Evidence map›Paper›PMID 39103364›Full record

ArticleNature communications2024

Deciphering the genetics and mechanisms of predisposition to multiple myeloma.

Molly Went, Laura Duran-Lozano, Gisli H Halldorsson, Andrea Gunnell, Nerea Ugidos-Damboriena, Philip Law, Ludvig Ekdahl, Amit Sud, Gudmar Thorleifsson, Malte Thodberg and 40 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

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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

50 authors.

Molly Went *Division of Genetics and Epidemiology, The Institute of Cancer Research, London, SW7 3RP, UK.ORCID 0000-0003-3271-975X
Laura Duran-Lozano *Department of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.
Gisli H HalldorssondeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0001-7067-9862
Andrea GunnellDivision of Genetics and Epidemiology, The Institute of Cancer Research, London, SW7 3RP, UK.ORCID 0000-0001-5162-5391
Nerea Ugidos-DamborienaDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.
Philip LawDivision of Genetics and Epidemiology, The Institute of Cancer Research, London, SW7 3RP, UK.ORCID 0000-0001-9663-4611
Ludvig EkdahlDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.
Amit SudDivision of Genetics and Epidemiology, The Institute of Cancer Research, London, SW7 3RP, UK.ORCID 0000-0002-6133-0164
Gudmar ThorleifssondeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0003-4623-9087
Malte ThodbergDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.ORCID 0000-0001-6244-3841
Thorunn OlafsdottirdeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0001-5454-938X
Antton Lamarca-ArrizabalagaDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.ORCID 0009-0008-3426-2347
Caterina CafaroDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.
Abhishek NiroulaDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.ORCID 0000-0002-5904-0635
Ram AjoreDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.
Aitzkoa Lopez de Lapuente PortillaDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.
Zain AliDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.
Maroulio PertesiDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.ORCID 0000-0002-4869-8925
Hartmut GoldschmidtDepartment of Internal Medicine V, University of Heidelberg, 69120, Heidelberg, Germany.ORCID 0000-0003-0961-0035
Lilja StefansdottirdeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.
Sigurdur Y KristinssonLandspitali, National University Hospital of Iceland, IS-101, Reykjavik, Iceland.
Simon N StaceydeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0002-4732-7380
Thorvardur J LoveLandspitali, National University Hospital of Iceland, IS-101, Reykjavik, Iceland.
Saemundur RognvaldssonLandspitali, National University Hospital of Iceland, IS-101, Reykjavik, Iceland.
Roman HajekUniversity Hospital Ostrava and University of Ostrava, Ostrava, Czech Republic.ORCID 0000-0001-6955-6267
Pavel VodickaInstitute of Experimental Medicine, Academy of Sciences of the Czech Republic, Prague, Czech Republic.
Ulrika Pettersson-KymmerDepartment of Integrative Medical Biology, Umeå University, SE-901 87, Umeå, Sweden.ORCID 0000-0002-0557-9803
Florentin SpäthDepartment of Radiation Sciences, Umeå University, SE-901 87, Umeå, Sweden.
Carolina SchinkeMyeloma Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA.ORCID 0000-0002-2699-1741
Frits Van RheeMyeloma Center, University of Arkansas for Medical Sciences, Little Rock, AR, USA.ORCID 0000-0001-9959-1282
Patrick SulemdeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0001-7123-6123
Egil FerkingstaddeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0001-8090-7988
Grimur Hjorleifsson EldjarndeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0002-9580-6685
Ulf-Henrik MellqvistSouthern Älvsborg Hospital, SE-501 82, Borås, Sweden.
Ingileif JonsdottirdeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0001-8339-150X
Gareth MorganPerlmutter Cancer Center, Langone Health, New York University, New York, NY, USA.ORCID 0000-0002-4271-6360
Pieter SonneveldDepartment of Hematology, Erasmus MC Cancer Institute, 3075 EA, Rotterdam, The Netherlands.
Anders WaageDepartment of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Box 8905, N-7491, Trondheim, Norway.ORCID 0000-0001-9072-1220
Niels WeinholdDepartment of Internal Medicine V, University of Heidelberg, 69120, Heidelberg, Germany.
Hauke ThomsenMSB Medical School Berlin, Berlin, Germany.
Asta FörstiGerman Cancer Research Center (DKFZ), D-69120, Heidelberg, Germany.ORCID 0000-0002-9857-4728
Markus HanssonDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden.ORCID 0000-0002-7715-4548
Annette Juul-VangstedDepartment of Haematology, University Hospital of Copenhagen at Rigshospitalet, Blegdamsvej 9, DK-2100, Copenhagen, Denmark.ORCID 0000-0002-2131-731X
Unnur ThorsteinsdottirdeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.
Kari HemminkiGerman Cancer Research Center (DKFZ), D-69120, Heidelberg, Germany.
Martin KaiserDivision of Genetics and Epidemiology, The Institute of Cancer Research, London, SW7 3RP, UK.ORCID 0000-0002-3677-4804
Thorunn RafnardeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0003-0491-7046
Kari StefanssondeCODE Genetics/Amgen, Sturlugata 8, IS-101, Reykjavik, Iceland.ORCID 0000-0003-1676-864X
Richard HoulstonDivision of Genetics and Epidemiology, The Institute of Cancer Research, London, SW7 3RP, UK. richard.houlston@icr.ac.uk.ORCID 0000-0002-5268-0242
Björn NilssonDepartment of Laboratory Medicine, Lund University, SE-221 84, Lund, Sweden. bjorn.nilsson@med.lu.se.ORCID 0000-0001-5542-0254

Funding

Vetenskapsrådet (Swedish Research Council) 2017-02023Vetenskapsrådet (Swedish Research Council) 2018-00424
6 · The paper itself

Abstract

Multiple myeloma (MM) is an incurable malignancy of plasma cells. Epidemiological studies indicate a substantial heritable component, but the underlying mechanisms remain unclear. Here, in a genome-wide association study totaling 10,906 cases and 366,221 controls, we identify 35 MM risk loci, 12 of which are novel. Through functional fine-mapping and Mendelian randomization, we uncover two causal mechanisms for inherited MM risk: longer telomeres; and elevated levels of B-cell maturation antigen (BCMA) and interleukin-5 receptor alpha (IL5RA) in plasma. The largest increase in BCMA and IL5RA levels is mediated by the risk variant rs34562254-A at TNFRSF13B. While individuals with loss-of-function variants in TNFRSF13B develop B-cell immunodeficiency, rs34562254-A exerts a gain-of-function effect, increasing MM risk through amplified B-cell responses. Our results represent an analysis of genetic MM predisposition, highlighting causal mechanisms contributing to MM development.

Indexed as

B-Cell Maturation AntigenGenetic Predisposition to DiseaseGenome-Wide Association StudyMultiple MyelomaPolymorphism, Single NucleotideB-LymphocytesCase-Control StudiesHumansMaleMendelian Randomization AnalysisTelomereTransmembrane Activator and CAML Interactor ProteinB-Cell Maturation AntigenTNFRSF13B protein, humanTransmembrane Activator and CAML Interactor Protein

Identifiers

PMID39103364
PMCPMC11300596

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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.