Evidence map›Paper›PMID 24886600›Full record

ArticleArthritis research & therapy2014

A genetic variant in osteoprotegerin is associated with progression of joint destruction in rheumatoid arthritis.

Rachel Knevel, Diederik P C de Rooy, Tore Saxne, Elisabet Lindqvist, Martha K Leijsma, Nina A Daha, Bobby P C Koeleman, Roula Tsonaka, Jeanine J Houwing-Duistermaat, Joris J M Schonkeren and 5 more

Open access · goldAbstract read
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Article in Arthritis research & therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 24 citations in OpenAlex.

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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 6 institutions in 3 countries.

Rachel Knevel
Diederik P C de Rooy
Tore Saxne
Elisabet Lindqvist
Martha K Leijsma
Nina A Daha
Bobby P C Koeleman
Roula Tsonaka
Jeanine J Houwing-Duistermaat
Joris J M Schonkeren
Rene E M Toes
Tom W J Huizinga
Elisabeth Brouwer
Anthony G Wilson
Annette H M van der Helm-van Mil
Leiden University Medical Center · NLLund University · SEUniversity Medical Center Groningen · NLUniversity Medical Center Utrecht · NLUniversity of Groningen · NLUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProgression of joint destruction in rheumatoid arthritis (RA) is partly heritably; 45 to 58% of the variance in joint destruction is estimated to be explained by genetic factors. The binding of RANKL (Receptor Activator for Nuclear Factor κ B Ligand) to RANK results in the activation of TRAF6 (tumor necrosis factor (TNF) receptor associated factor-6), and osteoclast formation ultimately leading to enhanced bone resorption. This bone resorption is inhibited by osteoprotegerin (OPG) which prevents RANKL-RANK interactions. The OPG/RANK/RANKL/TRAF6 pathway plays an important role in bone remodeling. Therefore, we investigated whether genetic variants in OPG, RANK, RANKL and TRAF6 are associated with the rate of joint destruction in RA.

methods1,418 patients with 4,885 X-rays of hands and feet derived from four independent data-sets were studied. In each data-set the relative increase of the progression rate per year in the presence of a genotype was assessed. First, explorative analyses were performed on 600 RA-patients from Leiden. 109 SNPs, tagging OPG, RANK, RANKL and TRAF6, were tested. Single nucleotide polymorphisms (SNPs) significantly associated in phase-1 were genotyped in data-sets from Groningen (Netherlands), Sheffield (United Kingdom) and Lund (Switzerland). Data were summarized in an inverse weighted variance meta-analysis. Bonferonni correction for multiple testing was applied.

resultsWe found that 33 SNPs were significantly associated with the rate of joint destruction in phase-1. In phase-2, six SNPs in OPG and four SNPs in RANK were associated with progression of joint destruction with P-value <0.05. In the meta-analyses of all four data-sets, RA-patients with the minor allele of OPG-rs1485305 expressed higher rates of joint destruction compared to patients without these risk variants (P = 2.35x10-4). This variant was also significant after Bonferroni correction.

conclusionsThese results indicate that a genetic variant in OPG is associated with a more severe rate of joint destruction in RA.

Indexed as

Polymorphism, Single NucleotideAdultAgedArthritis, RheumatoidDisease ProgressionFemaleGene FrequencyGenetic Predisposition to DiseaseGenotypeHaplotypesHumansJoint DiseasesMaleMeta-Analysis as TopicMiddle AgedOsteoprotegerinOsteoprotegerinRANK LigandReceptor Activator of Nuclear Factor-kappa BTNF Receptor-Associated Factor 6TNFRSF11A protein, human

Identifiers

PMID24886600
PMCPMC4060386
OpenAlexW2132169340

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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.