Evidence map›Paper›PMID 26362759›Full record

ArticleAnnals of the rheumatic diseases2016

Dense genotyping of immune-related loci in idiopathic inflammatory myopathies confirms HLA alleles as the strongest genetic risk factor and suggests different genetic background for major clinical subgroups.

Simon Rothwell, Robert G Cooper, Ingrid E Lundberg, Frederick W Miller, Peter K Gregersen, John Bowes, Jiri Vencovsky, Katalin Danko, Vidya Limaye, Albert Selva-O'Callaghan and 27 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Annals of the rheumatic diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 3 pooled it
16.7field-weighted citation impact, top 1% 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

90 citing papers in PubMed, 3 syntheses or guidelines pooled it, 161 citations in OpenAlex.

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30 more citing papers are in PubMed but not listed here.

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

37 authors at 20 institutions in 15 countries.

Simon RothwellCentre for Genetics and Genomics, Arthritis Research UK, University of Manchester, Manchester, UK.
Robert G CooperDepartment of Musculoskeletal Biology, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK.
Ingrid E LundbergRheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Frederick W MillerEnvironmental Autoimmunity Group, Clinical Research Branch, National Institute of Environmental Health Science, National Institutes of Health, Bethesda, Maryland, USA.
Peter K GregersenThe Robert S Boas Center for Genomics and Human Genetics, Feinstein Institute for Medical Research, Manhasset, New York, USA.
John BowesCentre for Genetics and Genomics, Arthritis Research UK, University of Manchester, Manchester, UK.
Jiri VencovskyInstitute of Rheumatology and Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic.
Katalin DankoDivision of Clinical Immunology, Department of Internal Medicine, University of Debrecen, Debrecen, Hungary.
Vidya LimayeRoyal Adelaide Hospital and University of Adelaide, Adelaide, South Australia, Australia.
Albert Selva-O'CallaghanDepartment of Internal Medicine, Vall d'Hebron Hospital, Barcelona, Spain.
Michael G HannaMRC Centre for Neuromuscular Diseases, UCL Institute of Neurology, London, UK.
Pedro M MachadoMRC Centre for Neuromuscular Diseases, UCL Institute of Neurology, London, UK.
Lauren M PachmanNorthwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Ann M ReedDepartment of Pediatrics, Duke University, Durham, North Carolina, USA.
Lisa G RiderEnvironmental Autoimmunity Group, Clinical Research Branch, National Institute of Environmental Health Science, National Institutes of Health, Bethesda, Maryland, USA.
Joanna CobbArthritis Research UK, NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester NHS Foundation Trust, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Hazel PlattCentre for Integrated Genomic Medical Research, University of Manchester, Manchester, UK.
Øyvind MolbergDepartment of Rheumatology, Oslo University Hospital, Oslo, Norway.
Olivier BenvenistePitié-Salpêtrière Hospital, UPMC, APHP, Paris, France.
Pernille MathiesenPaediatric Department, Naestved Hospital, Næstved, Denmark.
Timothy RadstakeDepartment of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Andrea DoriaDepartment of Medicine, University of Padova, Padova, Italy.
Jan De BleeckerDepartment of Neurology, Neuromuscular Reference Centre, Ghent University Hospital, Ghent, Belgium.
Boel De PaepeDepartment of Neurology, Neuromuscular Reference Centre, Ghent University Hospital, Ghent, Belgium.
Britta MaurerDepartment of Rheumatology and Center of Experimental Rheumatology, University Hospital Zurich, Zurich, Switzerland.
William E OllierCentre for Integrated Genomic Medical Research, University of Manchester, Manchester, UK.
Leonid PadyukovRheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Terrance P O'HanlonEnvironmental Autoimmunity Group, Clinical Research Branch, National Institute of Environmental Health Science, National Institutes of Health, Bethesda, Maryland, USA.
Annette LeeThe Robert S Boas Center for Genomics and Human Genetics, Feinstein Institute for Medical Research, Manhasset, New York, USA.
Christopher I AmosGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
Christian GiegerHelmholtz Zentrum München, Deutsches Forschungszentrum für Gesundheit und Umwelt (GmbH), Neuherberg, Germany.
Thomas MeitingerInstitute of Human Genetics, Technische Universität München, Munich, Germany Institute of Human Genetics, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Juliane WinkelmannNeurologische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Munich, Germany Institute of Neurogenomics, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany.
Lucy R WedderburnArthritis Research UK Centre for Adolescent Rheumatology, and Institute of Child Health, University College London, London, UK.
Hector ChinoyNational Institute of Health Research Manchester Musculoskeletal Biomedical Research Unit, Centre for Musculoskeletal Research, University of Manchester, Manchester, UK.
Janine A LambCentre for Integrated Genomic Medical Research, University of Manchester, Manchester, UK.
Myositis Genetics Consortium
Helmholtz Zentrum München · DENational Institutes of Health · USUniversity College London · GBUniversity of Manchester · GBFeinstein Institute for Medical Research · USGhent University Hospital · BEAssistance Publique – Hôpitaux de Paris · FRDartmouth College · USDuke University · USGenomics (United Kingdom) · GBInstitute of Rheumatology · CZKarolinska Institutet · SEKarolinska University Hospital · SEManchester Academic Health Science Centre · GBNæstved Sygehus · DKNIHR Oxford Musculoskeletal Biomedical Research Centre · GBNorthwestern University · USOslo University Hospital · NORoyal Adelaide Hospital · AUUniversity Hospital of Zurich · CH

