Evidence map›Paper›PMID 33966174›Full record

ArticleEndocrine2021

Polymorphism in BACH2 gene is a marker of polyglandular autoimmunity.

Marta Fichna, Magdalena Żurawek, Bartosz Słomiński, Marta Sumińska, Agata Czarnywojtek, Natalia Rozwadowska, Piotr Fichna, Małgorzata Myśliwiec, Marek Ruchała

Open access · hybridAbstract read
In one paragraph

Article in Endocrine, 2021. 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
2.8field-weighted citation impact, top 9% 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, 23 citations in OpenAlex.

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  2. Genetics of Vitiligo: A Review.Clinical, cosmetic and investigational dermatology · 2026
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  4. Autoimmune Gastritis andInternational journal of molecular sciences · 2025
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  11. Knockout mouse models as a resource for the study of rare diseases.Mammalian genome : official journal of the International Mammalian Genome Society · 2023
    Article
  12. Article
  13. Observational
  14. Article
  15. Review
  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 3 institutions in 1 country.

Marta FichnaDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland. mfichna@ump.edu.pl.ORCID 0000-0003-2865-7074
Magdalena ŻurawekInstitute of Human Genetics, Polish Academy of Sciences, Poznan, Poland.
Bartosz SłomińskiDepartment of Medical Immunology, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland.
Marta SumińskaDepartment of Paediatric Diabetes and Obesity, Poznan University of Medical Sciences, Poznan, Poland.
Agata CzarnywojtekDepartment of Pharmacology, Poznan University of Medical Sciences, Poznan, Poland.
Natalia RozwadowskaInstitute of Human Genetics, Polish Academy of Sciences, Poznan, Poland.
Piotr FichnaDepartment of Paediatric Diabetes and Obesity, Poznan University of Medical Sciences, Poznan, Poland.
Małgorzata MyśliwiecDepartment of Paediatrics, Diabetology and Endocrinology, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland.
Marek RuchałaDepartment of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Poznan University of Medical Sciences · PLGdańsk Medical University · PLInstitute of Human Genetics · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGenetically predisposed individuals may develop several autoimmune diseases-autoimmune polyendocrine syndromes (APS). APS types 2-4, are complex disorders, which combine various organ-specific autoimmune conditions. Recent reports support the considerable role of the BACH2 gene in immune cell differentiation and shifting the T-cell balance towards regulatory T-cells. BACH2 polymorphisms are associated with autoimmune disorders, including Addison's disease (AD), Graves' disease (GD), and probably type 1 diabetes (T1D). Our study was aimed to investigate the BACH2 variant, rs3757247, in endocrine autoimmunity in the Polish population.

methodsThe analysis comprised 346 individuals with APS, 387 with T1D only, and 568 controls. Genotyping was performed using TaqMan chemistry.

resultsAPS type 2 was found in 219 individuals, type 3 in 102, and type 4 in 25 subjects. Overall, AD was diagnosed in 244 subjects, Hashimoto's thyroiditis-in 238, T1D-in 127, GD-in 58, vitiligo and chronic gastritis each in 40 patients, celiac disease-in 28, premature menopause in 18, and alopecia in 4 patients. Minor T allele at rs3757247 was found in 56.4% APS vs. 44.1% control alleles (OR 1.59; 95%CI: 1.30-1.95, p < 0.0001). The distribution of genotypes revealed excess TT homozygotes in the APS cohort (33.2 vs. 20.1% in controls, p < 0.0001). The frequencies of rs3757247 alleles and genotypes in T1D patients did not present significant differences vs. controls (p-values > 0.05).

conclusionsThese results provide evidence of the association between BACH2 polymorphism and polyglandular autoimmunity. Since carriers of rs3757247 display increased risk for additional autoimmune conditions, this variant could identify individuals prone to develop APS.

Indexed as

Addison DiseaseDiabetes Mellitus, Type 1Polyendocrinopathies, AutoimmuneAutoimmunityBasic-Leucine Zipper Transcription FactorsFemaleHumansPolymorphism, GeneticBACH2 protein, humanBasic-Leucine Zipper Transcription FactorsAutoimmune polyglandular syndromeAutoimmunityBACH2Multiple organ autoimmunityPolymorphism

Identifiers

PMID33966174
PMCPMC8440266
OpenAlexW3163623944

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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.