Evidence map›Paper›PMID 23863877›Full record

ArticleClinical pharmacology and therapeutics2013

Association of CYP2C9*2 with bosentan-induced liver injury.

S M Markova, T De Marco, N Bendjilali, E A Kobashigawa, J Mefford, J Sodhi, H Le, C Zhang, J Halladay, A E Rettie and 7 more

Open access · greenAbstract read
In one paragraph

Article 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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.7field-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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. A newFrontiers in toxicology · 2026
    Article
  5. Pharmacogenetics in pediatric cardiology.Frontiers in pediatrics · 2026
    Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Biomarkers of drug-induced liver injury.Advances in pharmacology (San Diego, Calif.) · 2019
    Review
  18. Review
  19. Review
  20. Drug-induced liver injury: Do we know everything?World journal of hepatology · 2017
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 2 institutions in 1 country.

S M MarkovaDepartment of Bioengineering and Therapeutic Sciences, Institute for Human Genetics, University of California, San Francisco, San Francisco, California, USA.
T De Marco
N Bendjilali
E A Kobashigawa
J Mefford
J Sodhi
H Le
C Zhang
J Halladay
A E Rettie
C Khojasteh
D McGlothlin
A H B Wu
W-C Hsueh
J S Witte
J B Schwartz
D L Kroetz
University of California, San Francisco · USUniversity of Washington · US

Funding

UCSF Liver Core CenterP30DK026743 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Holger Willenbring · 1986 to 2026
$30.7M
PHARMACOGENETICS OF MEMBRANE TRANSPORTERSU01GM061390 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GIACOMINI, KATHLEEN M · 2000 to 2009
$29.2M
TOXIC DRUG INTERACTIONS WITH VALPROIC ACIDP01GM032165 · NIGMS · UNIVERSITY OF WASHINGTON · PI RETTIE, ALLAN EDWARD · 1985 to 2012
$18.3M
Pharmacogenomics of Membrane TransportersU19GM061390 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KWOK, PUI-YAN · 2010 to 2014
$16.3M
NIDDK NIH HHS P30 DK026743NIGMS NIH HHS GM32165NIGMS NIH HHS GM61390NIGMS NIH HHS P01 GM032165NIGMS NIH HHS U01 GM061390NIGMS NIH HHS U19 GM061390
6 · The paper itself

Abstract

Bosentan (Tracleer) is an endothelin receptor antagonist prescribed for the treatment of pulmonary arterial hypertension (PAH). Its use is limited by drug-induced liver injury (DILI). To identify genetic markers of DILI, association analyses were performed on 56 Caucasian PAH patients receiving bosentan. Twelve functional polymorphisms in five genes (ABCB11, ABCC2, CYP2C9, SLCO1B1, and SLCO1B3) implicated in bosentan pharmacokinetics were tested for associations with alanine aminotransferase (ALT), aspartate aminotransferase (AST), and DILI. After adjusting for body mass index, CYP2C9*2 was the only polymorphism associated with ALT, AST, and DILI (β = 2.16, P = 0.024; β = 1.92, P = 0.016; odds ratio 95% CI = 2.29-∞, P = 0.003, respectively). Bosentan metabolism by CYP2C9*2 in vitro was significantly reduced compared with CYP2C9*1 and was comparable to that by CYP2C9*3. These results suggest that CYP2C9*2 is a potential genetic marker for prediction of bosentan-induced liver injury and warrants investigation for the optimization of bosentan treatment.

Indexed as

Endothelin Receptor AntagonistsAlanine TransaminaseAryl Hydrocarbon HydroxylasesAspartate AminotransferasesBosentanChemical and Drug Induced Liver InjuryCytochrome P-450 CYP2C9FemaleGenetic Association StudiesGenetic MarkersHEK293 CellsHumansHypertension, PulmonaryLiver-Specific Organic Anion Transporter 1MaleMiddle AgedABCC2 protein, humanAlanine TransaminaseAryl Hydrocarbon HydroxylasesAspartate AminotransferasesBosentanCYP2C9 protein, humanCytochrome P-450 CYP2C9Endothelin Receptor AntagonistsGenetic MarkersLiver-Specific Organic Anion Transporter 1Multidrug Resistance-Associated Protein 2Organic Anion TransportersSLCO1B1 protein, humanSulfonamides

Identifiers

PMID23863877
PMCPMC3834031
OpenAlexW2039662407

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.