Evidence map›Paper›PMID 30208882›Full record

ArticleBMC medical genetics2018

Genetically determined high activities of the TNF-alpha, IL23/IL17, and NFkB pathways were associated with increased risk of ankylosing spondylitis.

Jacob Sode, Steffen Bank, Ulla Vogel, Paal Skytt Andersen, Signe Bek Sørensen, Anders Bo Bojesen, Malene Rohr Andersen, Ivan Brandslund, Ram Benny Dessau, Hans Jürgen Hoffmann and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC medical genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04399382 (A Clinical Study Using Damage-associated Molecular Pattern and Apparent Diffusion Coefficient to Evaluate the Efficacy of Biologics for Treating Spondyloarthritis), which is not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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.

NCT04399382 unknown statusnot on this mapstarted 2022, after this paper: background citation

A Clinical Study Using Damage-associated Molecular Pattern and Apparent Diffusion Coefficient to Evaluate the Efficacy of Biologics for Treating Spondyloarthritis

TypeobservationalSponsorThe University of Hong Kong-Shenzhen HospitalRan2022 to 2022Enrolled40ConditionsSpondyloarthritis (SpA)ArmsBiologics
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. 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
  2. Article
  3. Multidrug-ResistantMicroorganisms · 2026
    Article
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  7. Review
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  13. Frontiers in cellular and infection microbiology · 2025
    Article
  14. Environmental and Genetic Determinants of Ankylosing Spondylitis.International journal of molecular sciences · 2024
    Review
  15. Article
  16. Article
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  18. 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

15 authors at 12 institutions in 2 countries.

Jacob SodeInstitute of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Steffen BankFocused Research Unit for Molecular Diagnostic and Clinical Research, Hospital of Southern Jutland, Aabenraa, Denmark. stb@mb.au.dk.ORCID 0000-0002-3916-4710
Ulla VogelNational Research Centre for the Working Environment, Copenhagen, Denmark.
Paal Skytt AndersenMicrobiology and Infection Control, Statens Serum Institut, Copenhagen, Denmark.
Signe Bek SørensenInstitute of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Anders Bo BojesenFocused Research Unit for Molecular Diagnostic and Clinical Research, Hospital of Southern Jutland, Aabenraa, Denmark.
Malene Rohr AndersenDepartment of Clinical Biochemistry, Herlev and Gentofte Hospital, Hellerup, Denmark.
Ivan BrandslundDepartment of Biochemistry, Hospital of Lillebaelt, Vejle, Denmark.
Ram Benny DessauDepartment of Clinical Microbiology, Slagelse Hospital, Slagelse, Denmark.
Hans Jürgen HoffmannDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Bente GlintborgDepartment of Rheumatology, Gentofte and Herlev Hospital, Hellerup, Denmark.
Merete Lund HetlandThe DANBIO Registry, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.
Henning LochtDepartment of Rheumatology, Frederiksberg Hospital, Frederiksberg, Denmark.
Niels Henrik HeegaardDepartment of Autoimmunology and Biomarkers, Statens Serum Institut, Copenhagen, Denmark.
Vibeke AndersenInstitute of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Statens Serum Institut · DKUniversity of Southern Denmark · DKAarhus University · DKFrederiksberg Hospital · DKGentofte Hospital · DKHerlev Hospital · DKLillebaelt Hospital · DKNational Research Centre for the Working Environment · DKRegionshospitalet Viborg · DKSlagelse Hospital · DKSygehus Sønderjylland · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnkylosing spondylitis (AS) results from the combined effects of susceptibility genes and environmental factors. Polymorphisms in genes regulating inflammation may explain part of the heritability of AS.

methodsUsing a candidate gene approach in this case-control study, 51 mainly functional single nucleotide polymorphisms (SNPs) in genes regulating inflammation were assessed in 709 patients with AS and 795 controls. Data on the patients with AS were obtained from the DANBIO registry where patients from all of Denmark are monitored in routine care during treatment with conventional and biologic disease modifying anti-rheumatic drugs (bDMARDs). The results were analyzed using logistic regression (adjusted for age and sex).

resultsNine polymorphisms were associated with risk of AS (p < 0.05). The polymorphisms were in genes regulating a: the TNF-α pathway (TNF -308 G > A (rs1800629), and - 238 G > A (rs361525); TNFRSF1A -609 G > T (rs4149570), and PTPN22 1858 G > A (rs2476601)), b: the IL23/IL17 pathway (IL23R G > A (rs11209026), and IL18-137 G > C (rs187238)), or c: the NFkB pathway (TLR1 743 T > C (rs4833095), TLR4 T > C (rs1554973), and LY96-1625 C > G (rs11465996)). After Bonferroni correction the homozygous variant genotype of TLR1 743 T > C (rs4833095) (odds ratios (OR): 2.59, 95% confidence interval (CI): 1.48-4.51, p = 0.04), and TNFRSF1A -609 G > T (rs4149570) (OR: 1.79, 95% CI: 1.31-2.41, p = 0.01) were associated with increased risk of AS and the combined homozygous and heterozygous variant genotypes of TNF -308 G > A (rs1800629) (OR: 0.56, 95% CI: 0.44-0.72, p = 0.0002) were associated with reduced risk of AS.

conclusionWe replicated associations between AS and the polymorphisms in TNF (rs1800629), TNFRSF1A (rs4149570), and IL23R (rs11209026). Furthermore, we identified novel risk loci in TNF (rs361525), IL18 (rs187238), TLR1 (rs4833095), TLR4 (rs1554973), and LY96 (rs11465996) that need validation in independent cohorts. The results suggest that genetically determined high activity of the TNF-α, IL23/IL17, and NFkB pathways increase risk of AS.

Indexed as

Genetic Predisposition to DiseaseAdultCase-Control StudiesDenmarkFemaleGene Expression RegulationHeterozygoteHomozygoteHumansInterleukin-17Interleukin-23MaleMiddle AgedNF-kappa BPolymorphism, Single NucleotideProtein Tyrosine Phosphatase, Non-Receptor Type 22IL23R protein, humanInterleukin-17Interleukin-23NF-kappa BProtein Tyrosine Phosphatase, Non-Receptor Type 22PTPN22 protein, humanReceptors, InterleukinReceptors, Tumor Necrosis Factor, Type ITLR1 protein, humanTLR4 protein, humanTNFRSF1A protein, humanToll-Like Receptor 1Toll-Like Receptor 4Tumor Necrosis Factor-alphaAnkylosing spondylitisCase-control studySingle nucleotide polymorphismSNP

Identifiers

PMID30208882
PMCPMC6136164
OpenAlexW2889737720

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Registered trials

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.