Evidence map›Paper›PMID 38973605›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2024

A Genome-Wide Association Study Suggests New Susceptibility Loci for Primary Antiphospholipid Syndrome.

Desiré Casares-Marfil, Manuel Martínez-Bueno, Maria Orietta Borghi, Guillermo Pons-Estel, PRECISESADS Clinical Consortium, Guillermo Reales, Yu Zuo, Gerard Espinosa, Timothy Radstake, Lucas L van den Hoogen and 9 more

Abstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Desiré Casares-MarfilUniversity of Pittsburgh, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0002-4928-3545
Manuel Martínez-BuenoCentre for Genomics and Oncological Research, Granada, Spain.
Maria Orietta BorghiUniversity of Milan and IRCCS Istituto Auxologico Italiano, Milan, Italy.
Guillermo Pons-EstelUniversitat de Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0002-0647-929X
PRECISESADS Clinical Consortium
Guillermo RealesUniversity of Cambridge, Cambridge, United Kingdom.
Yu ZuoUniversity of Michigan, Ann Arbor.ORCID https://orcid.org/0000-0001-6721-7755
Gerard EspinosaUniversitat de Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1336-0163
Timothy RadstakeUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Lucas L van den HoogenRadboudumc and Sint Maartenskliniek, Nijmegen, The Netherlands.
Chris WallaceUniversity of Cambridge, Cambridge, United Kingdom.
Joel GuthridgeOklahoma Medical Research Foundation, Oklahoma City.
Judith A JamesOklahoma Medical Research Foundation, Oklahoma City.ORCID https://orcid.org/0000-0002-9574-7355
Ricard CerveraUniversitat de Barcelona, Barcelona, Spain.
Pier Luigi MeroniIRCCS Istituto Auxologico Italiano, Milan, Italy.
Javier MartinInstitute of Parastitology and Biomedicine López-Neyra, Spanish National Research Council, Granada, Spain.
Jason S KnightUniversity of Michigan, Ann Arbor.
Marta E Alarcón-RiquelmeCentre for Genomics and Oncological Research, Granada, Spain.
Amr H SawalhaUniversity of Pittsburgh, Pittsburgh, Pennsylvania.ORCID https://orcid.org/0000-0002-3884-962X

Funding

Role of DNA methylation in lupusR01AI097134 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Amr H Sawalha · 2013 to 2026
$4.5M
Characterizing the Takayasu Arteritis Genetic Risk in RPS9/LILRB3R01AR070148 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SAWALHA, AMR H · 2017 to 2022
$1.7M
European Union/European Federation of Pharmaceutical Industries and Associations (EFPIA) Innovative Medicines Initiative Joint Undertaking 115565GSKMedical Research Council MC UU 00002/4MSDNational Institute for Health and Care Research Cambridge Biomedical Research Centre BRC-1215-20014National Institute of Allergy and Infectious Diseases, NIH R01-AI-097134National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH R01-AR-070148NIAID NIH HHS R01 AI097134NIAMS NIH HHS R01 AR070148Wellcome TrustWellcome Trust WT220788
6 · The paper itself

Abstract

objectivePrimary antiphospholipid syndrome (PAPS) is a rare autoimmune disease characterized by the presence of antiphospholipid antibodies and the occurrence of thrombotic events and pregnancy complications. Our study aimed to identify novel genetic susceptibility loci associated with PAPS.

methodsWe performed a genome-wide association study comprising 5,485 individuals (482 affected individuals) of European ancestry. Significant and suggestive independent variants from a meta-analysis of approximately 7 million variants were evaluated for functional and biological process enrichment. The genetic risk variability for PAPS in different populations was also assessed. Hierarchical clustering, Mahalanobis distance, and Dirichlet Process Mixtures with uncertainty clustering methods were used to assess genetic similarities between PAPS and other immune-mediated diseases.

resultsWe revealed genetic associations with PAPS in a regulatory locus within the HLA class II region near HLA-DRA and in STAT1-STAT4 with a genome-wide level of significance; 34 additional suggestive genetic susceptibility loci for PAPS were also identified. The disease risk allele near HLA-DRA is associated with overexpression of HLA-DRB6, HLA-DRB9, HLA-DQA2, and HLA-DQB2 in immune cells, vascular tissue, and nervous tissue. This association is independent of the association between PAPS and HLA-DRB1*1302. Functional analyses highlighted immune-related pathways in PAPS-associated loci. The comparison with other immune-mediated diseases revealed a close genetic relatedness to neuromyelitis optica, systemic sclerosis, and Sjögren syndrome, suggesting co-localized causal variations close to STAT1-STAT4, TNPO3, and BLK.

conclusionThis study represents a comprehensive large-scale genetic analysis for PAPS and provides new insights into the genetic basis and pathophysiology of this rare disease.

Indexed as

Antiphospholipid SyndromeGenetic Predisposition to DiseaseGenome-Wide Association StudyFemaleGenetic LociHLA-DQ beta-ChainsHLA-DR alpha-ChainsHumansPolymorphism, Single NucleotideSTAT1 Transcription FactorSTAT4 Transcription FactorWhite PeopleHLA-DQ beta-ChainsHLA-DR alpha-ChainsSTAT1 protein, humanSTAT1 Transcription FactorSTAT4 protein, humanSTAT4 Transcription Factor

Identifiers

PMID38973605
PMCPMC11521773

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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.