2016
DOI: 10.1016/j.neuron.2016.09.052
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NR1H3 p.Arg415Gln Is Not Associated to Multiple Sclerosis Risk

Abstract: SUMMARY A recent study by Wang et al. (2016a) claims that the low-frequency variant NR1H3 p.Arg415Gln is sufficient to cause multiple sclerosis in certain individuals and determines a patient’s likelihood of primary progressive disease. We sought to replicate this finding in the International MS Genetics Consortium (IMSGC) patient collection, which is 13-fold larger than the collection of Wang et al. (2016a), but we find no evidence that this variant is associated with either MS or disease subtype. Wang et al.… Show more

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Cited by 22 publications
(12 citation statements)
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“…One of these examples is a variant of a gene involved in transcriptional regulation (NR1H3), which was only found to be associated with PPMS, but not with other disease forms (25). This observation, however, also highlights a caveat regarding the interpretation of such data, since it has not been confirmed in a detailed analysis of the much larger dataset (26). Overall, however, these data indicate that there is a basic polygenic pattern determining the global MS risk and this is the same for all disease courses and involves immune mediated mechanisms (27), while the development of progressive disease may be additionally fostered by genetic variants associated with lipid metabolism or neurodegeneration.…”
Section: Geneticsmentioning
confidence: 82%
“…One of these examples is a variant of a gene involved in transcriptional regulation (NR1H3), which was only found to be associated with PPMS, but not with other disease forms (25). This observation, however, also highlights a caveat regarding the interpretation of such data, since it has not been confirmed in a detailed analysis of the much larger dataset (26). Overall, however, these data indicate that there is a basic polygenic pattern determining the global MS risk and this is the same for all disease courses and involves immune mediated mechanisms (27), while the development of progressive disease may be additionally fostered by genetic variants associated with lipid metabolism or neurodegeneration.…”
Section: Geneticsmentioning
confidence: 82%
“…The frequent observation of familial clustering in MS, together with a seemingly Mendelian inheritance pattern in some families, has led to the expectation that highly penetrant variants in recurrent disease genes might also be responsible for at least some cases. Disappointingly, though hundreds of multi-case families were analyzed through linkage analyses and next-generation sequencing over the last two decades, not a single unequivocally accepted locus or disease gene was identified [ 13 , 14 , 19 , 20 ]. Although several promising genes were nominated, none of them could be replicated in subsequent studies [ 13 , 14 , 21 ].…”
Section: Discussionmentioning
confidence: 99%
“…Disappointingly, though hundreds of multi-case families were analyzed through linkage analyses and next-generation sequencing over the last two decades, not a single unequivocally accepted locus or disease gene was identified [ 13 , 14 , 19 , 20 ]. Although several promising genes were nominated, none of them could be replicated in subsequent studies [ 13 , 14 , 21 ]. These observations led part of the MS genetics community to doubt the existence of high-penetrant disease genes at all [ 3 , 20 ].…”
Section: Discussionmentioning
confidence: 99%
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“…A major goal is to resolve the question: how much of the pathobiology of MS can be recapitulated by a primary metabolic defect in oligodendrocytes? Answering this question may yield insights into whether adaptive immune activation and CNS invasion are etiologic for MS or, rather, reflect inside-out processes with heightened susceptibility to inflammation that is dependent on immune haplotype or other genetic/environmental modifiers 28 , 29 .…”
Section: Introductionmentioning
confidence: 99%