Evidence map›Paper›PMID 28273074›Full record

ArticlePLoS genetics2017

A rare IL33 loss-of-function mutation reduces blood eosinophil counts and protects from asthma.

Dirk Smith, Hannes Helgason, Patrick Sulem, Unnur Steina Bjornsdottir, Ai Ching Lim, Gardar Sveinbjornsson, Haruki Hasegawa, Michael Brown, Randal R Ketchem, Monica Gavala and 30 more

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 4 pooled it
7.5field-weighted citation impact, top 2% 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

78 citing papers in PubMed, 4 syntheses or guidelines pooled it, 141 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Mechanisms and therapeutic strategies of asthma: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Targeting alarmins in asthma: From bench to clinic.The Journal of allergy and clinical immunology · 2025
    Review
  16. Article
  17. Genetics of chronic respiratory disease.Nature reviews. Genetics · 2024
    Review
  18. Article
  19. Article
  20. Article

18 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

40 authors at 8 institutions in 5 countries.

Dirk SmithAmgen Inc., Discovery Research, South San Francisco, California, United States of America.
Hannes HelgasondeCODE genetics / Amgen Inc., Reykjavík, Iceland.
Patrick SulemdeCODE genetics / Amgen Inc., Reykjavík, Iceland.
Unnur Steina BjornsdottirDepartment of Medicine, Landspitali, The National University Hospital of Iceland, Reykjavik, Iceland.
Ai Ching LimAmgen Inc., Discovery Research, South San Francisco, California, United States of America.
Gardar SveinbjornssondeCODE genetics / Amgen Inc., Reykjavík, Iceland.
Haruki HasegawaAmgen Inc., Discovery Research, South San Francisco, California, United States of America.ORCID 0000-0002-3464-4715
Michael BrownAmgen Inc., Discovery Research, South San Francisco, California, United States of America.
Randal R KetchemAmgen Inc., Discovery Research, South San Francisco, California, United States of America.ORCID 0000-0002-7821-2682
Monica GavalaAmgen Inc., Discovery Research, South San Francisco, California, United States of America.ORCID 0000-0002-7475-3393
Logan GarrettAmgen Inc., Discovery Research, South San Francisco, California, United States of America.
Adalbjorg JonasdottirdeCODE genetics / Amgen Inc., Reykjavík, Iceland.
Aslaug JonasdottirdeCODE genetics / Amgen Inc., Reykjavík, Iceland.
Asgeir SigurdssondeCODE genetics / Amgen Inc., Reykjavík, Iceland.
Olafur T MagnussondeCODE genetics / Amgen Inc., Reykjavík, Iceland.
Gudmundur I EyjolfssonThe Laboratory in Mjodd, RAM, Reykjavik, Iceland.
Isleifur OlafssonDepartment of Clinical Biochemistry, Landspitali, The National University Hospital of Iceland, Reykjavik, Iceland.
Pall Torfi OnundarsonLaboratory Hematology, Landspitali, The National University Hospital of Iceland, Reykjavik, Iceland.
Olof SigurdardottirFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
David GislasonDepartment of Respiratory Medicine and Sleep, Landspitali, The National University Hospital of Iceland, Reykjavik, Iceland.
Thorarinn GislasonFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Bjorn Runar LudvikssonFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Dora LudviksdottirFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
H Marike BoezenGRIAC research institute, Groningen, The Netherlands.
Andrea HeinzmannCenter for Pediatrics, Department of General Pediatrics, Adolescent Medicine and Neonatology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Marcus KruegerCenter for Pediatrics, Department of General Pediatrics, Adolescent Medicine and Neonatology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.ORCID 0000-0003-2008-4582
Celeste PorsbjergDepartment of Respiratory Medicine, Bispebjerg University Hospital, Copenhagen University, Copenhagen, Denmark.
Tarunveer S AhluwaliaCOPSAC (Copenhagen Prospective Studies on Asthma in Childhood), Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-7464-3354
Johannes WaageCOPSAC (Copenhagen Prospective Studies on Asthma in Childhood), Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Vibeke BackerDepartment of Respiratory Medicine, Bispebjerg University Hospital, Copenhagen University, Copenhagen, Denmark.
Klaus A DeichmannCenter for Pediatrics, Department of General Pediatrics, Adolescent Medicine and Neonatology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Gerard H KoppelmanGRIAC research institute, Groningen, The Netherlands.ORCID 0000-0001-8567-3252
Klaus BønnelykkeCOPSAC (Copenhagen Prospective Studies on Asthma in Childhood), Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Hans BisgaardCOPSAC (Copenhagen Prospective Studies on Asthma in Childhood), Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Gisli MassondeCODE genetics / Amgen Inc., Reykjavík, Iceland.ORCID 0000-0003-0493-8242
Unnur ThorsteinsdottirdeCODE genetics / Amgen Inc., Reykjavík, Iceland.ORCID 0000-0002-7049-2827
Daniel F GudbjartssondeCODE genetics / Amgen Inc., Reykjavík, Iceland.
James A JohnstonAmgen Inc., Discovery Research, South San Francisco, California, United States of America.
Ingileif JonsdottirdeCODE genetics / Amgen Inc., Reykjavík, Iceland.
Kari StefanssondeCODE genetics / Amgen Inc., Reykjavík, Iceland.
deCODE Genetics (Iceland) · ISAmgen (United States) · USUniversity of Iceland · ISUniversity of Copenhagen · DKNational University Hospital of Iceland · ISUniversity of Freiburg · DEBispebjerg Hospital · DKUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IL-33 is a tissue-derived cytokine that induces and amplifies eosinophilic inflammation and has emerged as a promising new drug target for asthma and allergic disease. Common variants at IL33 and IL1RL1, encoding the IL-33 receptor ST2, associate with eosinophil counts and asthma. Through whole-genome sequencing and imputation into the Icelandic population, we found a rare variant in IL33 (NM_001199640:exon7:c.487-1G>C (rs146597587-C), allele frequency = 0.65%) that disrupts a canonical splice acceptor site before the last coding exon. It is also found at low frequency in European populations. rs146597587-C associates with lower eosinophil counts (β = -0.21 SD, P = 2.5×10-16, N = 103,104), and reduced risk of asthma in Europeans (OR = 0.47; 95%CI: 0.32, 0.70, P = 1.8×10-4, N cases = 6,465, N controls = 302,977). Heterozygotes have about 40% lower total IL33 mRNA expression than non-carriers and allele-specific analysis based on RNA sequencing and phased genotypes shows that only 20% of the total expression is from the mutated chromosome. In half of those transcripts the mutation causes retention of the last intron, predicted to result in a premature stop codon that leads to truncation of 66 amino acids. The truncated IL-33 has normal intracellular localization but neither binds IL-33R/ST2 nor activates ST2-expressing cells. Together these data demonstrate that rs146597587-C is a loss of function mutation and support the hypothesis that IL-33 haploinsufficiency protects against asthma.

Indexed as

MutationAdolescentAdultAgedAged, 80 and overAlternative SplicingAnimalsAsthmaBinding SitesBiological AssayChildChild, PreschoolDenmarkEosinophilsFemaleGene FrequencyIL33 protein, humanIl33 protein, mouseInterleukin-33

Identifiers

PMID28273074
PMCPMC5362243
OpenAlexW2592327283

What OpenQuestion holds

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LicenceCC BY
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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.