Evidence map›Paper›PMID 17377643›Full record

ArticleCanadian journal of gastroenterology = Journal canadien de gastroenterologie2007

N-acetyltransferase 2 slow acetylator genotype associated with adverse effects of sulphasalazine in the treatment of inflammatory bowel disease.

Min Chen, Bing Xia, Bixiao Chen, Qiusha Guo, Jin Li, Mei Ye, Zhengguo Hu

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of gastroenterology = Journal canadien de gastroenterologie, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 15% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Polymorphism rs6478109 in theThe Journal of international medical research · 2020
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Precision Medicine in Inflammatory Bowel Disease.Diagnostics (Basel, Switzerland) · 2023
    Review
  7. Review
  8. Review
  9. Article
  10. Article
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  12. BioMed research international · 2018
    Article
  13. Isoniazid metabolism and hepatotoxicity.Acta pharmaceutica Sinica. B · 2016
    Review
  14. Current stage in inflammatory bowel disease: What is next?World journal of gastroenterology · 2015
    Review
  15. Article
  16. Article
  17. Article
  18. Article
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  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

7 authors at 3 institutions in 1 country.

Min ChenWuhan University Zhongnan Hospital, Wuhan, People's Republic China.
Bing Xia
Bixiao Chen
Qiusha Guo
Jin Li
Mei Ye
Zhengguo Hu
Wuhan University · CNNational Clinical Research Center for Digestive Diseases · CNZhongnan Hospital of Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimN-acetyltransferase 2 (NAT2) is an important enzyme catalyzing N-acetylation of sulfasalazine (SASP). The aim of the present study was to investigate associations of the genotypes of NAT2 with inflammatory bowel disease (IBD), and with adverse effects of SASP, which is used as the first-line treatment of IBD. PATIENTS AND

methodsThe wildtype allele (NAT2*4) and three variant alleles (NAT2*5B, NAT2*6A and NAT*7B) of the NAT2 gene were determined in 101 patients with IBD (84 patients with ulcerative colitis and 17 patients with Crohn's disease) and 109 healthy controls by the polymerase chain reaction-restriction fragment length polymorphism method. Sixty-eight patients with IBD treated with SASP were followed, and their adverse reactions were recorded.

resultsEleven patients (16%) experienced adverse effects from SASP, including nine cases of sulfapyridine (SP) dose-related adverse effects and two cases of hypersensitivity (skin rash). Patients with the slow acetylator genotypes without the NAT2*4 allele experienced adverse effects more frequently (36%) than those with the fast acetylator genotypes with at least one NAT2*4 allele (11%), but the results were not significantly different (OR of 0.26, 95% CI 0.065 to 1.004; P=0.051). However, those with the slow acetylator genotypes experienced more SP dose-related adverse effects than those with the fast acetylator genotypes (36% versus 8%, OR of 0.17, 95% CI 0.039 to 0.749; P=0.019).

conclusionsThe NAT2 gene polymorphism was not associated with susceptibility to IBD in Chinese populations, but the NAT2 slow acetylator genotypes were significantly associated with SP dose-related adverse effects of SASP in the treatment of IBD.

Indexed as

AcetylationAcetyltransferasesAdolescentAdultAgedAllelesAnti-Inflammatory Agents, Non-SteroidalArylamine N-AcetyltransferaseFemaleGenetic Predisposition to DiseaseGenotypeHumansInflammatory Bowel DiseasesMaleMiddle AgedPolymorphism, GeneticAcetyltransferasesAnti-Inflammatory Agents, Non-SteroidalArylamine N-AcetyltransferaseNAT2 protein, humanSulfasalazine

Identifiers

PMID17377643
PMCPMC2657682
OpenAlexW1765975574

What OpenQuestion holds

Textmetadata
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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.