Evidence map›Paper›PMID 8636449›Full record

ArticleThe Journal of clinical investigation1996

Fc gamma RIIA alleles are heritable risk factors for lupus nephritis in African Americans.

J E Salmon, S Millard, L A Schachter, F C Arnett, E M Ginzler, M F Gourley, R Ramsey-Goldman, M G Peterson, R P Kimberly

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of clinical investigation, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed, 2 pooled it
31.7field-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

126 citing papers in PubMed, 2 syntheses or guidelines pooled it, 470 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Current issues in molecular biology · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Living Donor Kidney Transplant in Recipients With Glomerulonephritis: Donor Recipient Biologic Relationship and Allograft Outcomes.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  11. Review
  12. Immunogenetics of Lupus Erythematosus.Advances in experimental medicine and biology · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. SLE-associated risk factors affect DC function.Current rheumatology reports · 2019
    Review
  17. Article
  18. Review
  19. Review
  20. Genetics of human lupus nephritis.Clinical immunology (Orlando, Fla.) · 2017
    Review

66 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

9 authors at 5 institutions in 1 country.

J E SalmonDepartment of Medicine, Graduate Program in Immunology, The Cornell University Medical College, New York 10021, USA.
S Millard
L A Schachter
F C Arnett
E M Ginzler
M F Gourley
R Ramsey-Goldman
M G Peterson
R P Kimberly
Hospital for Special Surgery · USNational Institutes of Health · USNewYork–Presbyterian Hospital · USNorthwestern University · USThe University of Texas Health Science Center at Houston · US

Funding

Mechanisms of aPL antibody-induced pregnancy lossR01AR038889 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI SALMON, JANE E · 1989 to 2010
$2.3M
SCOR IN SYSTEMIC LUPUS ERYTHEMATOSUSP50AR042588 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI SILVERSTEIN, ROY L · 1993 to 1997
–
NIAMS NIH HHS P50-AR42588NIAMS NIH HHS R01-AR333062NIAMS NIH HHS R01-AR38889
6 · The paper itself

Abstract

Allelic variants of Fc gamma R confer distinct phagocytic capacities providing a mechanism for heritable susceptibility to immune complex disease. Human Fc gamma RIIa has two codominantly expressed alleles, R131 and H131, which differ substantially in their ability to ligate human IgG2. The Fc gamma RIIa-H131 is the only human Fc gamma R which recognizes IgG2 efficiently and optimal IgG2 handling occurs only in the homozygous state. Therefore, since immune complex clearance is essential in SLE, we hypothesized that Fc gamma RIIA genes are important disease susceptibility factors for SLE, particularly lupus nephritis. In a two-stage cross-sectional study, we compared the distribution of Fc gamma RIIA alleles in African Americans with SLE to that in African American non-SLE controls. A pilot study of 43 SLE patients and 39 controls demonstrated a skewed distribution of Fc gamma RIIA alleles, with only 9% of SLE patients homozygous for Fc gamma RIIa-H131 compared with 36% of controls (odds ratio, 0.18; 95% CI, 0.05-0.69, P = 0.009). This was confirmed with a multicenter study of 214 SLE patients and 100 non-SLE controls. The altered distribution of Fc gamma RIIA alleles was most striking in lupus nephritis. Trend analysis of the genotype distribution showed a highly significant decrease in Fc gamma RIIA-H131 as the likelihood for lupus nephritis increased (P = 0.0004) consistent with a protective effect of the Fc gamma RIIA-H131 gene. The skewing in the distribution of Fc gamma RIIA alleles identifies this gene as a risk factor with pathophysiologic importance for the SLE diathesis in African Americans.

Indexed as

AllelesBlack or African AmericanBlack PeopleHumansLupus Erythematosus, SystemicLupus NephritisPilot ProjectsReceptors, IgGRisk FactorsReceptors, IgG

Identifiers

PMID8636449
PMCPMC507190
OpenAlexW1965830188

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.