Evidence map›Paper›PMID 31719529›Full record

ArticleNature communications2019

Genome-wide association study of eosinophilic granulomatosis with polyangiitis reveals genomic loci stratified by ANCA status.

Paul A Lyons, James E Peters, Federico Alberici, James Liley, Richard M R Coulson, William Astle, Chiara Baldini, Francesco Bonatti, Maria C Cid, Heather Elding and 28 more

Registry-linked trialOpen 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. It is linked to trial NCT07591753 (Assessing The Long-Term Effectiveness and Safety of Mepolizumab 300mg/Month in the European Real-Life Setting), which is not on this map. Cited by 122 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 4 pooled it
21.3field-weighted citation impact, top 1% 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.

NCT07591753 completednot on this mapstarted 2025, after this paper: background citation

Assessing The Long-Term Effectiveness and Safety of Mepolizumab 300mg/Month in the European Real-Life Setting (Mepo Long-term Study)

TypeobservationalSponsorEuropean EGPA Study GroupRan2025 to 2026Enrolled591ConditionsEosinophilic Granulomatosis With Polyangiitis (Churg-Strauss) (EGPA)ArmsMepolizumab 300 mg
3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 4 syntheses or guidelines pooled it, 264 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Pooled it
  5. Eosinophilia and the Heart: Evolving Concepts.Current cardiology reports · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Observational
  10. Review
  11. Review
  12. Immature leukocyte and plasma-induced cell death reveal subclinical immune activation in EGPA patients in remission.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article

62 more citing papers are in PubMed but not listed here.

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

38 authors at 20 institutions in 12 countries.

Paul A LyonsDepartment of Medicine, University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
James E PetersDepartment of Medicine, University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.ORCID http://orcid.org/0000-0002-9415-3440
Federico AlbericiDepartment of Medicine, University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
James LileyDepartment of Medicine, University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
Richard M R CoulsonDepartment of Medicine, University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
William AstleBHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Wort's Causeway, Cambridge, CB1 8RN, UK.ORCID http://orcid.org/0000-0001-8866-6672
Chiara BaldiniRheumatology Unit, University of Pisa, Pisa, Italy.
Francesco BonattiUnit of Molecular Genetics, University Hospital of Parma, Via Gramsci 14, 43126, Parma, Italy.
Maria C CidDepartment of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CRB-CELLEX, Barcelona, Spain.
Heather EldingThe National Institute for Health Research Blood and Transplant Unit in Donor Health and Genomics at the University of Cambridge, University of Cambridge, Strangeways Research Laboratory, Wort's Causeway, Cambridge, CB1 8RN, UK.
Giacomo EmmiDepartment of Experimental and Clinical Medicine, University of Firenze, Firenze, Italy.ORCID http://orcid.org/0000-0001-9575-8321
Jörg EpplenHuman Genetics, Ruhr University Bochum, Bochum, Germany.
Loïc GuillevinService de Médecine Interne, Hôpital Cochin, 75679, Paris Cedex 14, France.
David R W JayneDepartment of Medicine, University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
Tao JiangBHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Wort's Causeway, Cambridge, CB1 8RN, UK.
Iva GunnarssonDivision of Rheumatology, Department of Medicine, Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden.
Peter LamprechtDepartment of Rheumatology and Clinical Immunology, University of Lübeck, 23562, Lübeck, Germany.
Stephen LeslieSchools of Mathematics and Statistics, and BioSciences, and Melbourne Integrative Genomics, University of Melbourne, Parkville, VIC, 3010, Australia.
Mark A LittleTrinity Health Kidney Centre, Trinity Translational Medicine Institute, Tallaght Hospital, Dublin, Ireland.
Davide MartoranaUnit of Molecular Genetics, University Hospital of Parma, Via Gramsci 14, 43126, Parma, Italy.
Frank MoosigRheumazentrum Schleswig-Holstein Mitte, Neumünster, Germany.
Thomas NeumannDepartment of Internal Medicine 3, Jena University Hospital, Jena, Germany.
Sophie OhlssonDepartment of Nephrology, Division of Clinical Sciences, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-5253-1650
Stefanie QuickertDepartment of Internal Medicine 3, Jena University Hospital, Jena, Germany.
Giuseppe A RamirezUnit of Immunology, Rheumatology, Allergy and Rare Diseases, Università Vita Salute San Raffaele and IRCCS Ospedale San Raffaele, Milan, Italy.
Barbara RewerskaJagiellonian University Medical College, Kraków, Poland.
Georg SchettDepartment of Internal Medicine 3, Rheumatology and Immunology, Friedrich Alexander University Erlangen-Nuremberg and Universitatsklinikum Erlangen, Erlangen, Germany.
Renato A SinicoDepartment of Medicine and Surgery, Università degli Studi di Milano-Bicocca (School of Medicine and Surgery), via Cadore, 48, 20900, Monza, Italy.
Wojciech SzczeklikJagiellonian University Medical College, Kraków, Poland.
Vladimir TesarDepartment of Nephrology, 1st Faculty of Medicine and General University Hospital, Charles University, Prague, Czech Republic.ORCID http://orcid.org/0000-0001-6982-0689
Damjan VukcevicSchools of Mathematics and Statistics, and BioSciences, and Melbourne Integrative Genomics, University of Melbourne, Parkville, VIC, 3010, Australia.ORCID http://orcid.org/0000-0001-7780-9586
European Vasculitis Genetics Consortium
Benjamin TerrierService de Médecine Interne, Hôpital Cochin, 75679, Paris Cedex 14, France.
Richard A WattsDepartment of Rheumatology, Ipswich Hospital, Heath Road, Ipswich, Suffolk, IP4 5PD, UK.ORCID http://orcid.org/0000-0002-2846-4769
Augusto VaglioDepartment of Biomedical Experimental and Clinical Sciences "Mario Serio", University of Firenze, and Meyer Children's Hospital, Firenze, Italy.
Julia U HolleRheumazentrum Schleswig-Holstein Mitte, Neumünster, Germany.
Chris WallaceDepartment of Medicine, University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK.
Kenneth G C SmithDepartment of Medicine, University of Cambridge School of Clinical Medicine, University of Cambridge, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK. kgcs2@cam.ac.uk.
University of Cambridge · GBConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESMeyer Children's Hospital · ITThe University of Melbourne · AUUniversitätsklinikum Erlangen · DEUniversity of Parma · ITCharles University · CZHôpital Cochin · FRJagiellonian University · PLJena University Hospital · DEKarolinska University Hospital · SEUniversity of Milano-Bicocca · ITUniversity of Turin · ITVall d'Hebron Institut de Recerca · ESVita-Salute San Raffaele University · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCork University Hospital · IEDorset County Hospital · GBEast Kent Hospitals University NHS Foundation Trust · GB

