Evidence map›Paper›PMID 17622941›Full record

Trial reportPharmacogenetics and genomics2007

Effect of drug transporter genotypes on pravastatin disposition in European- and African-American participants.

Richard H Ho, Leena Choi, Wooin Lee, Gail Mayo, Ute I Schwarz, Rommel G Tirona, David G Bailey, C Michael Stein, Richard B Kim

Abstract readClinical Trial
In one paragraph

Trial report in Pharmacogenetics and genomics, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
9.3field-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

72 citing papers in PubMed, 2 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Pooled it
  2. Abundance of Hepatic Transporters in Caucasians: A Meta-Analysis.Drug metabolism and disposition: the biological fate of chemicals · 2016
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12 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 3 institutions in 2 countries.

Richard H HoDepartment of Pediatrics and Pharmacology, Vanderbilt University School of Medicine, Nashville, TN, USA.
Leena Choi
Wooin Lee
Gail Mayo
Ute I Schwarz
Rommel G Tirona
David G Bailey
C Michael Stein
Richard B Kim
Vanderbilt University · USWestern University · CACancer Research And Biostatistics · US

Funding

YOHIMBINE AS A MODEL OF ORTHOSTATIC INTOLERANCEM01RR000095 · NCRR · VANDERBILT UNIVERSITY · PI MAY, JAMES M. · 1985 to 2008
$38.3M
HEPATIC DRUG TRANSPORTERS IN DRUG DISPOSITIONR01GM054724 · NIGMS · VANDERBILT UNIVERSITY · PI RODEN, DAN M · 1998 to 2006
$2.2M
MRP2, BSEP, and BCRP Transporter Polymorphisms and Chemotherapy DispositionK08GM081363 · NIGMS · VANDERBILT UNIVERSITY · PI HO, RICHARD HSINSHIN · 2007 to 2011
$706k
HEPATIC DRUG TRANSPORTERS IN DRUG DISPOSITIONR55GM054724 · NIGMS · VANDERBILT UNIVERSITY · PI KIM, RICHARD B · 1997 to 1997
–
NCRR NIH HHS M01 RR000095NCRR NIH HHS M01 RR00095NIGMS NIH HHS GM54724NIGMS NIH HHS K08 GM081363NIGMS NIH HHS R01 GM054724
6 · The paper itself

Abstract

objectiveOur aims were to evaluate the effects of polymorphisms in the hepatic drug uptake transporter organic anion transporting polypeptide 1B1 (OATP1B1, SLCO1B1) and efflux transporters multidrug resistance-associated protein 2 (MRP2, ABCC2), bile salt export pump (BSEP, ABCB11), and breast cancer-related protein (BCRP, ABCG2) on single-dose pravastatin pharmacokinetics in healthy European- and African-American participants.

methodsThe pharmacokinetics of a single oral 40 mg dose of pravastatin was determined in 107 participants (69 European-Americans and 38 African-Americans). Participants were genotyped for known OATP1B1, MRP2, BSEP, and BCRP polymorphisms. Baseline serum total and unconjugated plasma bilirubin concentrations were also determined.

resultsOATP1B1 genotypes were ethnicity-dependent with a 521C allele frequency of approximately 15% in European-Americans and approximately 1% in African-Americans. SLCO1B1 521TC genotype was associated with significantly higher pravastatin area under the curve [AUC(0-5)] (P=0.01) and Cmax values (P<0.05). When analyzed by diplotype, SLCO1B1*1a/*15 (N=8) participants exhibited 45 and 80% higher AUC values than SLCO1B1*1a/*1a (N=29) (P=0.013) and SLCO1B1*1b/*1b (N=34) (P=0.001) carriers, respectively. SLCO1B1*15/*15 (N=2) participants exhibited 92 and 149% higher AUC values than SLCO1B1*1a/*1a (P=0.017) and SLCO1B1*1b/*1b (P=0.011) carriers, respectively. European-Americans had significantly higher plasma pravastatin AUC(0-5) (P=0.01) and Cmax values (P=0.009) than African-Americans. Neither ABCC2, ABCB11, nor ABCG2 genotypes were associated with differences in pravastatin pharmacokinetics. We did not observe an effect of SLCO1B1 genotype on baseline total or unconjugated bilirubin levels.

conclusionSLCO1B1 genotype, in particular the 521C allele, had a significant effect on the pharmacokinetics of pravastatin. Even when adjusted for the presence of the SLCO1B1 521C or 388G variant allele, European-Americans demonstrated significantly higher pravastatin AUC and Cmax values than African-Americans.

Indexed as

AdultArea Under CurveBilirubinBlack or African AmericanFemaleGene FrequencyGenotypeHumansMaleMembrane Transport ProteinsMiddle AgedMultidrug Resistance-Associated Protein 2Polymorphism, GeneticPravastatinWhite PeopleABCC2 protein, humanBilirubinMembrane Transport ProteinsMultidrug Resistance-Associated Protein 2Pravastatin

Identifiers

PMID17622941
PMCPMC4063287
OpenAlexW2022663382

What OpenQuestion holds

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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.