Evidence map›Paper›PMID 24571673›Full record

ArticleGenome medicine2014

Integrated genomic and prospective clinical studies show the importance of modular pleiotropy for disease susceptibility, diagnosis and treatment.

Mika Gustafsson, Måns Edström, Danuta Gawel, Colm E Nestor, Hui Wang, Huan Zhang, Fredrik Barrenäs, James Tojo, Ingrid Kockum, Tomas Olsson and 5 more

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
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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

15 authors at 4 institutions in 2 countries.

Mika GustafssonThe Centre for Individualised Medicine, Department of Clinical and Experimental Medicine, Linköping University, 58185 Linköping, Sweden.
Måns EdströmClinical and Experimental Medicine, Faculty of Health Sciences, Division of Clinical Immunology, Unit of Autoimmunity and Immune Regulation, Linköping University, 58185 Linköping, Sweden.
Danuta GawelThe Centre for Individualised Medicine, Department of Clinical and Experimental Medicine, Linköping University, 58185 Linköping, Sweden.
Colm E NestorThe Centre for Individualised Medicine, Department of Clinical and Experimental Medicine, Linköping University, 58185 Linköping, Sweden.
Hui WangThe Centre for Individualised Medicine, Department of Clinical and Experimental Medicine, Linköping University, 58185 Linköping, Sweden.
Huan ZhangThe Centre for Individualised Medicine, Department of Clinical and Experimental Medicine, Linköping University, 58185 Linköping, Sweden.
Fredrik BarrenäsThe Centre for Individualised Medicine, Department of Clinical and Experimental Medicine, Linköping University, 58185 Linköping, Sweden.
James TojoDepartment of Clinical Neurosciences, Karolinska Institutet and Centrum for Molecular Medicine, 17177 Stockholm, Sweden.
Ingrid KockumDepartment of Clinical Neurosciences, Karolinska Institutet and Centrum for Molecular Medicine, 17177 Stockholm, Sweden.
Tomas OlssonDepartment of Clinical Neurosciences, Karolinska Institutet and Centrum for Molecular Medicine, 17177 Stockholm, Sweden.
Jordi Serra-MusachCancer and Systems Biology Unit, Catalan Institute of Oncology, IDIBELL, L'Hospitalet del Llobregat, 08908 Barcelona, Spain.
Núria BonifaciCancer and Systems Biology Unit, Catalan Institute of Oncology, IDIBELL, L'Hospitalet del Llobregat, 08908 Barcelona, Spain.
Miguel Angel PujanaCancer and Systems Biology Unit, Catalan Institute of Oncology, IDIBELL, L'Hospitalet del Llobregat, 08908 Barcelona, Spain.
Jan ErnerudhClinical and Experimental Medicine, Faculty of Health Sciences, Division of Clinical Immunology, Unit of Autoimmunity and Immune Regulation, Linköping University, 58185 Linköping, Sweden.
Mikael BensonThe Centre for Individualised Medicine, Department of Clinical and Experimental Medicine, Linköping University, 58185 Linköping, Sweden.
Linköping University · SEKarolinska Institutet · SEInstitut Català d'Oncologia · ESInstitut d'Investigació Biomédica de Bellvitge · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranslational research typically aims to identify and functionally validate individual, disease-specific genes. However, reaching this aim is complicated by the involvement of thousands of genes in common diseases, and that many of those genes are pleiotropic, that is, shared by several diseases.

methodsWe integrated genomic meta-analyses with prospective clinical studies to systematically investigate the pathogenic, diagnostic and therapeutic roles of pleiotropic genes. In a novel approach, we first used pathway analysis of all published genome-wide association studies (GWAS) to find a cell type common to many diseases.

resultsThe analysis showed over-representation of the T helper cell differentiation pathway, which is expressed in T cells. This led us to focus on expression profiling of CD4(+) T cells from highly diverse inflammatory and malignant diseases. We found that pleiotropic genes were highly interconnected and formed a pleiotropic module, which was enriched for inflammatory, metabolic and proliferative pathways. The general relevance of this module was supported by highly significant enrichment of genetic variants identified by all GWAS and cancer studies, as well as known diagnostic and therapeutic targets. Prospective clinical studies of multiple sclerosis and allergy showed the importance of both pleiotropic and disease specific modules for clinical stratification.

conclusionsIn summary, this translational genomics study identified a pleiotropic module, which has key pathogenic, diagnostic and therapeutic roles.

Identifiers

PMID24571673
PMCPMC4064311
OpenAlexW2102972756

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.