Evidence map›Paper›PMID 30475886›Full record

ArticlePloS one2018

Frailty Index associates with GRIN2B in two representative samples from the United States and the United Kingdom.

Krisztina Mekli, Adam Stevens, Alan D Marshall, Thalida E Arpawong, Drystan F Phillips, Gindo Tampubolon, Jinkook Lee, Carol A Prescott, James Y Nazroo, Neil Pendleton

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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Frailty and genetics: linking molecular aging to clinical vulnerability.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Review
  4. Article
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  14. Genetics of frailty: A longevity perspective.Translational research : the journal of laboratory and clinical medicine · 2020
    Review
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 3 institutions in 2 countries.

Krisztina MekliCathie Marsh Institute for Social Research, The University of Manchester, Manchester, United Kingdom.ORCID 0000-0001-6331-9172
Adam StevensDivision of Developmental Biology and Medicine, The University of Manchester, Manchester, United Kingdom.ORCID 0000-0002-1950-7325
Alan D MarshallSchool of Social and Political Science, The University of Edinburgh, Edinburgh, United Kingdom.
Thalida E ArpawongDepartment of Psychology, Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA, United States of America.ORCID 0000-0001-9671-9535
Drystan F PhillipsDornsife Center for Economic and Social Research, University of Southern California, Los Angeles, CA, United States of America.
Gindo TampubolonInstitute for Social Change, The University of Manchester, Manchester, United Kingdom.ORCID 0000-0002-9081-2349
Jinkook LeeDornsife Center for Economic and Social Research, University of Southern California, Los Angeles, CA, United States of America.
Carol A PrescottDepartment of Psychology, Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA, United States of America.
James Y NazrooCathie Marsh Institute for Social Research, The University of Manchester, Manchester, United Kingdom.
Neil PendletonDivision of Neuroscience and Experimental Psychology, The University of Manchester, Manchester, United Kingdom.ORCID 0000-0003-0794-2386
University of Manchester · GBUniversity of Southern California · USUniversity of Edinburgh · GB

Funding

Integrting Information About Aging SurveysR01AG030153 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Sara Adar, Alden L. Gross · 2007 to 2026
$41.7M
Etiology of Emotional Resilience in Older Adults: Stress, Genes, and BehaviorsF32AG048681 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ARPAWONG, THALIDA EM · 2014 to 2016
$158k
Medical Research Council G1001375NIA NIH HHS F32 AG048681NIA NIH HHS R01 AG030153
6 · The paper itself

Abstract

The concept of frailty has been used in the clinical and research field for more than two decades. It is usually described as a clinical state of heightened vulnerability to poor resolution of homeostasis after a stressor event, which thereby increases the risk of adverse outcomes, including falls, delirium, disability and mortality. Here we report the results of the first genome-wide association scan and comparative gene ontology analyses where we aimed to identify genes and pathways associated with the deficit model of frailty. We used a discovery-replication design with two independent, nationally representative samples of older adults. The square-root transformed Frailty Index (FI) was the outcome variable, and age and sex were included as covariates. We report one hit exceeding genome-wide significance: the rs6765037 A allele was significantly associated with a decrease in the square-root transformed FI score in the Discovery sample (beta = -0.01958, p = 2.14E-08), without confirmation in the Replication sample. We also report a nominal replication: the rs7134291 A allele was significantly associated with a decrease in the square-root transformed FI score (Discovery sample: beta = -0.01021, p = 1.85E-06, Replication sample: beta = -0.005013, p = 0.03433). These hits represent the KBTBD12 and the GRIN2B genes, respectively. Comparative gene ontology analysis identified the pathways 'Neuropathic pain signalling in dorsal horn neurons' and the 'GPCR-Mediated Nutrient Sensing in Enteroendocrine Cells', exceeding the p = 0.01 significance in both samples, although this result does not survive correction for multiple testing. Considering the crucial role of GRIN2B in brain development, synaptic plasticity and cognition, this gene appears to be a potential candidate to play a role in frailty. In conclusion, we conducted genome-wide association scan and pathway analyses and have identified genes and pathways with potential roles in frailty. However, frailty is a complex condition. Therefore, further research is required to confirm our results and more thoroughly identify relevant biological mechanisms.

Indexed as

Genome-Wide Association StudyAgedFemaleFrailtyGene OntologyHumansMalePhenotypeReceptors, N-Methyl-D-AspartateUnited KingdomUnited StatesNR2B NMDA receptorReceptors, N-Methyl-D-Aspartate

Identifiers

PMID30475886
PMCPMC6258126
OpenAlexW2903074003

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.