessment of cIMT was analyzed in a subgroup of these patients by carotid ultrasonography.

resultsNo statistically significant differences were observed when allele frequencies of RA patients with or without CV events were compared. Nevertheless, when RA patients were stratified according to anti-cyclic citrullinated peptide (anti-CCP) status, we found that in RA patients who were negative for anti-CCP antibodies, the presence of C allele of SMAD3 rs17228212 polymorphism conferred a protective effect against the risk of cerebrovascular accident (CVA) after adjustment for demographic and classic CV risk factors (HR [95%CI]=0.36 [0.14-0.94], p=0.038) in a Cox regression model. Additionally, correlation between the presence of C allele of SMAD3 rs17228212 polymorphism and lower values of cIMT was found after adjustment for demographic and classic CV risk factors (p-value=0.0094) in the anti-CCP negative RA patients.

conclusionsOur results revealed that SMAD3 rs17228212 gene variant is associated with lower risk of CVA and less severe subclinical atherosclerosis in RA patients negative for anti-CCP antibodies. These findings may have importance to establish predictive models of CV disease in RA patients according to anti-CCP status.

Indexed as

AdultAgedArthritis, RheumatoidAtherosclerosisCardiovascular DiseasesCarotid Intima-Media ThicknessFemaleGene FrequencyGenetic Predisposition to DiseaseGenotypeHumansMaleMiddle AgedPolymorphism, Single NucleotideRiskSmad3 ProteinSmad3 ProteinSMAD3 protein, human

Identifiers

PMID24204921
PMCPMC3804609
OpenAlexW1971059381

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.