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Environmental/genetic Risk Factors and Pathogenesis of Autoimmune DiseaseZIAES101074 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI RIDER, LISA · 2009 to 2025
$34.6M
Assessment, Therapy and Prevention Of Autoimmune DiseaseZIAES101081 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI RIDER, LISA · 2009 to 2025
$17.6M
Pathogenesis And Genetic/environmental Risk Factors ForZ01ES101074 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI MILLER, FREDERICK · 2002 to 2008
$2.7M
Arthritis Research UK 18474Intramural NIH HHS Z01 ES101074Medical Research Council G0100594Medical Research Council G0600237Medical Research Council G0900753Medical Research Council G0901461Medical Research Council MR/K000608/1Medical Research Council MR/K002279/1Medical Research Council MR/K006312/1Medical Research Council MR/N003322/1NCI NIH HHS P30 CA023108Wellcome Trust 104033
6 · The paper itself

Abstract

objectivesThe idiopathic inflammatory myopathies (IIMs) are a heterogeneous group of rare autoimmune diseases characterised by muscle weakness and extramuscular manifestations such as skin rashes and interstitial lung disease. We genotyped 2566 IIM cases of Caucasian descent using the Immunochip; a custom array covering 186 established autoimmune susceptibility loci. The cohort was predominantly comprised of patients with dermatomyositis (DM, n=879), juvenile DM (JDM, n=481), polymyositis (PM, n=931) and inclusion body myositis (n=252) collected from 14 countries through the Myositis Genetics Consortium.

resultsThe human leucocyte antigen (HLA) and PTPN22 regions reached genome-wide significance (p<5×10(-8)). Nine regions were associated at a significance level of p<2.25×10(-5), including UBE2L3, CD28 and TRAF6, with evidence of independent effects within STAT4. Analysis of clinical subgroups revealed distinct differences between PM, and DM and JDM. PTPN22 was associated at genome-wide significance with PM, but not DM and JDM, suggesting this effect is driven by PM. Additional suggestive associations including IL18R1 and RGS1 in PM and GSDMB in DM were identified. HLA imputation confirmed that alleles HLA-DRB1*03:01 and HLA-B*08:01 of the 8.1 ancestral haplotype (8.1AH) are most strongly associated with IIM, and provides evidence that amino acids within the HLA, such as HLA-DQB1 position 57 in DM, may explain part of the risk in this locus. Associations with alleles outside the 8.1AH reveal differences between PM, DM and JDM.

conclusionsThis work represents the largest IIM genetic study to date, reveals new insights into the genetic architecture of these rare diseases and suggests different predominating pathophysiology in different clinical subgroups.

Indexed as

AllelesAutoimmunityCase-Control StudiesDermatomyositisGenetic Predisposition to DiseaseGenome-Wide Association StudyGenotypeHLA AntigensHumansMyositisPolymorphism, Single NucleotidePolymyositisProtein Tyrosine Phosphatase, Non-Receptor Type 22Quantitative Trait LociRisk FactorsHLA AntigensProtein Tyrosine Phosphatase, Non-Receptor Type 22PTPN22 protein, humanDermatomyositisGene PolymorphismPolymyositis

Identifiers

PMID26362759
PMCPMC5300750
OpenAlexW2300040371

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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.