Evidence map›Paper›PMID 28067912›Full record

ArticleNature genetics2017

Genome-wide association study identifies distinct genetic contributions to prognosis and susceptibility in Crohn's disease.

James C Lee, Daniele Biasci, Rebecca Roberts, Richard B Gearry, John C Mansfield, Tariq Ahmad, Natalie J Prescott, Jack Satsangi, David C Wilson, Luke Jostins and 6 more

Open access · greenAbstract read
In one paragraph

Article in Nature genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 4 pooled it
39.2field-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

150 citing papers in PubMed, 4 syntheses or guidelines pooled it, 302 citations in OpenAlex.

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  19. Artificial intelligence in inflammatory bowel disease.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Review
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90 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 9 institutions in 2 countries.

James C LeeDepartment of Medicine, University of Cambridge School of Clinical Medicine, Addenbrooke's Hospital, Cambridge, UK.
Daniele BiasciDepartment of Medicine, University of Cambridge School of Clinical Medicine, Addenbrooke's Hospital, Cambridge, UK.
Rebecca RobertsDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Richard B GearryDepartment of Medicine, University of Otago, Christchurch, New Zealand.
John C MansfieldInstitute of Genetic Medicine, Newcastle University, Newcastle-upon-Tyne, UK.
Tariq AhmadUniversity of Exeter Medical School, Exeter, UK.
Natalie J PrescottDepartment of Medical and Molecular Genetics, Faculty of Life Science and Medicine, King's College London, London, UK.ORCID http://orcid.org/0000-0002-5901-7371
Jack SatsangiGastrointestinal Unit, Division of Medical Sciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK.
David C WilsonPaediatric Gastroenterology and Nutrition, Child Life and Health, College of Medicine and Veterinary Medicine, University of Edinburgh, Royal Hospital for Sick Children, Edinburgh, UK.ORCID http://orcid.org/0000-0003-0879-1129
Luke JostinsWellcome Trust Centre for Human Genetics, University of Oxford, Headington, UK.
Carl A AndersonWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, UK.
UK IBD Genetics Consortium
James A TraherneDepartment of Pathology, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-6003-8559
Paul A LyonsDepartment of Medicine, University of Cambridge School of Clinical Medicine, Addenbrooke's Hospital, Cambridge, UK.
Miles ParkesDepartment of Medicine, University of Cambridge School of Clinical Medicine, Addenbrooke's Hospital, Cambridge, UK.
Kenneth G C SmithDepartment of Medicine, University of Cambridge School of Clinical Medicine, Addenbrooke's Hospital, Cambridge, UK.
University of Cambridge · GBUniversity of Otago · NZCentre for Human Genetics · GBKing's College London · GBNewcastle University · GBRoyal Hospital for Children · GBUniversity of Exeter · GBWellcome Sanger Institute · GBWestern General Hospital · GB

Funding

Chief Scientist Office ETM/137Department of Health NIHR-RP-R3-12-026Medical Research Council G0600329Medical Research Council G0800675Medical Research Council G0800759Medical Research Council MC_UU_00008/7Medical Research Council MC_UU_12010/7Medical Research Council MR/L019027/1Medical Research Council MR/M00533X/1MRF_ C0482Wellcome Trust
6 · The paper itself

Abstract

For most immune-mediated diseases, the main determinant of patient well-being is not the diagnosis itself but instead the course that the disease takes over time (prognosis). Prognosis may vary substantially between patients for reasons that are poorly understood. Familial studies support a genetic contribution to prognosis, but little evidence has been found for a proposed association between prognosis and the burden of susceptibility variants. To better characterize how genetic variation influences disease prognosis, we performed a within-cases genome-wide association study in two cohorts of patients with Crohn's disease. We identified four genome-wide significant loci, none of which showed any association with disease susceptibility. Conversely, the aggregated effect of all 170 disease susceptibility loci was not associated with disease prognosis. Together, these data suggest that the genetic contribution to prognosis in Crohn's disease is largely independent of the contribution to disease susceptibility and point to a biology of prognosis that could provide new therapeutic opportunities.

Indexed as

Crohn DiseaseFemaleGenetic Predisposition to DiseaseGenomeGenome-Wide Association StudyGenotypeHumansMalePolymorphism, Single NucleotidePrognosis

Identifiers

PMID28067912
PMCPMC5730041
OpenAlexW2570178861

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.