Evidence map›Paper›PMID 29579081›Full record

ArticlePloS one2018

Genetics in TNF-TNFR pathway: A complex network causing spondyloarthritis and conditioning response to anti-TNFα therapy.

Ada Aita, Daniela Basso, Roberta Ramonda, Stefania Moz, Mariagrazia Lorenzin, Filippo Navaglia, Carlo-Federico Zambon, Andrea Padoan, Mario Plebani, Leonardo Punzi

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. The association of polymorphisms in TNF and ankylosing spondylitis in common population: a meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021
    Pooled it
  3. Pooled it
  4. Article
  5. Pharmacogenomics of TNF inhibitors.Frontiers in immunology · 2025
    Review
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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

10 authors at 1 institution in 1 country.

Ada AitaLaboratory Medicine, Department of Medicine-DIMED, University-Hospital of Padua, Padua, Italy.
Daniela BassoLaboratory Medicine, Department of Medicine-DIMED, University-Hospital of Padua, Padua, Italy.ORCID 0000-0001-8745-6171
Roberta RamondaRheumatology Unit, Department of Medicine-DIMED, University-Hospital of Padua, Padua, Italy.
Stefania MozLaboratory Medicine, Department of Medicine-DIMED, University-Hospital of Padua, Padua, Italy.
Mariagrazia LorenzinRheumatology Unit, Department of Medicine-DIMED, University-Hospital of Padua, Padua, Italy.
Filippo NavagliaLaboratory Medicine, Department of Medicine-DIMED, University-Hospital of Padua, Padua, Italy.
Carlo-Federico ZambonDepartment of Biomedical Sciences-BIOMED, University of Padua, Padua, Italy.
Andrea PadoanLaboratory Medicine, Department of Medicine-DIMED, University-Hospital of Padua, Padua, Italy.
Mario PlebaniLaboratory Medicine, Department of Medicine-DIMED, University-Hospital of Padua, Padua, Italy.
Leonardo PunziRheumatology Unit, Department of Medicine-DIMED, University-Hospital of Padua, Padua, Italy.
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe investigated whether polymorphisms (SNPs) in the promoter region of TNFA, or in the autoinflammatory TNFRSF1A and MEFV genes, concur with HLA-B27 in enhancing the risk of Spondyloarthritis (SpA) and/or in predicting the response to anti-TNFα treatment.

methods373 controls and 137 SpA (82 with Psoriatic Arthritis-PsA and 55 with Ankylosing Spondylitis- AS; 98/137 under TNFα inhibitor therapy) from the Veneto Region (Italy) were studied. TNFA polymorphisms (-1031T>C;-857C>T;-376G>A;-308G>A;-238G>A) and HLA-B27 were assayed by RT-PCR. Direct sequencing of MEFV (exons 2,3,5 and 10) and TNFRSF1A (exons 2,3,4 and 6) genes were performed.

resultsHLA-B27 was associated with AS (χ2 = 120.1; p = 0.000). Only the TNFA -1031T>C was singly associated with SpA, and the haplotype C/G, resulting from -1031T>C/-308G>A combination, was significantly associated with a reduced risk of SpA (OR: 0.67, CI: 0.46-0.97; p = 0.035). Two SNPs were identified in TNFRSF1A, the R92Q (Minor allele frequency-MAF = 0.034) and c.625+10A>G (MAF = 0.479). None of them was associated with SpA (p>0.05). The TNFRSF1A c.625+10 G allele was associated with late response to anti-TNFα therapy (p = 0.031). Twenty-one SNPs were identified in MEFV gene, 10 with a known potential functional significance. Variant alleles were extremely rare in our population (MAF<0.025) except for R202Q (MAF = 0.27). None was associated with SpA diagnosis (p>0.05).

conclusionTNFRSF1A and MEFV gene SNPs are not associated with SpA in the North-East of Italy. AS risk appears to depend not only on HLA-B27, but also on the protective TNFA haplotype -1031C/-308G. The TNFRSF1A c.625+10A>G impacts on the response to anti-TNFα therapy.

Indexed as

AdultAllelesAntibodies, MonoclonalArthritis, PsoriaticBiomarkersFemaleHaplotypesHLA-B27 AntigenHumansItalyLogistic ModelsMaleMiddle AgedOdds RatioPolymorphism, Single NucleotidePromoter Regions, GeneticAntibodies, MonoclonalBiomarkersHLA-B27 AntigenMEFV protein, humanPyrinReceptors, Tumor Necrosis Factor, Type ITNFRSF1A protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID29579081
PMCPMC5868803
OpenAlexW2778238165

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.