Evidence map›Paper›PMID 23344581›Full record

ArticlePharmacogenetics and genomics2013

Influence of CYP2B6 genetic variants on plasma and urine concentrations of bupropion and metabolites at steady state.

Neal L Benowitz, Andy Z X Zhu, Rachel F Tyndale, Delia Dempsey, Peyton Jacob

Open access · greenAbstract read
In one paragraph

Article in Pharmacogenetics and genomics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
11.8field-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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pharmacogenetic Influence on Stereoselective Steady-State Disposition of Bupropion.Drug metabolism and disposition: the biological fate of chemicals · 2024
    Trial
  4. Trial
  5. Trial
  6. Effects of Genetic Polymorphisms of CYP2B6 on the Pharmacokinetics of Bupropion and Hydroxybupropion in Healthy Chinese Subjects.Medical science monitor : international medical journal of experimental and clinical research · 2018
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Stereoselective Glucuronidation of Bupropion Metabolites In Vitro and In Vivo.Drug metabolism and disposition: the biological fate of chemicals · 2016
    Trial
  11. Trial
  12. Trial
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. The Journal of pharmacology and experimental therapeutics · 2022
    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

5 authors at 2 institutions in 2 countries.

Neal L BenowitzDepartment of Medicine, Bioengineering and Therapeutic Sciences, Division of Clinical Pharmacology and Experimental Therapeutics, University of California, San Francisco, California 94143-1220, USA. nbenowitz@medsfgh.ucsf.edu
Andy Z X Zhu
Rachel F Tyndale
Delia Dempsey
Peyton Jacob
University of California, San Francisco · USUniversity of Toronto · CA

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
University of Toronto Coordinating Genetics Core & Clinical Trial SiteU01DA020830 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI CINCIRIPINI, PAUL MICHAEL · 2005 to 2014
$22.4M
Research Support CoreP30DA012393 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ST.HELEN, GIDEON · 1999 to 2024
$17.1M
Safety of Nicotine Reduction StrategyR01CA078603 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BENOWITZ, NEAL L · 1999 to 2009
$4.6M
CIHR MOP#86471CIHR TMH-10978NCI NIH HHS CA 78603NCI NIH HHS R01 CA078603NCRR NIH HHS UL1 RR024131NIDA NIH HHS DA 12393NIDA NIH HHS DA U01 020830NIDA NIH HHS P30 DA012393NIDA NIH HHS U01 DA020830PHS HHS NCRR UCSF CTSI UL1 RR 024131
6 · The paper itself

Abstract

backgroundBupropion, an antidepressant and smoking cessation medication, is metabolized to hydroxybupropion (HB), an active metabolite, primarily by CYP2B6.

objectivesTo compare plasma concentrations of bupropion and metabolites at steady state in healthy volunteers with and without CYP2B6 genetic variants.

methodsIn a genotype-guided study of 42 healthy individuals, we measured the plasma and urine concentrations of bupropion and its metabolites, HB, threohydrobupropion, and erythrohydrobupropion after 7 days of sustained-release bupropion dosing.

resultsCYP2B6*6 and *18 gene variants were associated with ~33% reduced concentrations of HB, with no effects on concentrations of bupropion or other metabolites. We could account for 50% of the variation in HB concentrations in a model including genotype and sex.

conclusionAs HB is active and its steady-state concentrations are more than 10 times higher than bupropion, CYP2B6 variants are likely to affect pharmacological activity. Because of the large individual variation within the genotype group, the use of therapeutic drug monitoring for dose optimization may be necessary.

Indexed as

Genetic VariationAryl Hydrocarbon HydroxylasesBase SequenceBupropionCytochrome P-450 CYP2B6DNA PrimersDopamine Uptake InhibitorsFemaleHumansMaleOxidoreductases, N-DemethylatingPolymerase Chain ReactionAryl Hydrocarbon HydroxylasesBupropionCYP2B6 protein, humanCytochrome P-450 CYP2B6DNA PrimersDopamine Uptake InhibitorsOxidoreductases, N-Demethylating

Identifiers

PMID23344581
PMCPMC3763712
OpenAlexW2019651109

What OpenQuestion holds

Textmetadata
LicenceTDM
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.