Evidence map›Paper›PMID 29743634›Full record

ArticleScientific reports2018

Replication study of polymorphisms associated with response to methotrexate in patients with rheumatoid arthritis.

Rosario López-Rodríguez, Aida Ferreiro-Iglesias, Aurea Lima, Miguel Bernardes, Andrzej Pawlik, Agnieszka Paradowska-Gorycka, Jerzy Świerkot, Ryszard Slezak, Vita Dolžan, Isidoro González-Álvaro and 9 more

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

19 authors.

Rosario López-RodríguezExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, Travesia Choupana sn, 15706, Santiago de Compostela, Spain.
Aida Ferreiro-IglesiasExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, Travesia Choupana sn, 15706, Santiago de Compostela, Spain.
Aurea LimaCESPU, Institute of Research & Advanced Training in Health Sciences & Technologies, Department of Pharmaceutical Sciences, Rua Central de Gandra, 1317, 4585-116, Gandra, PRD, Portugal.
Miguel BernardesFaculty of Medicine of University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.
Andrzej PawlikDepartment of Physiology, Pomeranian Medical University Szczecin, Rybacka 1, 70-204, Szczecin, Poland.
Agnieszka Paradowska-GoryckaDepartment of Biochemistry and Molecular Biology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartańska 1, 02-637, Warsaw, Poland.
Jerzy ŚwierkotDepartment of Rheumatology, Wroclaw Medical University, Ludwika Pasteura 1, 50-367, Wroclaw, Poland.
Ryszard SlezakDepartment of Genetics, Wroclaw Medical University, Ludwika Pasteura 1, 50-367, Wroclaw, Poland.
Vita DolžanPharmacogenetics Laboratory, Institute of Biochemistry, Faculty of Medicine, University of Ljubljana, Vrazov Trg 2, 1000, Ljubljana, Slovenia.
Isidoro González-ÁlvaroRheumatology Department, Instituto de Investigacion del Hospital de La Princesa (IIS-IP), Diego de León 62, 28006, Madrid, Spain.
Javier NarváezDepartment of Rheumatology, Hospital Universitario de Bellvitge-IDIBELL, Carrer de la Feixa Llarga, s/n, 08907, Barcelona, Spain.
Rafael CálizRheumatology Unit, Hospital Universitario Virgen de las Nieves, Av. de las Fuerzas Armadas, 2, 18014, Granada, Spain.
Eva Pérez-PampínExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, Travesia Choupana sn, 15706, Santiago de Compostela, Spain.
Antonio Mera-VarelaExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, Travesia Choupana sn, 15706, Santiago de Compostela, Spain.
Laura Vidal-BraloExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, Travesia Choupana sn, 15706, Santiago de Compostela, Spain.
José Gorgonio Acuña OchoaExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, Travesia Choupana sn, 15706, Santiago de Compostela, Spain.
Carmen CondeExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, Travesia Choupana sn, 15706, Santiago de Compostela, Spain.
Juan J Gómez-ReinoExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, Travesia Choupana sn, 15706, Santiago de Compostela, Spain.
Antonio GonzálezExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, Travesia Choupana sn, 15706, Santiago de Compostela, Spain. agmartinezp@ser.es.ORCID 0000-0002-2624-0606

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

About 70 genetic studies have already addressed the need of biomarkers to predict the response of patients with rheumatoid arthritis (RA) to methotrexate (MTX) treatment. However, no genetic biomarker has yet been sufficiently validated. Here, we aimed to replicate a selection of 25 SNPs in the largest collection of patients up to date, which consisted of 915 patients treated with MTX. The change in disease activity (measured as ΔDAS28) from baseline was considered the primary outcome. In addition, response according to widely used criteria (EULAR) was taken as secondary outcome. We considered consistency between outcomes, P values accounting for the number of SNPs, and independence from potential confounders for interpretation of the results. Only the rs1801394 SNP in MTRR fulfilled the high association standards. Its minor allele was associated with less improvement than the major allele according to ΔDAS28 (p = 0.0016), and EULAR response (p = 0.004), with independence of sex, age, baseline DAS28, smoking, seropositivity, concomitant corticosteroid use or previous treatments. In addition, previous evidence suggests the association of this SNP with response to MTX in another autoimmune disease, juvenile idiopathic arthritis, and with high intracellular folate levels, which could contribute to poor response.

Indexed as

AdultAgedAllelesAntirheumatic AgentsArthritis, RheumatoidBiomarkers, PharmacologicalFemaleFerredoxin-NADP ReductaseGene FrequencyHumansMaleMethotrexateMiddle AgedPolymorphism, Single NucleotideSeverity of Illness IndexTreatment OutcomeAntirheumatic AgentsBiomarkers, PharmacologicalFerredoxin-NADP Reductasemethionine synthase reductaseMethotrexate

Identifiers

PMID29743634
PMCPMC5943457

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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.