Funding

British Heart Foundation PG/13/64/30435British Heart Foundation RG/13/13/30194British Heart Foundation RG/18/13/33946Medical Research Council MC_UU_00002/4Medical Research Council MR/L019027/1Medical Research Council MR/S004068/1Medical Research Council MR/S004068/2Versus Arthritis 20593Wellcome Trust
6 · The paper itself

Abstract

Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare inflammatory disease of unknown cause. 30% of patients have anti-neutrophil cytoplasmic antibodies (ANCA) specific for myeloperoxidase (MPO). Here, we describe a genome-wide association study in 676 EGPA cases and 6809 controls, that identifies 4 EGPA-associated loci through conventional case-control analysis, and 4 additional associations through a conditional false discovery rate approach. Many variants are also associated with asthma and six are associated with eosinophil count in the general population. Through Mendelian randomisation, we show that a primary tendency to eosinophilia contributes to EGPA susceptibility. Stratification by ANCA reveals that EGPA comprises two genetically and clinically distinct syndromes. MPO+ ANCA EGPA is an eosinophilic autoimmune disease sharing certain clinical features and an HLA-DQ association with MPO+ ANCA-associated vasculitis, while ANCA-negative EGPA may instead have a mucosal/barrier dysfunction origin. Four candidate genes are targets of therapies in development, supporting their exploration in EGPA.

Indexed as

Genetic LociGenetic Predisposition to DiseaseGenome-Wide Association StudyAntibodies, Antineutrophil CytoplasmicEosinophilsGenetic Association StudiesGranulomatosis with PolyangiitisHumansMendelian Randomization AnalysisAntibodies, Antineutrophil Cytoplasmic

Identifiers

PMID31719529
PMCPMC6851141
OpenAlexW2958012222

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.