Evidence map›Paper›PMID 29609200›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2018

IL1RN Variation Influences Both Disease Susceptibility and Response to Recombinant Human Interleukin-1 Receptor Antagonist Therapy in Systemic Juvenile Idiopathic Arthritis.

Victoria L Arthur, Emily Shuldiner, Elaine F Remmers, Anne Hinks, Alexei A Grom, Dirk Foell, Alberto Martini, Marco Gattorno, Seza Özen, Sampath Prahalad and 20 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 54 citations in OpenAlex.

  1. Review
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  6. Review
  7. Article
  8. Kawasaki Disease-Associated Cytokine Storm Syndrome.Advances in experimental medicine and biology · 2024
    Review
  9. Cytokine Storm Syndrome Associated with Systemic Juvenile Idiopathic Arthritis.Advances in experimental medicine and biology · 2024
    Review
  10. Treatment of systemic juvenile idiopathic arthritis.Nature reviews. Rheumatology · 2023
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Interleukin 1 receptor antagonist (Annals of the rheumatic diseases · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 20 institutions in 9 countries.

Victoria L ArthurNational Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.
Emily ShuldinerNational Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.
Elaine F RemmersNational Human Genome Research Institute, NIH, Bethesda, Maryland.
Anne HinksArthritis Research UK Centre for Genetics and Genomics, Centre for Musculoskeletal Research, University of Manchester, Manchester, UK.
Alexei A GromUniversity of Cincinnati College of Medicine and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Dirk FoellUniversity Hospital Münster, Münster, Germany.
Alberto MartiniG. Gaslini Institute and University of Genoa, Genoa, Italy.
Marco GattornoG. Gaslini Institute and University of Genoa, Genoa, Italy.
Seza ÖzenHacettepe University, Ankara, Turkey.
Sampath PrahaladEmory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, Georgia.
Andrew S ZeftCleveland Clinic, Cleveland, Ohio.
John F BohnsackUniversity of Utah, Salt Lake City.
Norman T IlowiteAlbert Einstein College of Medicine and Children's Hospital at Montefiore, Bronx, New York.ORCID 0000-0002-8298-8563
Elizabeth D MellinsStanford University, Stanford, California.
Ricardo RussoHospital de Pediatria Garrahan, Buenos Aires, Argentina.
Claudio LenUniversidade Federal de São Paulo, São Paulo, Brazil.
Sheila OliveiraUniversidade Federal de Rio de Janeiro, Rio de Janeiro, Brazil.
Rae S M YeungUniversity of Toronto, Toronto, Ontario, Canada.
Alan M RosenbergUniversity of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Lucy R WedderburnUniversity College London and NIHR GOSH Biomedical Research Centre, London, UK.
Jordi AntonHospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain.
Johannes-Peter HaasGerman Center for Pediatric and Adolescent Rheumatology, Garmisch-Partenkirchen, Germany.
Angela Rösen-WolffUniversity Hospital Cal Gustav Carus, Dresden, Germany.
Kirsten MindenCharité University Medicine and German Rheumatism Research Centre, Berlin, Germany.
Ann Marie SzymanskiNational Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.
INCHARGE Consortium
Wendy ThomsonArthritis Research UK Centre for Genetics and Genomics, Centre for Musculoskeletal Research, National Institute for Health Research Manchester Biomedical Centre, Central Manchester National Health Service Foundation Trust, Manchester Academic Health Centre, University of Manchester, Manchester, UK.
Daniel L KastnerNational Human Genome Research Institute, NIH, Bethesda, Maryland.
Patricia WooUniversity College London, London, UK.
Michael J OmbrelloNational Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.ORCID 0000-0003-3322-4089
National Institute of Arthritis and Musculoskeletal and Skin Diseases · USIstituto Giannina Gaslini · ITNational Human Genome Research Institute · USUniversity College London · GBAlbert Einstein College of Medicine · USCincinnati Children's Hospital Medical Center · USCleveland Clinic · USEmory University · USGarrahan Hospital · ARGerman Center for Pediatric and Adolescent Rheumatology · DEGerman Rheumatism Research Centre · DEHacettepe University · TRHospital Sant Joan de Déu Barcelona · ESNational Health Service · GBStanford University · USUniversidade Federal de São Paulo · BRUniversidade Federal do Rio de Janeiro · BRUniversity Hospital Carl Gustav Carus · DEUniversity Hospital Münster · DEUniversity of Manchester · GB

