Evidence map›Paper›PMID 30818333›Full record

SynthesisPloS one2019

Evaluation of 12 GWAS-drawn SNPs as biomarkers of rheumatoid arthritis response to TNF inhibitors. A potential SNP association with response to etanercept.

Aida Ferreiro-Iglesias, Ariana Montes, Eva Perez-Pampin, Juan D Cañete, Enrique Raya, Cesar Magro-Checa, Yiannis Vasilopoulos, Rafael Caliz, Miguel Angel Ferrer, Beatriz Joven and 17 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
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  5. Towards Personalized Medicine in Rheumatoid Arthritis.Open access rheumatology : research and reviews · 2024
    Review
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  11. Pharmacogenetics of Drug Therapies in Rheumatoid Arthritis.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
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  13. Review
  14. Article
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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

27 authors at 17 institutions in 3 countries.

Aida Ferreiro-IglesiasExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigacion Sanitaria-Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain.
Ariana MontesExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigacion Sanitaria-Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain.
Eva Perez-PampinExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigacion Sanitaria-Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain.
Juan D CañeteArthritis Unit, Rheumatology Dpt, Hospital Clinic and IDIBAPS, Barcelona, Spain.
Enrique RayaDepartment of Rheumatology, Hospital Clínico San Cecilio, Granada, Spain.
Cesar Magro-ChecaDepartment of Rheumatology, Hospital Clínico San Cecilio, Granada, Spain.
Yiannis VasilopoulosDepartment of Biochemistry and Biotechnology, University of Thessaly, Larissa, Greece.
Rafael CalizRheumatology Unit, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Miguel Angel FerrerRheumatology Unit, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Beatriz JovenReumatology Department, Hospital 12 de Octubre, Madrid, Spain.
Patricia CarreiraReumatology Department, Hospital 12 de Octubre, Madrid, Spain.ORCID 0000-0001-8279-3806
Alejandro BalsaDepartment of Rheumatology, Instituto de Investigación Hospital Universitario La Paz, Hospital Universitario La Paz, Madrid, Spain.
Dora Pascual-SalcedoDepartment of Immunology, Instituto de Investigación Hospital Universitario La Paz, Madrid, Spain.
Francisco J BlancoRheumatology Department, Instituto de Investigacion Biomedica-Complejo Hospitalario Universitario A Coruna, A Coruna, Spain.ORCID 0000-0001-9821-7635
Manuel J Moreno-RamosDepartment of Rheumatology, Hospital Virgen de la Arrixaca, Murcia, Spain.
Sara Manrique-ArijaServicio de Reumatología, HRU Carlos Haya, Universidad de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.
María Del Carmen OrdoñezServicio de Reumatología, HRU Carlos Haya, Universidad de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.
Juan Jose Alegre-SanchoDepartment of Rheumatology, Hospital Doctor Peset, Valencia, Spain.
Javier NarvaezDepartment of Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain.
Federico Navarro-SarabiaRheumatology Unit, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Virginia MoreiraRheumatology Unit, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Lara ValorRheumatology Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Rosa Garcia-PortalesDepartment of Rheumatology, Hospital Virgen de la Victoria, Málaga, Spain.
Ana MarquezInstituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain.ORCID 0000-0001-9913-7688
Juan J Gomez-ReinoExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigacion Sanitaria-Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain.
Javier MartinInstituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain.
Antonio GonzalezExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigacion Sanitaria-Hospital Clinico Universitario de Santiago, Santiago de Compostela, Spain.ORCID 0000-0002-2624-0606
Instituto de Investigación Sanitaria de Santiago · ESHospital Universitario La Paz · ESHospital Universitario Virgen de las Nieves · ESHospital Universitario Virgen Macarena · ESInstituto de Investigación Biomédica de Málaga · ESInstituto de Parasitología y Biomedicina "López - Neyra" · ESResearch Institute Hospital 12 de Octubre · ESBellvitge University Hospital · ESComplexo Hospitalario Universitario A Coruña · ESHospital Clínic de Barcelona · ESHospital Clínico Universitario Virgen de la Victoria · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario Doctor Peset · ESHospital Universitario Virgen de la Arrixaca · ESInstituto de Investigación Biosanitaria de Granada · ESLeiden University Medical Center · NLUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Research in rheumatoid arthritis (RA) is increasingly focused on the discovery of biomarkers that could enable personalized treatments. The genetic biomarkers associated with the response to TNF inhibitors (TNFi) are among the most studied. They include 12 SNPs exhibiting promising results in the three largest genome-wide association studies (GWAS). However, they still require further validation. With this aim, we assessed their association with response to TNFi in a replication study, and a meta-analysis summarizing all non-redundant data. The replication involved 755 patients with RA that were treated for the first time with a biologic drug, which was either infliximab (n = 397), etanercept (n = 155) or adalimumab (n = 203). Their DNA samples were successfully genotyped with a single-base extension multiplex method. Lamentably, none of the 12 SNPs was associated with response to the TNFi in the replication study (p > 0.05). However, a drug-stratified exploratory analysis revealed a significant association of the NUBPL rs2378945 SNP with a poor response to etanercept (B = -0.50, 95% CI = -0.82, -0.17, p = 0.003). In addition, the meta-analysis reinforced the previous association of three SNPs: rs2378945, rs12142623, and rs4651370. In contrast, five of the remaining SNPs were less associated than before, and the other four SNPs were no longer associated with the response to treatment. In summary, our results highlight the complexity of the pharmacogenetics of TNFi in RA showing that it could involve a drug-specific component and clarifying the status of the 12 GWAS-drawn SNPs.

Indexed as

Polymorphism, Single NucleotideAdultAgedAged, 80 and overAntirheumatic AgentsArthritis, RheumatoidEtanerceptFemaleGenetic MarkersGenome-Wide Association StudyHumansMaleMiddle AgedPharmacogenomic TestingPharmacogenomic VariantsTumor Necrosis Factor-alphaAntirheumatic AgentsEtanerceptGenetic MarkersTNF protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID30818333
PMCPMC6395028
OpenAlexW2918381257

What OpenQuestion holds

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LicenceCC BY
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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.