Evidence map›Paper›PMID 21833166›Full record

ArticleFrontiers in pharmacology2010

Identification of Novel CYP2D7-2D6 Hybrids: Non-Functional and Functional Variants.

Andrea Gaedigk, Lazara Karelia Montane Jaime, Joseph S Bertino, Anick Bérard, Victoria M Pratt, L Dianne Bradfordand, J Steven Leeder

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in pharmacology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03154359 (An Open-Label, Single- and Multi-Dose Study to Evaluate the Relationship Between the Pharmacokinetics, Pharmacodynamics, and Clinical Outcomes of Atomoxetine in CYP2D6 Extensive, Intermediate and Poor Metabolizers in Children With Attention Deficit/Hyperactivity Disorder), which is not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
4.5field-weighted citation impact, top 7% 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.

NCT03154359 completednot on this mapstarted 2017, after this paper: background citation

An Open-Label, Single- and Multi-Dose Study to Evaluate the Relationship Between the Pharmacokinetics, Pharmacodynamics, and Clinical Outcomes of Atomoxetine in CYP2D6 Extensive, Intermediate and Poor Metabolizers in Children With Attention Deficit/Hyperactivity Disorder

TypeobservationalSponsorChildren's Mercy Hospital Kansas CityRan2017 to 2022Enrolled51ConditionsADHDArmsAtomoxetine Hydrochloride
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
  2. Dopamine Transporter andJournal of child and adolescent psychopharmacology · 2024
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Characterization of NovelJournal of personalized medicine · 2022
    Article
  8. Pharmacogenomics · 2022
    Article
  9. Article
  10. The Identification of NovelFrontiers in pharmacology · 2022
    Article
  11. Review
  12. Resolving discordantPharmacogenomics · 2021
    Article
  13. Sources of Interindividual Variability.Methods in molecular biology (Clifton, N.J.) · 2021
    Article
  14. Frontiers in pharmacology · 2021
    Article
  15. Review
  16. Article
  17. Article
  18. PharmVar GeneFocus: CYP2D6.Clinical pharmacology and therapeutics · 2020
    Review
  19. Article
  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 5 institutions in 3 countries.

Andrea GaedigkDivision of Developmental Pharmacology and Experimental Therapeutics, The Children's Mercy Hospital and Clinics Kansas City, MO, USA.
Lazara Karelia Montane Jaime
Joseph S Bertino
Anick Bérard
Victoria M Pratt
L Dianne Bradfordand
J Steven Leeder
Centre Hospitalier Universitaire Sainte-Justine · CAChildren's Mercy Hospital · USMorehouse School of Medicine · USQuest Diagnostics (United States) · USUniversity of the West Indies System · JM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polymorphic expression of CYP2D6 contributes to the wide range of activity observed for this clinically important drug metabolizing enzyme. In this report we describe novel CYP2D7/2D6 hybrid genes encoding non-functional and functional CYP2D6 protein and a CYP2D7 variant that mimics a CYP2D7/2D6 hybrid gene. Five-kilobyte-long PCR products encompassing the novel genes were entirely sequenced. A quantitative assay probing in different gene regions was employed to determine CYP2D6 and 2D7 copy number variations and the relative position of the hybrid genes within the locus was assessed by long-range PCR. In addition to the previously known CYP2D6*13 and *66 hybrids, we describe three novel non-functional CYP2D7-2D6 hybrids with gene switching in exon 2 (CYP2D6*79), intron 2 (CYP2D6*80), and intron 5 (CYP2D6*67). A CYP2D7-specific T-ins in exon 1 causes a detrimental frame shift. One subject revealed a CYP2D7 conversion in the 5'-flanking region of a CYP2D6*35 allele, was otherwise unaffected (designated CYP2D6*35B). Finally, three DNAs revealed a CYP2D7 gene with a CYP2D6-like region downstream of exon 9 (designated CYP2D7[REP6]). Quantitative copy number determination, sequence analyses, and long-range PCR mapping were in agreement and excluded the presence of additional gene units. Undetected hybrid genes may cause over-estimation of CYP2D6 activity (CYP2D6*1/*1 vs *1/hybrid, etc), but may also cause results that may interfere with the genotype determination. Detection of hybrid events, "single" and tandem, will contribute to more accurate phenotype prediction from genotype data.

Indexed as

CYP2D6CYP2D6*35BCYP2D6*67CYP2D6*79CYP2D6*80CYP2D6 poor metabolizerhybrid genes

Identifiers

PMID21833166
PMCPMC3153001
OpenAlexW2107702110

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.