Evidence map›Paper›PMID 26733285›Full record

ArticleEuropean journal of human genetics : EJHG2016

The HLA-DQβ1 insertion is a strong achalasia risk factor and displays a geospatial north-south gradient among Europeans.

Jessica Becker, Stephan L Haas, Anna Mokrowiecka, Justyna Wasielica-Berger, Zeeshan Ateeb, Jonna Bister, Peter Elbe, Marek Kowalski, Magdalena Gawron-Kiszka, Marek Majewski and 46 more

Open access · bronzeAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 13% 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, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Focus on Achalasia in the Omics Era.International journal of molecular sciences · 2024
    Review
  5. Article
  6. Imbalance of Innate and Adaptive Immunity in Esophageal Achalasia.Journal of neurogastroenterology and motility · 2023
    Article
  7. Achalasia.Nature reviews. Disease primers · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Dysphagia: Thinking outside the box.World journal of gastroenterology · 2017
    Review
  15. Review
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

56 authors at 20 institutions in 7 countries.

Jessica BeckerInstitute of Human Genetics, University of Bonn, Bonn, Germany.
Stephan L HaasCenter for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.
Anna MokrowieckaDepartment of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland.
Justyna Wasielica-BergerDepartment of Gastroenterology and Internal Diseases, Medical University of Bialystok, Bialystok, Poland.
Zeeshan AteebCenter for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.
Jonna BisterCenter for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.
Peter ElbeCenter for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.
Marek KowalskiDepartment of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland.
Magdalena Gawron-KiszkaDepartment of Gastroenterology and Hepatology, Medical University of Silesia, Katowice, Poland.
Marek MajewskiSecond Department of General Surgery, Medical University of Lublin, Lublin, Poland.
Agata MulakDepartment of Gastroenterology and Hepatology, Wroclaw Medical University, Wroclaw, Poland.
Maria JaniakDepartment of Gastroenterology and Hepatology, Medical University of Gdansk, Gdansk, Poland.
Mira M WoutersTranslational Research Center for Gastrointestinal Disorders, Catholic University of Leuven, Leuven, Belgium.
Till SchwämmleInstitute of Human Genetics, University of Bonn, Bonn, Germany.
Timo HessInstitute of Human Genetics, University of Bonn, Bonn, Germany.
Lothar VeitsInstitute of Pathology, Klinikum Bayreuth, Bayreuth, Germany.
Stefan NiebischDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Leipzig, Germany.
José L SantiagoDepartment of Immunology, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Antonio Ruiz de LeónDepartment of Gastroenterology, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Julio Pérez de la SernaDepartment of Gastroenterology, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Elena UrcelayDepartment of Immunology, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Vito AnneseDepartment of Gastroenterology, Careggi Hospital, University of Florence, Florence, Italy.
Anna LatianoDepartment of Gastroenterology, IRCCS, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, Italy.
Uberto FumagalliUpper Gastrointestinal Surgery, Humanitas Clinical and Research Hospital, IRCCS, Milan, Italy.
Riccardo RosatiSan Raffaele Hospital, San Raffaele Vita-Salute University, Milan, Italy.
Luigi LaghiDepartment of Gastroenterology, Istituto Clinico Humanitas, IRCCS, Milan, Italy.
Rosario CuomoDivision of Gastroenterology, Department of Clinical Medicine and Surgery, Federico II University Hospital School of Medicine, Naples, Italy.
Frank LenzeDepartment of Medicine B, University Hospital Münster, Münster, Germany.
Giovanni SarnelliDivision of Gastroenterology, Department of Clinical Medicine and Surgery, Federico II University Hospital School of Medicine, Naples, Italy.
Michaela MüllerDepartment of Gastroenterology, DKD Helios Clinic Wiesbaden, Wiesbaden, Germany.
Burkhard Ha von RahdenDepartment of General-, Visceral-, Vascular and Pediatric Surgery, University of Würzburg, Würzburg, Germany.
Cisca WijmengaUniversity of Groningen, University Medical Centre Groningen, Department of Genetics, Groningen, The Netherlands.
Hauke LangDepartment of General, Visceral and Transplant Surgery, University Medical Center, University of Mainz, Mainz, Germany.
