Evidence map›Paper›PMID 26416764›Full record

ArticleNature communications2015

Causal mechanisms and balancing selection inferred from genetic associations with polycystic ovary syndrome.

Felix R Day, David A Hinds, Joyce Y Tung, Lisette Stolk, Unnur Styrkarsdottir, Richa Saxena, Andrew Bjonnes, Linda Broer, David B Dunger, Bjarni V Halldorsson and 17 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 195 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
195citing papers in PubMed, 11 pooled it
41.7field-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

195 citing papers in PubMed, 11 syntheses or guidelines pooled it, 524 citations in OpenAlex.

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  11. Genome-wide association study identifiesJournal of medical genetics · 2018
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  19. Polymorphism of theLife (Basel, Switzerland) · 2026
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135 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

27 authors at 10 institutions in 6 countries.

Felix R DayMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285 Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK.ORCID http://orcid.org/0000-0003-3789-7651
David A Hinds23andMe Inc., Mountain View, California 94043, USA.
Joyce Y Tung23andMe Inc., Mountain View, California 94043, USA.
Lisette StolkDepartment of Internal Medicine, Erasmus MC, Rotterdam 3015 GE, The Netherlands.
Unnur StyrkarsdottirdeCODE Genetics/Amgen, Sturlugata 8, IS-101 Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-8146-8278
Richa SaxenaDepartment of Anaesthesia and Center for Human Genetic Research, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Andrew BjonnesDepartment of Anaesthesia and Center for Human Genetic Research, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Linda BroerDepartment of Internal Medicine, Erasmus MC, Rotterdam 3015 GE, The Netherlands.
David B DungerDepartment of Paediatrics, University of Cambridge School of Clinical Medicine, Box 181, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK.ORCID http://orcid.org/0000-0002-2566-9304
Bjarni V HalldorssondeCODE Genetics/Amgen, Sturlugata 8, IS-101 Reykjavik, Iceland.
Debbie A LawlorMRC Integrative Epidemiology Unit at the University of Bristol, Bristol BS8 2BN, UK.
Guillaume LavalHuman Evolutionary Genetics, CNRS URA3012 Institut Pasteur, 28 rue du Dr. Roux, 75724 Paris Cedex 15, France.
Iain MathiesonDepartment of Genetics, Harvard Medical School, Boston, Massachusetts 02115, USA.
Wendy L McCardleSchool of Social and Community Medicine, University of Bristol, Oakfield House, Bristol BS8 2BN, UK.
Yvonne LouwersDivision of Reproductive Medicine, Department of Obstetrics and Gynaecology, Erasmus MC, Rotterdam, 3015 GE, The Netherlands.
Cindy MeunDivision of Reproductive Medicine, Department of Obstetrics and Gynaecology, Erasmus MC, Rotterdam, 3015 GE, The Netherlands.
Susan RingMRC Integrative Epidemiology Unit at the University of Bristol, Bristol BS8 2BN, UK.
Robert A ScottMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285 Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK.
Patrick SulemdeCODE Genetics/Amgen, Sturlugata 8, IS-101 Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-7123-6123
André G UitterlindenDepartment of Internal Medicine, Erasmus MC, Rotterdam 3015 GE, The Netherlands.
Nicholas J WarehamMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285 Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK.
Unnur ThorsteinsdottirdeCODE Genetics/Amgen, Sturlugata 8, IS-101 Reykjavik, Iceland.
Corrine WeltDivision of Endocrinology, Metabolism and Diabetes, University of Utah School of Medicine, Salt Lake City, Utah 84112, USA.
Kari StefanssondeCODE Genetics/Amgen, Sturlugata 8, IS-101 Reykjavik, Iceland.
Joop S E LavenDivision of Reproductive Medicine, Department of Obstetrics and Gynaecology, Erasmus MC, Rotterdam, 3015 GE, The Netherlands.
Ken K OngMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285 Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK.
John R B PerryMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285 Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK.
Erasmus MC · NLUniversity of Cambridge · GBdeCODE Genetics (Iceland) · ISUniversity of Bristol · GB23andMe (United States) · USMassachusetts General Hospital · USCentre National de la Recherche Scientifique · FRHarvard University · USReykjavík University · ISUniversity of Utah · US

Funding

The Genetics of Polycystic Ovary SyndromR01HD065029 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI WELT, CORRINE K · 2010 to 2014
$1.7M
Development of a web-based database and research engine for genetic discoveryR44HG006981 · NHGRI · 23ANDME, INC. · PI MOUNTAIN, JOANNA L. · 2013 to 2014
$1.4M
Maternal overnutrition and offspring fat mass, metabolic and vascular function.R01DK077659 · NIDDK · UNIVERSITY OF BRISTOL · PI LAWLOR, DEBORAH ANNE · 2006 to 2009
$986k
Medical Research Council G0600717Medical Research Council MC_PC_15018Medical Research Council MC_U106179471Medical Research Council MC_U106179472Medical Research Council MC_UU_12013/5Medical Research Council MC_UU_12015/1Medical Research Council MC_UU_12015/2Medical Research Council U106179471Medical Research Council U106179472NHGRI NIH HHS R44 HG006981NHGRI NIH HHS R44HG006981NICHD NIH HHS R01 HD065029NIDDK NIH HHS R01 DK077659Wellcome Trust 092731Wellcome Trust 102215
6 · The paper itself

Abstract

Polycystic ovary syndrome (PCOS) is the most common reproductive disorder in women, yet there is little consensus regarding its aetiology. Here we perform a genome-wide association study of PCOS in up to 5,184 self-reported cases of White European ancestry and 82,759 controls, with follow-up in a further ∼2,000 clinically validated cases and ∼100,000 controls. We identify six signals for PCOS at genome-wide statistical significance (P<5 × 10(-8)), in/near genes ERBB4/HER4, YAP1, THADA, FSHB, RAD50 and KRR1. Variants in/near three of the four epidermal growth factor receptor genes (ERBB2/HER2, ERBB3/HER3 and ERBB4/HER4) are associated with PCOS at or near genome-wide significance. Mendelian randomization analyses indicate causal roles in PCOS aetiology for higher BMI (P=2.5 × 10(-9)), higher insulin resistance (P=6 × 10(-4)) and lower serum sex hormone binding globulin concentrations (P=5 × 10(-4)). Furthermore, genetic susceptibility to later menopause is associated with higher PCOS risk (P=1.6 × 10(-8)) and PCOS-susceptibility alleles are associated with higher serum anti-Müllerian hormone concentrations in girls (P=8.9 × 10(-5)). This large-scale study implicates an aetiological role of the epidermal growth factor receptors, infers causal mechanisms relevant to clinical management and prevention, and suggests balancing selection mechanisms involved in PCOS risk.

Indexed as

Selection, GeneticAcid Anhydride HydrolasesAdaptor Proteins, Signal TransducingAgingCase-Control StudiesDNA-Binding ProteinsDNA Repair EnzymesErbB ReceptorsFemaleFollicle Stimulating Hormone, beta SubunitGenome-Wide Association StudyHumansNeoplasm ProteinsOvaryPhosphoproteinsPolycystic Ovary SyndromeAcid Anhydride HydrolasesAdaptor Proteins, Signal TransducingDNA-Binding ProteinsDNA Repair EnzymesErbB ReceptorsFollicle Stimulating Hormone, beta SubunitNeoplasm ProteinsPhosphoproteinsRAD50 protein, humanTHADA protein, humanTranscription FactorsYAP1 protein, humanYAP-Signaling Proteins

Identifiers

PMID26416764
PMCPMC4598835
OpenAlexW2186418777

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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.