Evidence map›Paper›PMID 23839601›Full record

Trial reportClinical pharmacology and therapeutics2013

Purine pathway implicated in mechanism of resistance to aspirin therapy: pharmacometabolomics-informed pharmacogenomics.

L M Yerges-Armstrong, S Ellero-Simatos, A Georgiades, H Zhu, J P Lewis, R B Horenstein, A L Beitelshees, A Dane, T Reijmers, T Hankemeier and 3 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Clinical pharmacology and therapeutics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
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  15. Article
  16. Review
  17. Review
  18. Pharmacometabolomics informs Pharmacogenomics.Metabolomics : Official journal of the Metabolomic Society · 2016
    Article
  19. Pharmacometabolomics in Early-Phase Clinical Development.Clinical and translational science · 2016
    Review
  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

13 authors at 6 institutions in 2 countries.

L M Yerges-ArmstrongProgram in Personalized and Genomic Medicine, Division of Endocrinology, Diabetes, and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
S Ellero-Simatos
A Georgiades
H Zhu
J P Lewis
R B Horenstein
A L Beitelshees
A Dane
T Reijmers
T Hankemeier
O Fiehn
A R Shuldiner
R Kaddurah-Daouk
University of Maryland, Baltimore · USCentre for Human Drug Research · NLDuke Medical Center · USNetherlands Metabolomics Centre · NLDuke University · USUniversity of California, Davis · US

Funding

ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI MARSH, LAURA · 1985 to 2007
$37.3M
Zonulin Antibodies in Intestinal Permeabilitiy in IDDMM01RR016500 · NCRR · UNIVERSITY OF MARYLAND BALTIMORE · PI ONUKWUGHA, EBERECHUKWU · 2002 to 2009
$20.2M
Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
Pharmacogenomics of Anti-platlet Intervention-2 (PAPI-2) StudyU01HL105198 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2010 to 2014
$13.6M
Genome-wide Search for CVD Gene-Environment InteractionsU01HL072515 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2002 to 2008
$11.2M
Pharmacogenomics of CVD risk ReductionU01GM074518 · NIGMS · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2005 to 2009
$7.3M
Metabolomics Network for Drug Response PhenotypeRC2GM092729 · NIGMS · DUKE UNIVERSITY · PI KADDURAH-DAOUK, RIMA F · 2009 to 2010
$4.5M
Training Grant in Cardiac and Vascular Cell BiologyT32HL072751 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI FISHER, STEVEN A. · 2003 to 2013
$3.1M
Aspirin Pharmacogenomics: Role of PEAR1 in Personalized Anti-Platelet TherapyK23GM102678 · NIGMS · UNIVERSITY OF MARYLAND BALTIMORE · PI LEWIS, JOSHUA PATRICK · 2012 to 2016
$806k
Uncoupling Protein Polymorphisms and Cardiometabolic Responses to Beta-BlockersK23HL091120 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI BEITELSHEES, AMBER L · 2008 to 2012
$661k
NCRR NIH HHS M01 RR000052NCRR NIH HHS M01-RR-000052NCRR NIH HHS M01 RR016500NCRR NIH HHS M01-RR-16500NHLBI NIH HHS K23 HL091120NHLBI NIH HHS K23-HL091120NHLBI NIH HHS T32 HL072751NHLBI NIH HHS T32-HL72751NHLBI NIH HHS U01 HL072515NHLBI NIH HHS U01 HL105198NHLBI NIH HHS U01-HL105198NHLBI NIH HHS U01-HL72515NIDDK NIH HHS P30 DK072488NIDDK NIH HHS P30-DK072488NIGMS NIH HHS K23 GM102678NIGMS NIH HHS K23-GM102678NIGMS NIH HHS RC2 GM092729NIGMS NIH HHS RC2GM092729NIGMS NIH HHS U01 GM074518NIGMS NIH HHS U01-GM074518
6 · The paper itself

Abstract

Although aspirin is a well-established antiplatelet agent, the mechanisms of aspirin resistance remain poorly understood. Metabolomics allows for measurement of hundreds of small molecules in biological samples, enabling detailed mapping of pathways involved in drug response. We defined the metabolic signature of aspirin exposure in subjects from the Heredity and Phenotype Intervention Heart Study. Many metabolites, including known aspirin catabolites, changed on exposure to aspirin, and pathway enrichment analysis identified purine metabolism as significantly affected by drug exposure. Furthermore, purines were associated with aspirin response, and poor responders had higher postaspirin adenosine and inosine levels than did good responders (n = 76; both P < 4 × 10(-3)). Using our established "pharmacometabolomics-informed pharmacogenomics" approach, we identified genetic variants in adenosine kinase associated with aspirin response. Combining metabolomics and genomics allowed for more comprehensive interrogation of mechanisms of variation in aspirin response--an important step toward personalized treatment approaches for cardiovascular disease.

Indexed as

MetabolomicsAdenosine KinaseAdultAllelesAspirinDrug ResistanceFemaleHumansMalePlatelet Aggregation InhibitorsPurinesAdenosine KinaseAspirinPlatelet Aggregation InhibitorsPurines

Identifiers

PMID23839601
PMCPMC4001726
OpenAlexW2003014327

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.