Evidence map›Paper›PMID 33345197›Full record

ArticleThe Lancet. Rheumatology2020

Associations between gut microbiota and genetic risk for rheumatoid arthritis in the absence of disease: a cross-sectional study.

Philippa M Wells, Adewale S Adebayo, Ruth C E Bowyer, Maxim B Freidin, Axel Finckh, Till Strowig, Till Robin Lesker, Deshire Alpizar-Rodriguez, Benoit Gilbert, Bruce Kirkham and 3 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The Lancet. Rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 108 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 3 pooled it
7.3field-weighted citation impact, top 2% 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

108 citing papers in PubMed, 3 syntheses or guidelines pooled it, 174 citations in OpenAlex.

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  20. Recent advances in the positive role ofFrontiers in immunology · 2026
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48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 3 countries.

Philippa M WellsDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK.
Adewale S AdebayoDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK.
Ruth C E BowyerDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK.
Maxim B FreidinDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK.
Axel FinckhDivision of Rheumatology, Geneva University Hospital, Geneva, Switzerland.
Till StrowigDepartment of Microbial Immune Regulation, Helmholtz Centre for Infection Research, Braunschweig, Germany; Hannover Medical School, Hannover, Germany.
Till Robin LeskerDepartment of Microbial Immune Regulation, Helmholtz Centre for Infection Research, Braunschweig, Germany.
Deshire Alpizar-RodriguezDivision of Rheumatology, Geneva University Hospital, Geneva, Switzerland.
Benoit GilbertDivision of Rheumatology, Geneva University Hospital, Geneva, Switzerland.
Bruce KirkhamDepartment of Rheumatology, Guy's and St Thomas' NHS Trust, London, UK.
Andrew P CopeCentre for Rheumatic Diseases, King's College London, London, UK; Centre for Inflammation Biology and Cancer Immunology, King's College London, London, UK.
Claire J StevesDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK; Department of Ageing and Health, St Thomas' Hospital, London, UK.
Frances M K WilliamsDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK. Electronic address: frances.williams@kcl.ac.uk.
King's College London · GBUniversity Hospital of Geneva · CHHelmholtz Centre for Infection Research · DEGuy's and St Thomas' NHS Foundation Trust · GB

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Wellcome Trust
6 · The paper itself

Abstract

backgroundRheumatoid arthritis is a chronic inflammatory autoimmune disease that is associated with reduced life expectancy. The disease is heritable and an extensive repertoire of genetic variants have been identified. The gut microbiota might represent an environmental risk factor for rheumatoid arthritis. We aimed to assess whether known rheumatoid arthritis risk alleles were associated with the gut microbiota in a large population who do not have rheumatoid arthritis.

methodsIn this cross-sectional study done in the UK and Switzerland, we used genotyping and microbiota data from previous studies of the TwinsUK cohort, excluding participants who had ever had a diagnosis of rheumatoid arthritis, as well as their unaffected co-twins. We used blood samples for genotyping and stool samples for the assessment of the gut microbiota. We generated a polygenic risk score (PRS) for rheumatoid arthritis in 1650 TwinsUK participants without the disease, based on 233 GWAS-identified single nucleotide polymorphisms associated with rheumatoid arthritis. We validated the PRS using logistic regression against rheumatoid arthritis diagnosis in 2686 UK Biobank individuals with a confirmed diagnosis of rheumatoid arthritis. Amplicon sequence variants (ASVs) were generated from 16S rRNA gene sequencing of stool samples and assessed for association with the PRS for rheumatoid arthritis. We validated the findings in an independent sample comprised of first-degree relatives of patients with rheumatoid arthritis from the SCREEN-RA cohort. Differential abundance of ASVs present in more than 5% of samples, grouped by ASV taxon annotation, against the rheumatoid arthritis PRS as a continuous variable was assessed using fixed-effects covariates. To account for multiple testing, the false discovery rate calculation was applied to all p values to generate q values, with a significance threshold of 0·05 determined a priori.

findingsWe found that presence of

interpretation

fundingVersus Arthritis.

Identifiers

PMID33345197
PMCPMC7729822
OpenAlexW3037169575

What OpenQuestion holds

Textmetadata
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.