Evidence map›Paper›PMID 31064978›Full record

ArticleNature communications2019

DNA methylation signatures of monozygotic twins clinically discordant for multiple sclerosis.

Nicole Y Souren, Lisa A Gerdes, Pavlo Lutsik, Gilles Gasparoni, Eduardo Beltrán, Abdulrahman Salhab, Tania Kümpfel, Dieter Weichenhan, Christoph Plass, Reinhard Hohlfeld and 1 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 101 citations in OpenAlex.

  1. Review
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  3. Aberrant Enhancer Regulation, Phase Separation, and Autoimmune Diseases.Clinical reviews in allergy & immunology · 2025
    Review
  4. Review
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  6. Review
  7. Article
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  10. Review
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  14. Review
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  17. Article
  18. [Twin research in Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2021
    Review
  19. Article
  20. Article
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

11 authors at 4 institutions in 1 country.

Nicole Y SourenDepartment of Genetics/Epigenetics, Saarland University, 66123, Saarbrücken, Germany. nicole.souren@hotmail.com.
Lisa A GerdesInstitute of Clinical Neuroimmunology, University Hospital and Biomedical Center, Ludwig-Maximilians University Munich, 81377, Munich, Germany.
Pavlo LutsikDivision of Cancer Epigenomics, German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-9383-8555
Gilles GasparoniDepartment of Genetics/Epigenetics, Saarland University, 66123, Saarbrücken, Germany.
Eduardo BeltránInstitute of Clinical Neuroimmunology, University Hospital and Biomedical Center, Ludwig-Maximilians University Munich, 81377, Munich, Germany.
Abdulrahman SalhabDepartment of Genetics/Epigenetics, Saarland University, 66123, Saarbrücken, Germany.
Tania KümpfelInstitute of Clinical Neuroimmunology, University Hospital and Biomedical Center, Ludwig-Maximilians University Munich, 81377, Munich, Germany.
Dieter WeichenhanDivision of Cancer Epigenomics, German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.
Christoph PlassDivision of Cancer Epigenomics, German Cancer Research Center (DKFZ), 69120, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-2554-3952
Reinhard HohlfeldInstitute of Clinical Neuroimmunology, University Hospital and Biomedical Center, Ludwig-Maximilians University Munich, 81377, Munich, Germany.
Jörn WalterDepartment of Genetics/Epigenetics, Saarland University, 66123, Saarbrücken, Germany. j.walter@mx.uni-saarland.de.
Saarland University · DEGerman Cancer Research Center · DELudwig-Maximilians-Universität München · DEMunich Cluster for Systems Neurology · DE

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) SFB-TR 128 SyNergy
6 · The paper itself

Abstract

Multiple sclerosis (MS) is an inflammatory, demyelinating disease of the central nervous system with a modest concordance rate in monozygotic twins, which strongly argues for involvement of epigenetic factors. We observe highly similar peripheral blood mononuclear cell-based methylomes in 45 MS-discordant monozygotic twins. Nevertheless, we identify seven MS-associated differentially methylated positions (DMPs) of which we validate two, including a region in the TMEM232 promoter and ZBTB16 enhancer. In CD4 + T cells we find an MS-associated differentially methylated region in FIRRE. Additionally, 45 regions show large methylation differences in individual pairs, but they do not clearly associate with MS. Furthermore, we present epigenetic biomarkers for current interferon-beta treatment, and extensive validation shows that the ZBTB16 DMP is a signature for prior glucocorticoid treatment. Taken together, this study represents an important reference for epigenomic MS studies, identifies new candidate epigenetic markers, and highlights treatment effects and genetic background as major confounders.

Indexed as

Epigenesis, GeneticGenetic Predisposition to DiseaseAdultAgedBiomarkersDiseases in TwinsDNA MethylationEnhancer Elements, GeneticEpigenomicsFemaleHumansLeukocytes, MononuclearMaleMembrane ProteinsMiddle AgedMultiple SclerosisBiomarkerslong noncoding RNA Firre, humanMembrane ProteinsPromyelocytic Leukemia Zinc Finger ProteinRNA, Long NoncodingTMEM232 protein, humanZBTB16 protein, human

Identifiers

PMID31064978
PMCPMC6504952
OpenAlexW2944741580

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.