Evidence map›Paper›PMID 35977952›Full record

SynthesisNature communications2022

GWAS meta-analysis of intrahepatic cholestasis of pregnancy implicates multiple hepatic genes and regulatory elements.

Peter H Dixon, Adam P Levine, Inês Cebola, Melanie M Y Chan, Aliya S Amin, Anshul Aich, Monika Mozere, Hannah Maude, Alice L Mitchell, Jun Zhang and 14 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Intrahepatic Cholestasis of Pregnancy: A Hot Topic Commentary.Journal of clinical and translational hepatology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. A RareJournal of clinical medicine · 2025
    Article
  18. Review
  19. Intrahepatic cholestasis of pregnancy.Nature reviews. Disease primers · 2025
    Review
  20. 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

24 authors at 20 institutions in 16 countries.

Peter H Dixon *Department of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.ORCID http://orcid.org/0000-0002-0197-2632
Adam P Levine *Department of Renal Medicine, University College London, London, UK.ORCID http://orcid.org/0000-0003-1333-9938
Inês Cebola *Section of Genetics and Genomics, Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-3528-4982
Melanie M Y ChanDepartment of Renal Medicine, University College London, London, UK.ORCID http://orcid.org/0000-0003-1968-1734
Aliya S AminDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Anshul AichDepartment of Renal Medicine, University College London, London, UK.
Monika MozereDepartment of Renal Medicine, University College London, London, UK.
Hannah MaudeSection of Genetics and Genomics, Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
Alice L MitchellDepartment of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Jun ZhangDepartment of Renal Medicine, University College London, London, UK.
NIHR BioResource
Genomics England Research Consortium Collaborators
Jenny ChambersICP Support, 69 Mere Green Road, Sutton Coldfield, UK.
Argyro SyngelakiHarris Birthright Research Centre for Fetal Medicine, King's College Hospital, London, UK.
Jennifer DonnellyThe Rotunda Hospital, Dublin, Ireland.
Sharon CooleyThe Rotunda Hospital, Dublin, Ireland.
Michael GearyThe Rotunda Hospital, Dublin, Ireland.
Kypros NicolaidesHarris Birthright Research Centre for Fetal Medicine, King's College Hospital, London, UK.
Malin ThorsellBB Stockholm, Danderyd Hospital, Stockholm, Sweden.
William M HagueRobinson Research Institute, The University of Adelaide, Adelaide, SA, Australia.
Maria Cecilia EstiuRamón Sardá Mother's and Children's Hospital, Buenos Aires, Argentina.
Hanns-Ulrich MarschallDepartment of Molecular and Clinical Medicine/Wallenberg Laboratory, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-7347-3085
Daniel P Gale *Department of Renal Medicine, University College London, London, UK.ORCID http://orcid.org/0000-0002-9170-1579
Catherine Williamson *Department of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK. catherine.williamson@kcl.ac.uk.ORCID http://orcid.org/0000-0002-6226-7611
University of Cambridge · GBQueen Mary University of London · GBKing's College London · GBImperial College Healthcare NHS Trust · GBRoyal Free London NHS Foundation Trust · GBBarts Health NHS Trust · GBMoorfields Eye Hospital NHS Foundation Trust · GBUniversity of Liverpool · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBNottingham University Hospitals NHS Trust · GBUniversité Paris-Sud · FRUniversity College London Hospitals NHS Foundation Trust · GBGuy's and St Thomas' NHS Foundation Trust · GBHeart of England NHS Foundation Trust · GBRotunda Hospital · IEUniversity of Leicester · GBIllumina (United Kingdom) · GBJustus-Liebig-Universität Gießen · DENHS Greater Glasgow and Clyde · GBRoyal Brompton Hospital · GB

Funding

British Heart Foundation FS/18/53/33863Cancer Research UK 26988Cancer Research UK 27125Cancer Research UK 27723Department of HealthMedical Research Council G0701386Medical Research Council G1002570Medical Research Council G84/6443Medical Research Council MR/L006340/1
6 · The paper itself

Abstract

Intrahepatic cholestasis of pregnancy (ICP) is a pregnancy-specific liver disorder affecting 0.5-2% of pregnancies. The majority of cases present in the third trimester with pruritus, elevated serum bile acids and abnormal serum liver tests. ICP is associated with an increased risk of adverse outcomes, including spontaneous preterm birth and stillbirth. Whilst rare mutations affecting hepatobiliary transporters contribute to the aetiology of ICP, the role of common genetic variation in ICP has not been systematically characterised to date. Here, we perform genome-wide association studies (GWAS) and meta-analyses for ICP across three studies including 1138 cases and 153,642 controls. Eleven loci achieve genome-wide significance and have been further investigated and fine-mapped using functional genomics approaches. Our results pinpoint common sequence variation in liver-enriched genes and liver-specific cis-regulatory elements as contributing mechanisms to ICP susceptibility.

Indexed as

Cholestasis, IntrahepaticPregnancy ComplicationsPremature BirthBile Acids and SaltsFemaleGenome-Wide Association StudyHumansInfant, NewbornPregnancyBile Acids and Salts

Identifiers

PMID35977952
PMCPMC9385867
OpenAlexW4292259454

What Socratic 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 Socratic graph.