Evidence map›Paper›PMID 29221595›Full record

ReviewBest practice & research. Clinical rheumatology2017

Genetic and environmental risk factors for rheumatoid arthritis.

Kevin D Deane, M Kristen Demoruelle, Lindsay B Kelmenson, Kristine A Kuhn, Jill M Norris, V Michael Holers

Abstract readReview
In one paragraph

Review in Best practice & research. Clinical rheumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 314 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
314citing papers in PubMed, 8 pooled it
29.4field-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

314 citing papers in PubMed, 8 syntheses or guidelines pooled it, 652 citations in OpenAlex.

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254 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

6 authors at 2 institutions in 1 country.

Kevin D DeaneDivision of Rheumatology, University of Colorado Denver School of Medicine, USA. Electronic address: Kevin.Deane@ucdenver.edu.
M Kristen DemoruelleDivision of Rheumatology, University of Colorado Denver School of Medicine, USA.
Lindsay B KelmensonDivision of Rheumatology, University of Colorado Denver School of Medicine, USA.
Kristine A KuhnDivision of Rheumatology, University of Colorado Denver School of Medicine, USA.
Jill M NorrisDepartment of Epidemiology, Colorado School of Public Health, USA.
V Michael HolersDivision of Rheumatology, University of Colorado Denver School of Medicine, USA.
University of Colorado Denver · USColorado School of Public Health · US

Funding

Prevention Center U01: Early Targets for Antigen-Specific Tolerance Induction in Preclinical Rheumatoid ArthritisU01AI101981 · NIAID · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2012 to 2021
$6.2M
The Lung as an Originating Site of Autoimmunity in Rheumatoid ArthritisK23AR066712 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI DEMORUELLE, M. KRISTEN · 2014 to 2018
$776k
Development of colonic intraepithelial lymphocytes and their role in epithelial and immune functionK08DK107905 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI KUHN, KRISTINE A. · 2016 to 2020
$716k
Colorado Autoimmunity Center of ExcellenceUM1AI110503 · NIAID · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2014 to 2018
$543k
NIAID NIH HHS U01 AI101981NIAID NIH HHS UM1 AI110503NIAMS NIH HHS K23 AR066712NIDDK NIH HHS K08 DK107905
6 · The paper itself

Abstract

Multiple genetic and environmental factors have been associated with an increased risk for rheumatoid arthritis (RA). Of these, the strongest associations have been seen with female sex, a family history of RA, the genetic factor the "shared epitope," and exposure to tobacco smoke. There is also renewed interest in mucosal inflammation and microbial factors as contributors to the development of RA. However, the identification of a "preclinical" period of RA that can be defined as local or systemic autoimmunity as measured by autoantibodies and other biomarkers prior to the development of clinically apparent synovitis suggests that the risk factors for RA are acting long prior to first clinical evidence of IA. As such, a major challenge to the field will be to investigate the full spectrum of the development of RA, from initiation and propagation of autoimmunity during preclinical RA and transition to clinically apparent synovitis and classifiable RA, to determine which genetic and environmental factors are important at each stage of disease development. Understanding the exact role and timing of action of risk factors for RA is especially important given the advent of prevention trials in RA, and the hope that a full understanding of genetic and environmental factors in RA could lead to effective preventive interventions.

Indexed as

Arthritis, RheumatoidFemaleHumansRisk FactorsMicrobiomeMucosal inflammationPreclinical rheumatoid arthritisRheumatoid arthritis environmental risk factorsRheumatoid arthritis genetic risk factorsRheumatoid arthritis prevention

Identifiers

PMID29221595
PMCPMC5726551
OpenAlexW2756145953

What OpenQuestion holds

Textmetadata
LicenceTDM
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.