Evidence map›Paper›PMID 29769526›Full record

ArticleNature communications2018

A whole-genome sequence study identifies genetic risk factors for neuromyelitis optica.

Karol Estrada, Christopher W Whelan, Fengmei Zhao, Paola Bronson, Robert E Handsaker, Chao Sun, John P Carulli, Tim Harris, Richard M Ransohoff, Steven A McCarroll and 3 more

Abstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 4 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

81 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Review
  6. Article
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  8. Narcolepsy is (not) an autoimmune disease.Nature reviews. Neurology · 2026
    Review
  9. Observational
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  17. Acetylcarnitine in cerebrospinal fluid and blood as a protective factor for neuromyelitis optica spectrum disorders: a mendelian randomization study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  18. Article
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21 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

13 authors.

Karol EstradaTranslational Genome Sciences, Biogen, Cambridge, MA, 02142, USA.
Christopher W WhelanProgram in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, 02142, USA.ORCID http://orcid.org/0000-0001-8446-8468
Fengmei ZhaoAnalytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA, 02114, USA.
Paola BronsonTranslational Genome Sciences, Biogen, Cambridge, MA, 02142, USA.
Robert E HandsakerProgram in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, 02142, USA.ORCID http://orcid.org/0000-0002-3128-3547
Chao SunTranslational Genome Sciences, Biogen, Cambridge, MA, 02142, USA.
John P CarulliTranslational Genome Sciences, Biogen, Cambridge, MA, 02142, USA.
Tim HarrisTranslational Genome Sciences, Biogen, Cambridge, MA, 02142, USA.
Richard M RansohoffNeuroimmunology, Acute Neurology and Pain, Biogen, Cambridge, MA, 02142, USA.ORCID http://orcid.org/0000-0003-0175-6910
Steven A McCarrollProgram in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, 02142, USA.
Aaron G Day-WilliamsTranslational Genome Sciences, Biogen, Cambridge, MA, 02142, USA.
Benjamin M GreenbergDepartment of Neurology and Neurotherapeutics, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA. Benjamin.greenberg@utsouthwestern.edu.
Daniel G MacArthurProgram in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, 02142, USA. danmac@broadinstitute.org.

Funding

Structurally complex genome loci in human populations and human phenotypesR01HG006855 · NHGRI · HARVARD MEDICAL SCHOOL · PI Steven Andrew McCarroll · 2012 to 2026
$8.2M
NHGRI NIH HHS R01 HG006855
6 · The paper itself

Abstract

Neuromyelitis optica (NMO) is a rare autoimmune disease that affects the optic nerve and spinal cord. Most NMO patients ( > 70%) are seropositive for circulating autoantibodies against aquaporin 4 (NMO-IgG+). Here, we meta-analyze whole-genome sequences from 86 NMO cases and 460 controls with genome-wide SNP array from 129 NMO cases and 784 controls to test for association with SNPs and copy number variation (total N = 215 NMO cases, 1244 controls). We identify two independent signals in the major histocompatibility complex (MHC) region associated with NMO-IgG+, one of which may be explained by structural variation in the complement component 4 genes. Mendelian Randomization analysis reveals a significant causal effect of known systemic lupus erythematosus (SLE), but not multiple sclerosis (MS), risk variants in NMO-IgG+. Our results suggest that genetic variants in the MHC region contribute to the etiology of NMO-IgG+ and that NMO-IgG+ is genetically more similar to SLE than MS.

Indexed as

Polymorphism, Single NucleotideAdultAquaporin 4DNA Copy Number VariationsFemaleGenetic Predisposition to DiseaseHaplotypesHumansImmunoglobulin GMajor Histocompatibility ComplexMaleMiddle AgedNeuromyelitis OpticaRisk FactorsWhole Genome SequencingAquaporin 4Immunoglobulin G

Identifiers

PMID29769526
PMCPMC5955905

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.