Evidence map›Paper›PMID 19076153›Full record

ArticleBritish journal of clinical pharmacology2009

A common NOS1AP genetic polymorphism is associated with increased cardiovascular mortality in users of dihydropyridine calcium channel blockers.

Matthijs L Becker, Loes E Visser, Christopher Newton-Cheh, Albert Hofman, André G Uitterlinden, Jacqueline C M Witteman, Bruno H Ch Stricker

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. NOS1AP modulates intracellular Ca(2+) in cardiac myocytes and is up-regulated in dystrophic cardiomyopathy.International journal of physiology, pathophysiology and pharmacology · 2014
    Article
  10. Review
  11. Review
  12. Cardiovascular pharmacogenomics.Circulation research · 2011
    Review
  13. Review
  14. Drug-induced long QT syndrome.Pharmacological reviews · 2010
    Review
  15. Article
  16. Article
  17. S-Nitrosylation of cardiac ion channels.Journal of cardiovascular pharmacology · 2009
    Review
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 4 institutions in 2 countries.

Matthijs L BeckerDepartment of Epidemiology & Biostatistics, Erasmus MC, Rotterdam, The Netherlands.
Loes E Visser
Christopher Newton-Cheh
Albert Hofman
André G Uitterlinden
Jacqueline C M Witteman
Bruno H Ch Stricker
Cancer Research And Biostatistics · USDutch Health Care Inspectorate · NLErasmus University Rotterdam · NLMassachusetts General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimRecently, a polymorphism in the NOS1AP gene (rs10494366), a regulator of neuronal nitric oxide synthase (nNOS), was associated with QTc prolongation. Both nNOS and calcium channel blockers (CCBs) regulate intracellular calcium levels and have an important role in cardiovascular homeostasis. The aim was to investigate whether this polymorphism is associated with cardiovascular mortality in users of CCBs.

methodsThe data from the Rotterdam study, a population-based closed cohort study of Caucasian individuals of > or =55 years of age, were used. We identified 1113 participants in the Rotterdam Study who were prescribed CCBs for the first time between 1991 and 2005. All-cause and cardiovascular mortality was assessed in participants who were prescribed CCBs with different NOS1AP rs10494366 genotypes using Cox proportional hazard models.

resultsIn participants starting on dihydropyridine CCBs (amlodipine, nifedipine and others) all-cause mortality (n = 79) risks were higher in participants with the TG [hazard ratio (HR) 2.57, 95% confidence interval (CI) 1.24, 5.34] or the GG genotype (HR 3.18, 95% CI 1.18, 8.58) than in participants with the referent TT genotype. Cardiovascular mortality (n = 54) risks were 3.51 (95% CI 1.41, 8.78) for the TG genotype and 6.00 (95% CI 1.80, 20.0) for the GG genotype. No differences in all-cause mortality or cardiovascular mortality were seen in participants starting with the nondihydropyridine CCBs verapamil or diltiazem.

conclusionThe minor G allele of rs10494366 in the NOS1AP gene is associated with increased all-cause and cardiovascular mortality in Caucasian users of dihydropyridine CCBs. The mechanism underlying the observed association is unknown.

Indexed as

Polymorphism, Single NucleotideAdaptor Proteins, Signal TransducingAgedCalcium Channel BlockersCardiovascular DiseasesCohort StudiesDihydropyridinesFemaleGenotypeHumansMaleMiddle AgedProportional Hazards ModelsAdaptor Proteins, Signal TransducingCalcium Channel BlockersDihydropyridinesNOS1AP protein, human

Identifiers

PMID19076153
PMCPMC2668085
OpenAlexW2049681043

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.