Evidence map›Paper›PMID 21918510›Full record

ArticleClinical pharmacology and therapeutics2011

Effect of paraoxonase-1 polymorphism on clinical outcomes in patients treated with clopidogrel after an acute myocardial infarction.

T Simon, P G Steg, L Becquemont, C Verstuyft, S Kotti, F Schiele, E Ferrari, E Drouet, G Grollier, N Danchin

Abstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical pharmacology and therapeutics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
9.0field-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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Roles of CYP2C19 Gene Polymorphisms in Susceptibility to POAG and Individual Differences in Drug Treatment Response.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Article
  7. Review
  8. Personalized antiplatelet therapy with P2Y12 receptor inhibitors: benefits and pitfalls.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2015
    Review
  9. Article
  10. Genetics of platelet inhibitor treatment.British journal of clinical pharmacology · 2014
    Review
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 1 country.

T SimonAssistance Publique-Hôpitaux de Paris (APHP), Hôpital St. Antoine, URC-EST, Paris, France. tabassome.simon@sat.aphp.fr
P G Steg
L Becquemont
C Verstuyft
S Kotti
F Schiele
E Ferrari
E Drouet
G Grollier
N Danchin
Assistance Publique – Hôpitaux de Paris · FRBicêtre Hospital · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Caen · FRCentre Hospitalier Universitaire de Nice · FRHôpital Saint-Antoine · FRInserm · FRSorbonne Université · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paraoxonase-1 (PON1) Q192R polymorphism was recently suggested to determine per se clopidogrel response on major cardiovascular events (MACEs). We assessed the impact of PON1, CYP2C19, and ABCB1 polymorphisms on MACE in clopidogrel-treated acute myocardial infarction (AMI) patients (N = 2,210), including those undergoing percutaneous coronary intervention (PCI) (n = 1,538). PON1 polymorphism was not associated with increased risk of in-hospital death and MACEs at 1 year (adjusted hazard ratio (HR) 1.03, 95% confidence interval (CI) 0.66-1.61 and adjusted HR 0.77, 95% CI 0.42-1.41 for QQ versus RR in all and PCI patients, respectively). The presence of two CYP2C19 loss-of-function (LOF) alleles was associated with the risk of in-hospital death and MACEs at 1 year in the overall population (adjusted odds ratio (OR) 3.67, 95% CI 1.05-12.80 and adjusted HR 1.96, 95% CI 1.08-3.54) and in PCI patients (adjusted OR 6.87, 95% CI 2.52-18.72 and adjusted HR 3.06, 95% CI 1.47-6.41). Unlike CYP2C19 polymorphism, PON1 (Q192R) polymorphism is not a major pharmacogenetic contributor of clinical response to clopidogrel in AMI patients.

Indexed as

AgedAged, 80 and overAryldialkylphosphataseClopidogrelFemaleFollow-Up StudiesGenotypeHospital MortalityHumansMaleMiddle AgedMyocardial InfarctionPolymorphism, GeneticProspective StudiesRegistriesTiclopidineAryldialkylphosphataseClopidogrelPON1 protein, humanTiclopidine

Identifiers

PMID21918510
OpenAlexW2105342240

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.