Evidence map›Paper›PMID 28332559›Full record

ArticleGenes and immunity2017

The immunogenetics of narcolepsy associated with A(H1N1)pdm09 vaccination (Pandemrix) supports a potent gene-environment interaction.

I L Bomfim, F Lamb, K Fink, A Szakács, A Silveira, L Franzén, V Azhary, M Maeurer, N Feltelius, N Darin and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Genes and immunity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Review
  2. Article
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  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. HLA variation and disease.Nature reviews. Immunology · 2018
    Review
  14. Article
  15. Clinical update on central hypersomnias.Journal of thoracic disease · 2018
    Review
  16. Article
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

14 authors.

I L BomfimDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
F LambDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
K FinkDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
A SzakácsDepartment of Pediatrics, Halmstad County Hospital, Halmstad, Sweden.
A SilveiraCentre for Molecular Medicine, Karolinska University Hospital, Solna, Sweden.
L FranzénDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
V AzharyDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
M MaeurerDivision of Therapeutic Immunology, Department of Laboratory Medicine, Stockholm, Sweden.
N FelteliusMedical Products Agency, Uppsala, Sweden.
N DarinDepartment of Pediatrics, Institute of Clinical Sciences, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.
T HallböökDepartment of Pediatrics, Institute of Clinical Sciences, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.
L Arnheim-DahlströmDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
I KockumDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
T OlssonDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The influenza A(H1N1)pdm09 vaccination campaign from 2009 to 2010 was associated with a sudden increase in the incidence of narcolepsy in several countries. Narcolepsy with cataplexy is strongly associated with the human leukocyte antigen (HLA) class II DQB1*06:02 allele, and protective associations with the DQB1*06:03 allele have been reported. Several non-HLA gene loci are also associated, such as common variants of the T-cell receptor-α (TRA), the purinergic receptor P2RY11, cathepsin H (CTSH) and TNFSF4/OX40L/CD252. In this retrospective multicenter study, we investigated if these predisposing gene loci were also involved in vaccination-associated narcolepsy. We compared HLA- along with single-nucleotide polymorphism genotypes for non-HLA regions between 42 Pandemrix-vaccinated narcolepsy cases and 1990 population-based controls. The class II gene loci associations supported previous findings. Nominal association (P-value<0.05) with TRA as well as suggestive (P-value<0.1) associations with P2RY11 and CTSH were found. These associations suggest a very strong gene-environment interaction, in which the influenza A(H1N1)pdm09 strain or Pandemrix vaccine can act as potent environmental triggers.

Indexed as

Gene-Environment InteractionHLA-DQ beta-ChainsHumansInfluenza A Virus, H1N1 SubtypeInfluenza VaccinesNarcolepsyRetrospective StudiesHLA-DQB1 antigenHLA-DQ beta-ChainsInfluenza Vaccinespandemrix

Identifiers

PMID28332559

What OpenQuestion holds

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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.