Evidence map›Paper›PMID 31125052›Full record

ArticleJournal of Crohn's & colitis2019

Genome-Wide Association Study of Microscopic Colitis in the UK Biobank Confirms Immune-Related Pathogenesis.

Harry D Green, Robin N Beaumont, Amanda Thomas, Benjamin Hamilton, Andrew R Wood, Seth Sharp, Samuel E Jones, Jessica Tyrrell, Gareth Walker, James Goodhand and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Update on the Epidemiology and Management of Microscopic Colitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Microscopic Colitis: Pathogenesis and Diagnosis.Journal of clinical medicine · 2023
    Review
  13. Microscopic colitis in Northern Ireland: an updated clinicopathological audit and assessment of compliance with European guidelines.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
    Article
  14. Microscopic colitis: an update.Medicine and pharmacy reports · 2022
    Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Microscopic colitis.Nature reviews. Disease primers · 2021
    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

13 authors at 2 institutions in 1 country.

Harry D GreenGenetics of Complex Traits, University of Exeter Medical School, Exeter, UK.
Robin N BeaumontGenetics of Complex Traits, University of Exeter Medical School, Exeter, UK.
Amanda ThomasIBD Pharmacogenetics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Benjamin HamiltonIBD Pharmacogenetics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Andrew R WoodGenetics of Complex Traits, University of Exeter Medical School, Exeter, UK.
Seth SharpGenetics of Complex Traits, University of Exeter Medical School, Exeter, UK.
Samuel E JonesGenetics of Complex Traits, University of Exeter Medical School, Exeter, UK.
Jessica TyrrellGenetics of Complex Traits, University of Exeter Medical School, Exeter, UK.
Gareth WalkerIBD Pharmacogenetics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
James GoodhandIBD Pharmacogenetics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Nicholas A KennedyIBD Pharmacogenetics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Tariq AhmadIBD Pharmacogenetics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Michael N WeedonGenetics of Complex Traits, University of Exeter Medical School, Exeter, UK.
University of Exeter · GBRoyal Devon & Exeter NHS Foundation Trust · GB

Funding

Medical Research Council MR/M005070/1Wellcome Trust
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe causes of microscopic colitis are currently poorly understood. Previous reports have found clinical associations with coeliac disease and genetic associations at the human leukocyte antigen [HLA] locus on the ancestral 8.1 haplotype. We investigated pharmacological and genetic factors associated with microscopic colitis in the UK Biobank.

methodsIn total, 483 European UK Biobank participants were identified by ICD10 coding, and a genome-wide association study was performed using BOLT-LMM, with a sensitivity analysis performed excluding potential confounders. The HLA*IMP:02 algorithm was used to estimate allele frequency at 11 classical HLA genes, and downstream analysis was performed using FUMA. Genetic overlap with inflammatory bowel disease [Crohn's disease and ulcerative colitis] was investigated using genetic risk scores.

resultsWe found significant phenotypic associations with smoking status, coeliac disease and the use of proton-pump inhibitors but not with other commonly reported pharmacological risk factors. Using the largest sample size to date, we confirmed a recently reported association with the MHC Ancestral 8.1 Haplotype. Downstream analysis suggests association with digestive tract morphogenesis. By calculating genetic risk scores, we also report suggestive evidence of shared genetic risk with Crohn's disease, but not with ulcerative colitis.

conclusionsThis report confirms the role of genetic determinants in the HLA in the pathogenesis of microscopic colitis. The genetic overlap with Crohn's disease suggests a common underlying mechanism of disease.

Indexed as

Colitis, MicroscopicBiological Variation, PopulationDatabases, GeneticFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansMaleMiddle AgedPharmacogenomic VariantsPolymorphism, Single NucleotideProton Pump InhibitorsUnited KingdomProton Pump InhibitorsCrohn’s diseasegeneticsgenome wide association studyinflammatory bowel diseaseMicroscopic colitisulcerative colitis

Identifiers

PMID31125052
PMCPMC6903793
OpenAlexW2945600676

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.