Evidence map›Paper›PMID 34187846›Full record

ArticleGut2022

Multitrait genetic association analysis identifies 50 new risk loci for gastro-oesophageal reflux, seven new loci for Barrett's oesophagus and provides insights into clinical heterogeneity in reflux diagnosis.

Jue-Sheng Ong, Jiyuan An, Xikun Han, Matthew H Law, Priyanka Nandakumar, 23andMe Research team, Esophageal cancer consortium, Johannes Schumacher, Ines Gockel, Anne Bohmer and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 12 pooled it
23.4field-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.

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

104 citing papers in PubMed, 12 syntheses or guidelines pooled it, 181 citations in OpenAlex.

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44 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

22 authors at 13 institutions in 5 countries.

Jue-Sheng OngDepartment of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia juesheng.ong@qimrberghofer.edu.au.ORCID 0000-0002-6062-710X
Jiyuan AnSchool of Biology & Environmental Science, Queensland University of Technology, Brisbane, Queensland, Australia.
Xikun HanDepartment of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Matthew H LawDepartment of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Priyanka Nandakumar23andMe, Mountain View, California, USA.
23andMe Research team
Esophageal cancer consortium
Johannes SchumacherInstitute of Human Genetics, Philipps University of Marburg, Marburg, Germany.
Ines GockelDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital Leipzig, Leipzig, Germany.
Anne BohmerInstitute of Human Genetics, University of Bonn, Bonn, Germany.
Janusz JankowskiCentre for Medicine and Health Sciences, University of United Arab Emirates, Al Ain, Abu Dhabi, UAE.
Claire PallesInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Catherine M OlsenDepartment of Population Health, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Rachel E NealeDepartment of Population Health, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Rebecca FitzgeraldMRC Cancer Center, University of Cambridge, Cambridge, UK.
Aaron P ThriftDepartment of Medicine, and Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-0084-5308
Thomas L VaughanDepartment of Epidemiology, University of Washington School of Public Health, Seattle, Washington, USA.
Matthew F BuasRoswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
David A Hinds23andMe, Mountain View, California, USA.
Puya GharahkhaniDepartment of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Bradley J KendallFaculty of Medicine, The University of Queensland, Herston, Queensland, Australia.ORCID 0000-0002-6471-2918
Stuart MacGregorDepartment of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.ORCID 0000-0001-6731-8142
QIMR Berghofer Medical Research Institute · AU23andMe (United States) · USQueensland University of Technology · AUThe University of Queensland · AUBaylor College of Medicine · USPhilipps University of Marburg · DERoswell Park Comprehensive Cancer Center · USUnited Arab Emirates University · AEUniversity Hospital Leipzig · DEUniversity of Birmingham · GBUniversity of Bonn · DEUniversity of Cambridge · GBUniversity of Washington · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
UT M.D. Anderson Cancer Center SPORE in MelanomaP50CA093459 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI GRIMM, ELIZABETH A · 2004 to 2014
$23.7M
Barrett's and Esophageal Adenocarcinoma Genetic Susceptibility Study (BEAGESS)R01CA136725 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI VAUGHAN, THOMAS L, WHITEMAN, DAVID C · 2009 to 2011
$7.8M
Epidemiology and Incidence of Barrett's EsophagusR01DK063616 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI CORLEY, DOUGLAS ALLEN · 2002 to 2010
$2.6M
Genetic Predictors for DNA Repair Phenotype in CMMR01CA100264 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI WEI, QINGYI · 2004 to 2008
$1.5M
FACTORS AFFECTING SURVIVAL OF YOUNG CANCER PATIENTSR01CA059736 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MALONE, KATHLEEN E · 1993 to 2002
$1.0M
Statistical Methods for Gene Environment Interactions In Lung CancerR01CA133996 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI AMOS, CHRISTOPHER I. · 2007 to 2009
$790k
Cancer Research UK 4584NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA093459NCI NIH HHS R01 CA059736NCI NIH HHS R01 CA100264NCI NIH HHS R01 CA133996NCI NIH HHS R01 CA136725NHGRI NIH HHS HHSN268200782096CNIDDK NIH HHS R01 DK063616Wellcome Trust
6 · The paper itself

Abstract

objectiveGastro-oesophageal reflux disease (GERD) has heterogeneous aetiology primarily attributable to its symptom-based definitions. GERD genome-wide association studies (GWASs) have shown strong genetic overlaps with established risk factors such as obesity and depression. We hypothesised that the shared genetic architecture between GERD and these risk factors can be leveraged to (1) identify new GERD and Barrett's oesophagus (BE) risk loci and (2) explore potentially heterogeneous pathways leading to GERD and oesophageal complications.

designWe applied multitrait GWAS models combining GERD (78 707 cases; 288 734 controls) and genetically correlated traits including education attainment, depression and body mass index. We also used multitrait analysis to identify BE risk loci. Top hits were replicated in 23andMe (462 753 GERD cases, 24 099 BE cases, 1 484 025 controls). We additionally dissected the GERD loci into obesity-driven and depression-driven subgroups. These subgroups were investigated to determine how they relate to tissue-specific gene expression and to risk of serious oesophageal disease (BE and/or oesophageal adenocarcinoma, EA).

resultsWe identified 88 loci associated with GERD, with 59 replicating in 23andMe after multiple testing corrections. Our BE analysis identified seven novel loci. Additionally we showed that only the obesity-driven GERD loci (but not the depression-driven loci) were associated with genes enriched in oesophageal tissues and successfully predicted BE/EA.

conclusionOur multitrait model identified many novel risk loci for GERD and BE. We present strong evidence for a genetic underpinning of disease heterogeneity in GERD and show that GERD loci associated with depressive symptoms are not strong predictors of BE/EA relative to obesity-driven GERD loci.

Indexed as

Barrett EsophagusEsophageal NeoplasmsEsophagitis, PepticGastroesophageal RefluxGenome-Wide Association StudyHumansObesityBarrett's oesophagusgastro-esophageal reflux diseasegeneticsoesophageal reflux

Identifiers

PMID34187846
PMCPMC9120377
OpenAlexW3173683558

What OpenQuestion holds

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LicenceCC BY-NC
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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.