Evidence map›Paper›PMID 35551540›Full record

SynthesisPloS one2022

HMOX1 genetic polymorphisms and outcomes in infectious disease: A systematic review.

Fergus W Hamilton, Julia Somers, Ruth E Mitchell, Peter Ghazal, Nicholas J Timpson

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Heme oxygenase-1 and malaria pathogenesis.Frontiers in immunology · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Carbon Monoxide Exposure Does Not Improve TheInternational journal of fertility & sterility · 2023
    Article
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

5 authors at 4 institutions in 2 countries.

Fergus W HamiltonMRC Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-9760-4059
Julia SomersKnight Cancer Research Building, Oregon Health and Sciences University, Portland, Oregon, United States of America.ORCID 0000-0001-9489-2246
Ruth E MitchellMRC Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom.
Peter GhazalSystem Immunity Research Institute, Division of Infection and Immunity, Cardiff University, Cardiff, United Kingdom.
Nicholas J TimpsonMRC Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom.
University of Bristol · GBCardiff University · GBNorth Bristol NHS Trust · GBOregon Health & Science University · US

Funding

Wellcome Trust
6 · The paper itself

Abstract

introductionHeme-oxygenase 1 (HMOX1) is a critical stress response gene that catalyzes the multistep oxidation of heme. A GT(n) repeat of variable length in the promoter in has been associated with a wide range of human diseases, including infections. This paper aims to summarise and systematically review associations between the length of the HMOX1 GT(n) promoter and infectious disease in humans.

methodsA search using relevant terms was performed in PubMED and EMBASE through to 15/01/21 identifying all research that studied an association between the HMOX1 GT(n) repeat polymorphism and the incidence and/or outcome of any human infectious disease. Citations were screened for additional studies. Potential studies were screened for inclusion by two authors. Data was extracted on allele frequency, genotype, strength of association, mechanism of genotyping, and potential biases. A narrative review was performed across each type of infection.

results1,533 studies were identified in the search, and one via citation screening. Sixteen studies were ultimately included, seven in malaria, three in HIV, three in sepsis, and one each in pneumonia, hepatitis C, and acute respiratory distress syndrome (ARDS). Sample sizes for nearly all studies were small (biggest study, n = 1,646). Allelic definition was different across all included studies. All studies were at some risk of bias. In malaria, three studies suggested that longer alleles were associated with reduced risk of severe malaria, particularly malaria-induced renal dysfunction, with four studies identifying a null association. In sepsis, two studies suggested an association with longer alleles and better outcomes.

conclusionsDespite the importance of HMOX1 in survival from infection, and the association between repeat length and gene expression, the clinical data supporting an association between repeat length and incidence and/or outcome of infection remain inconclusive.

Indexed as

Communicable DiseasesSepsisGenetic Predisposition to DiseaseHemeHeme Oxygenase-1HumansPolymorphism, GeneticHemeHeme Oxygenase-1HMOX1 protein, human

Identifiers

PMID35551540
PMCPMC9098073
OpenAlexW4280550737

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.