Evidence map›Paper›PMID 23774940›Full record

ArticleEuropean journal of clinical pharmacology2013

Association between CYP2B6 polymorphisms and Nevirapine-induced SJS/TEN: a pharmacogenetics study.

Cinzia Ciccacci, Davide Di Fusco, Maria C Marazzi, Ines Zimba, Fulvio Erba, Giuseppe Novelli, Leonardo Palombi, Paola Borgiani, Giuseppe Liotta

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In one paragraph

Article in European journal of clinical pharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 5% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Updates in the pathogenesis of SJS/TEN.Allergology international : official journal of the Japanese Society of Allergology · 2025
    Review
  5. Review
  6. Severe cutaneous adverse reactions.Nature reviews. Disease primers · 2024
    Review
  7. Review
  8. Article
  9. ABCB1 in dermatology: roles in skin diseases and their treatment.Journal of molecular medicine (Berlin, Germany) · 2021
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Association ofPharmacogenomics and personalized medicine · 2021
    Article
  16. Article
  17. Clinical and pathogenic aspects of the severe cutaneous adverse reaction epidermal necrolysis (EN).Journal of the European Academy of Dermatology and Venereology : JEADV · 2020
    Review
  18. Review
  19. Article
  20. Ocular manifestations in patients with Stevens-Johnson syndrome in Malawi-review of the literature illustrated by clinical cases.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2019
    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

9 authors at 2 institutions in 1 country.

Cinzia CiccacciDepartment of Biomedicine and Prevention, Genetics Section, School of Medicine, University of Rome "Tor Vergata", 00133, Rome, Italy.
Davide Di Fusco
Maria C Marazzi
Ines Zimba
Fulvio Erba
Giuseppe Novelli
Leonardo Palombi
Paola Borgiani
Giuseppe Liotta
University of Rome Tor Vergata · ITLibera Università Maria SS. Assunta · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNevirapine (NVP) is a non-nucleoside reverse transcriptase inhibitor, widely prescribed for type 1 human immunodeficiency virus infection. A small proportion of individuals treated with NVP experience severe cutaneous adverse events, including Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). Our aim was to verify whether genetic variability in NVP-metabolizing cytochromes or in transporter genes could be involved in susceptibility to SJS/TEN.

methodsTwenty-seven patients with NVP-induced SJS/TEN and 78 controls, all from Mozambique, were genotyped for the ABCB1 and ABCC10 transporter genes and for CYP2B6, CYP3A4 and CYP3A5 cytochrome gene variants. A case-control and a genotype-phenotype analysis were performed.

resultsCYP2B6 G516T and T983C single nucleotide polymorphisms (SNPs) were found to be associated with SJS/TEN susceptibility. The 983C allele in particular was found to be highly associated with a higher risk to develop SJS/TEN [odds ratio (OR) 4.2, P = 0.0047]. The GT haplotype (wildtype for both SNPs) showed a protective effect, with an OR = 0.33 (P = 0.0016).

conclusionsThis is the first study showing that genetic variability in a metabolizing enzyme can also contribute to NVP-induced SJS/TEN susceptibility.

Indexed as

AdultAnti-HIV AgentsAryl Hydrocarbon HydroxylasesCytochrome P-450 CYP2B6FemaleGenotypeHIV InfectionsHumansNevirapinePolymorphism, Single NucleotideStevens-Johnson SyndromeAnti-HIV AgentsAryl Hydrocarbon HydroxylasesCYP2B6 protein, humanCytochrome P-450 CYP2B6Nevirapine

Identifiers

PMID23774940
OpenAlexW2014983717

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.