Funding

Clinical Support Services for the NIAMS Intramural Research ProgramZIDAR041180 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$119.2M
Genetic Analysis of Complex Inflammatory DisordersZIAHG200371 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI KASTNER, DANIEL · 2011 to 2024
$18.8M
Genetics and pathophysiology of systemic juvenile idiopathic arthritis and other complex autoinflammatory diseasesZIAAR041198 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI OMBRELLO, MICHAEL · 2014 to 2025
$14.4M
NIDDK IBD Genetics Consortium Genetic Research CenterU01DK062420 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DUERR, RICHARD H · 2002 to 2021
$7.8M
Tissue Repository CoreP30AR070549 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI Leah Claire Kottyan · 2016 to 2026
$7.7M
MUNC13-4 gene Polymorphisms in Macrophage Activation syndrome and Systemic JuveniR01AR059049 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI GROM, ALEXEI A · 2011 to 2015
$1.7M
Segmental chromosome sharing in affected relatives with Juvenile ArthritisR01AR060893 · NIAMS · EMORY UNIVERSITY · PI PRAHALAD, SAMPATH · 2011 to 2014
$1.5M
A role for IL-1 in SJIA monocyte phenotypes: A RAPPORT ancillary studyR01AR061297 · NIAMS · STANFORD UNIVERSITY · PI MELLINS, ELIZABETH D · 2010 to 2013
$1.2M
Identification of the Ulcerative Colitis Gene(s) on Chromosome 2qR01DK076025 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DUERR, RICHARD H · 2007 to 2008
$962k
Arthritis Research UK 20385Arthritis Research UK 20542CIHR 82517Department of HealthIntramural NIH HHS Z99 AR999999Intramural NIH HHS ZIA AR041198Medical Research Council G0000934Medical Research Council MR/M004600/1Medical Research Council MR/R013926/1NIAMS NIH HHS P30 AR070549NIAMS NIH HHS R01 AR059049NIAMS NIH HHS R01 AR060893NIAMS NIH HHS R01 AR061297NIDDK NIH HHS R01 DK076025NIDDK NIH HHS U01 DK062420Versus Arthritis 20542Wellcome TrustWellcome Trust 068545/Z/02Wellcome Trust 076113/C/04/Z
6 · The paper itself

Abstract

objectiveTo determine whether systemic juvenile idiopathic arthritis (JIA) susceptibility loci that were identified by candidate gene studies demonstrate association with systemic JIA in the largest study population assembled to date.

methodsSingle-nucleotide polymorphisms (SNPs) from 11 previously reported systemic JIA risk loci were examined for association in 9 populations, including 770 patients with systemic JIA and 6,947 controls. The effect of systemic JIA-associated SNPs on gene expression was evaluated in silico in paired whole genome and RNA sequencing data from the lymphoblastoid cell lines (LCLs) of 373 European subjects from the 1000 Genomes Project. Responses of systemic JIA-associated SNPs to anakinra treatment were evaluated in 38 US patients for whom treatment response data were available.

resultsWe found no association between the previously reported 26 SNPs and systemic JIA. Expanded analysis of the regions containing the 26 SNPs revealed only 1 significant association: the promoter region of IL1RN (P < 1 × 10

conclusionIn our study, IL1RN was the only candidate locus associated with systemic JIA. The implicated SNPs are among the strongest known determinants of IL1RN and interleukin-1 receptor antagonist levels, linking low expression with increased systemic JIA risk. Homozygous high expression alleles predicted nonresponsiveness to anakinra therapy, making them ideal candidate biomarkers to guide systemic JIA treatment. This study is an important first step toward the personalized treatment of systemic JIA.

Indexed as

AllelesAntirheumatic AgentsArthritis, JuvenileCase-Control StudiesChildFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansInterleukin 1 Receptor Antagonist ProteinMaleOdds RatioPharmacogenomic VariantsPolymorphism, Single NucleotidePromoter Regions, GeneticAntirheumatic AgentsIL1RN protein, humanInterleukin 1 Receptor Antagonist Protein

Identifiers

PMID29609200
PMCPMC6105455
OpenAlexW2810933650

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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.