Evidence map›Paper›PMID 25003519›Full record

ArticlePloS one2014

CTLA4 variants and haplotype contribute genetic susceptibility to myasthenia gravis in northern Chinese population.

Liang Sun, Yunxiao Meng, Yanchen Xie, Hua Zhang, Zheng Zhang, Xiaoxia Wang, Bin Jiang, Wei Li, Yao Li, Ze Yang

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 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

10 authors at 4 institutions in 1 country.

Liang SunThe key Laboratory of Geriatrics, Beijing Hospital & Beijing Institute of Geriatrics, Ministry of Health, Beijing, China.
Yunxiao MengDepartment of Pathology, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Tsinghua University, Beijing, China.
Yanchen XieDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Hua ZhangDepartment of Neurology, Beijing Hospital, Ministry of Health, Beijing, China.
Zheng ZhangDepartment of Public Health, Ningxia Medical University, Yinchuan, China.
Xiaoxia WangThe key Laboratory of Geriatrics, Beijing Hospital & Beijing Institute of Geriatrics, Ministry of Health, Beijing, China.
Bin JiangDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Wei LiDepartment of Neurology, Beijing Hospital, Ministry of Health, Beijing, China.
Yao LiDepartment of Neurology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Ze YangThe key Laboratory of Geriatrics, Beijing Hospital & Beijing Institute of Geriatrics, Ministry of Health, Beijing, China.
Beijing Hospital · CNCapital Medical University · CNNingxia Medical University · CNPeking Union Medical College Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytotoxic T lymphocyte-associated antigen-4 (CTLA4), a critical negative regulator of the T-cell response, has been considered a candidate for many autoimmune diseases. Evidence from Caucasians supported a genetic predisposition of CTLA4 to myasthenia gravis (MG), but the contribution in East Asians has not been established.

objectivesTo investigate the role of CTLA4 variants in the susceptibility to MG and the contribution to subtypes of MG.

methodsSix autoimmune disease-related risk alleles of CTLA4 (rs1863800, rs733618, rs4553808, rs5742909, rs231775, and rs3087243) were investigated for MG in northern Chinese. 168 patients with MG (mean age 37.1±20.5 years, 64 men and 104 women) and 233 healthy controls (mean age 53.3±8.7 years, 96 men and 137 women) were screened, and the contribution of CTLA4 to the general risk of MG and each subgroup was explored.

resultsrs1863800*C, rs733618*C, and rs231775*G were significantly associated with the whole cohort of patients with MG after permutation correction for multiple-testing adjustment (P = 0.027, 0.001, and 0.032, respectively). A risk haplotype (CCACG) [odds ratio (OR) = 1.535, range = 1.150-2.059, P = 0.004)] was also identified. The stratified subtype analysis indicated that the positive contribution was possibly derived from early onset MG (EOMG), seropositive MG (SPMG), female patients, and MG without thymoma. No association was observed in juvenile MG/LOMG, and MG coupled with thymoma.

conclusionA predisposing effect of rs1863800*C, rs733618*C, and rs231775*G of CTLA4 gene to general risk of MG in Chinese was demonstrated for the first time, which was likely derived from EOMG, SPMG, MG without thymoma and the female patients.

Indexed as

AdolescentAdultChinaCTLA-4 AntigenFemaleGenetic Association StudiesGenetic Predisposition to DiseaseHaplotypesHumansLinkage DisequilibriumMaleMiddle AgedMyasthenia GravisPolymorphism, Single NucleotideROC CurveYoung AdultCTLA-4 AntigenCTLA4 protein, human

Identifiers

PMID25003519
PMCPMC4086970
OpenAlexW1988054591

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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.