Evidence map›Paper›PMID 32272966›Full record

ArticleArthritis research & therapy2020

MHC associations of ankylosing spondylitis in East Asians are complex and involve non-HLA-B27 HLA contributions.

Geng Wang, Tae-Hwan Kim, Zhixiu Li, Adrian Cortes, Kwangwoo Kim, So-Young Bang, Paul Leo, Matthew A Brown, Huji Xu

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Global epidemiology of spondyloarthritis.Nature reviews. Rheumatology · 2025
    Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. 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

9 authors at 7 institutions in 4 countries.

Geng WangDepartment of Rheumatology and Immunology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China.
Tae-Hwan KimDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea.
Zhixiu LiTranslational Genomics Group, Institute of Health and Biomedical Innovation, Queensland University of Technology, Translational Research Institute, Brisbane, Australia.
Adrian CortesWellcome Trust Centre for Human Genetics, University of Oxford, Oxford, UK.
Kwangwoo KimDepartment of Biology, Kyung Hee University, Seoul, Republic of Korea.
So-Young BangDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea.
Paul LeoTranslational Genomics Group, Institute of Health and Biomedical Innovation, Queensland University of Technology, Translational Research Institute, Brisbane, Australia.
Matthew A BrownGuy's & St Thomas' NHS Foundation Trust and King's College London NIHR Biomedical Research Centre, London, England. matt.brown@kcl.ac.uk.
Huji XuDepartment of Rheumatology and Immunology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China. huji_xu@tsinghua.edu.cn.
Hanyang University Seoul Hospital · KRQueensland University of Technology · AUBeijing Tsinghua Chang Gung Hospital · CNKing's College London · GBKyung Hee University · KRShanghai Changzheng Hospital · CNUniversity of Oxford · GB

Funding

National Health and Medical Research Council 1024879
6 · The paper itself

Abstract

backgroundThe association of HLA-B*27 with AS is amongst the strongest of any known association of a common variant with any human disease. Nonetheless, there is strong evidence indicating that other HLA-B alleles are involved in the disease. European ethnicity studies have demonstrated risk associations with HLA-B*40 and multiple other HLA-B, HLA-A, and HLA class II alleles, and demonstrated that in that ethnic group, the amino acid sequence at position 97 in HLA-B is the key determinant of HLA associations with AS. A recent study in Korean AS cases and controls additionally identified association at HLA-C*15:02. In the current study, we examined the MHC associations of AS in an expanded East Asian cohort.

methodsA total of 1637 Chinese, Taiwanese, and Korean AS cases meeting the modified New York Criteria for AS, and 1589 ethnically matched controls, were genotyped with the Illumina Immunochip, including a dense coverage of the MHC region. HLA genotypes and amino acid composition were imputed using the SNP2HLA programme using the Han-MHC reference panel based on the data of Han Chinese subjects (n = 9689), and association tested using logistic regression controlling for population stratification effects.

resultsA strong association was seen with HLA-B*27 (odds ratio (OR) = 205.3, P = 5.76 × 10

conclusionsThis study confirms in East Asians that the HLA associations of AS are multiple, including previously reported associations at HLA-B*27, HLA-B*40, and HLA-C*15, as well as novel association with HLA-DQB1*04. The HLA-B associations are driven by the amino acids at positions 70 and 97, in the B pocket of HLA-B.

Indexed as

Polymorphism, Single NucleotideAllelesAsian PeopleChinaGene FrequencyGenetic Predisposition to DiseaseGenotypeHLA AntigensHLA-B27 AntigenHLA-C AntigensHumansRepublic of KoreaSpondylitis, AnkylosingTaiwanHLA AntigensHLA-B27 AntigenHLA-C AntigensAnkylosing spondylitisAssociationHLA

Identifiers

PMID32272966
PMCPMC7146985
OpenAlexW3015324995

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.