Kamila CzeneDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Per HallDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Paul Iw de BakkerDepartment of Epidemiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Michael ViethInstitute of Pathology, Klinikum Bayreuth, Bayreuth, Germany.
Markus M NöthenInstitute of Human Genetics, University of Bonn, Bonn, Germany.
Henning G SchulzDepartment of General and Abdominal Surgery, Protestant Hospital Castrop-Rauxel, Castrop-Rauxel, Germany.
Krystian AdrychDepartment of Gastroenterology and Hepatology, Medical University of Gdansk, Gdansk, Poland.
Anita GąsiorowskaDepartment of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland.
Leszek ParadowskiDepartment of Gastroenterology and Hepatology, Wroclaw Medical University, Wroclaw, Poland.
Grzegorz WallnerSecond Department of General Surgery, Medical University of Lublin, Lublin, Poland.
Guy E BoeckxstaensTranslational Research Center for Gastrointestinal Disorders, Catholic University of Leuven, Leuven, Belgium.
Ines GockelDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Leipzig, Germany.
Marek HartlebDepartment of Gastroenterology and Hepatology, Medical University of Silesia, Katowice, Poland.
Srdjan KosticCenter for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.
Anna Dziurkowska-MarekDepartment of Gastroenterology and Hepatology, Medical University of Silesia, Katowice, Poland.
Mats LindbladCenter for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.
Magnus NilssonCenter for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.
Michael KnappInstitute for Medical Biometry, Informatics, and Epidemiology, University of Bonn, Bonn, Germany.
Anders ThorellDepartment of Clinical Sciences, Danderyds Hospital, Karolinska Institutet and Department of Surgery, Ersta Hospital, Stockholm, Sweden.
Tomasz MarekDepartment of Gastroenterology and Hepatology, Medical University of Silesia, Katowice, Poland.
Andrzej DąbrowskiDepartment of Gastroenterology and Internal Diseases, Medical University of Bialystok, Bialystok, Poland.
Ewa Małecka-PanasDepartment of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland.
Johannes SchumacherInstitute of Human Genetics, University of Bonn, Bonn, Germany.
Karolinska University Hospital · SEInstituto de Investigación Sanitaria del Hospital Clínico San Carlos · ESMedical University of Lodz · PLMedical University of Silesia · PLLife & Brain (Germany) · DEBayreuth Medical Center · DEFederico II University Hospital · ITGdańsk Medical University · PLKarolinska Institutet · SEKU Leuven · BEMedical University of Białystok · PLMedical University of Lublin · PLUniversity Hospital Leipzig · DEUniversity of Bonn · DEWroclaw Medical University · PLDanderyds sjukhus · SEHumanitas University · ITInstitut für Medizinische Biometrie, Informatik und Epidemiologie · DEIRCCS Humanitas Research Hospital · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic achalasia is a severe motility disorder of the esophagus and is characterized by a failure of the lower esophageal sphincter to relax due to a loss of neurons in the myenteric plexus. Most recently, we identified an eight-amino-acid insertion in the cytoplasmic tail of HLA-DQβ1 as strong achalasia risk factor in a sample set from Central Europe, Italy and Spain. Here, we tested whether the HLA-DQβ1 insertion also confers achalasia risk in the Polish and Swedish population. We could replicate the initial findings and the insertion shows strong achalasia association in both samples (Poland P=1.84 × 10(-04), Sweden P=7.44 × 10(-05)). Combining all five European data sets - Central Europe, Italy, Spain, Poland and Sweden - the insertion is achalasia associated with Pcombined=1.67 × 10(-35). In addition, we observe that the frequency of the insertion shows a geospatial north-south gradient. The insertion is less common in northern (around 6-7% in patients and 2% in controls from Sweden and Poland) compared with southern Europeans (~16% in patients and 8% in controls from Italy) and shows a stronger attributable risk in the southern European population. Our study provides evidence that the prevalence of achalasia may differ between populations.

Indexed as

Mutagenesis, InsertionalEsophageal AchalasiaEuropeFemaleHLA-DQ beta-ChainsHumansMaleMutation RatePolymorphism, GeneticPrevalenceWhite PeopleHLA-DQB1 antigenHLA-DQ beta-Chains

Identifiers

PMID26733285
PMCPMC4970678
OpenAlexW2224607789

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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.