Evidence map›Paper›PMID 21052868›Full record

ReviewForensic science, medicine, and pathology2011

Review: Pharmacogenetic aspects of the effect of cytochrome P450 polymorphisms on serotonergic drug metabolism, response, interactions, and adverse effects.

J L Pilgrim, D Gerostamoulos, Olaf H Drummer

Abstract readReview
PubMed Publisher
In one paragraph

Review in Forensic science, medicine, and pathology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
9.3field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Serotonin syndrome: SSRIs are not the only culprit.Journal of psychiatry & neuroscience : JPN · 2021
    Article
  6. Article
  7. Review
  8. Review
  9. A Systems Biology Approach for Personalized Medicine in Refractory Epilepsy.International journal of molecular sciences · 2019
    Review
  10. Fatal intoxication with antidepressants: a case with many culprits.Forensic science, medicine, and pathology · 2018
    Article
  11. Codeine Precipitating Serotonin Syndrome in a Patient in Therapy with Antidepressant and Triptan.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2017
    Article
  12. Histopathological study of cardiac lesions in methamphetamine poisoning-related deaths.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2017
    Article
  13. Review
  14. Article
  15. Article
  16. The role of toxicology interpretations in prevention of sudden death.Forensic science, medicine, and pathology · 2012
    Article
  17. The impact of 2011!Forensic science, medicine, and pathology · 2012
    Article
  18. 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

3 authors at 2 institutions in 1 country.

J L PilgrimDepartment of Forensic Medicine, Monash University, Victorian Institute of Forensic Medicine, Southbank, VIC, Australia. jenniferp@vifm.org
D Gerostamoulos
Olaf H Drummer
Victorian Institute of Forensic Medicine · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The field of pharmacogenetics contains a wealth of potential for the enhancement of clinical practice by providing a more effective match between patient and drug, consequently reducing the probability of an adverse drug reaction. Although a relatively novel concept in the forensic context, pharmacogenetics has the capability to assist in the interpretation of drug related deaths, particularly in unintentional drug poisonings where the cause of death remains unclear. However, the complex pharmacology of the drugs when subjected to genetic variations in metabolism makes interpretation of the expected response and adverse events difficult. Many possess multiple metabolic pathways, narrow therapeutic indices and active metabolites or enantiomers which may be eliminated via different pathways to the parent drug. A number of these drugs, which are metabolised primarily by the CYP450 system, are also associated with serotonin syndrome, or serotonin toxicity, especially when used concomitantly with other serotonin active drugs which rely on the same metabolic pathways for drug elimination. A comprehensive understanding of polymorphic drug metabolism and its expected outcomes is therefore essential when interpreting the involvement of drugs in adverse reactions. This review examines the genetically variable CYP450-mediated metabolism of a number of serotonin-active drugs that are often implicated in cases of serotonin toxicity, to assess the impact of pharmacogenetics on drug metabolism, response, interactions and adverse effects.

Indexed as

Cytochrome P-450 Enzyme SystemDrug InteractionsForensic MedicineHumansInactivation, MetabolicPharmacogeneticsPolymorphism, GeneticSerotonin AgentsCytochrome P-450 Enzyme SystemSerotonin Agents

Identifiers

PMID21052868
OpenAlexW2146506502

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.