Evidence map›Paper›PMID 24223155›Full record

ArticlePloS one2013

Genome wide analysis of drug-induced torsades de pointes: lack of common variants with large effect sizes.

Elijah R Behr, Marylyn D Ritchie, Toshihiro Tanaka, Stefan Kääb, Dana C Crawford, Paola Nicoletti, Aris Floratos, Moritz F Sinner, Prince J Kannankeril, Arthur A M Wilde and 24 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
4.2field-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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Functional Profiling ofCirculation. Genomic and precision medicine · 2025
    Article
  3. Observational
  4. Human Genetics of Cardiac Arrhythmias.Advances in experimental medicine and biology · 2024
    Review
  5. Heart rhythmFrontiers in cardiovascular medicine · 2024
    Article
  6. Variants TaggingGenes · 2022
    Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Pharmacogenomics.Lancet (London, England) · 2019
    Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. 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

34 authors at 16 institutions in 6 countries.

Elijah R BehrCardiovascular Sciences and Genetics Research Centers, St George's University of London, London, United Kingdom.
Marylyn D Ritchie
Toshihiro Tanaka
Stefan Kääb
Dana C Crawford
Paola Nicoletti
Aris Floratos
Moritz F Sinner
Prince J Kannankeril
Arthur A M Wilde
Connie R Bezzina
Eric Schulze-Bahr
Sven Zumhagen
Pascale Guicheney
Nanette H Bishopric
Vanessa Marshall
Saad Shakir
Chrysoula Dalageorgou
Steve Bevan
Yalda Jamshidi
Rachel Bastiaenen
Robert J Myerburg
Jean-Jacques Schott
A John Camm
Gerhard Steinbeck
Kris Norris
Russ B Altman
Nicholas P Tatonetti
Steve Jeffery
Michiaki Kubo
Yusuke Nakamura
Yufeng Shen
Alfred L George
Dan M Roden
St George's, University of London · GBVanderbilt University · USColumbia University · USAmsterdam UMC Location University of Amsterdam · NLDrug Safety Research Unit · GBTokyo Medical and Dental University · JPUniversity of Miami · USCentre National de la Recherche Scientifique · FRGerman Centre for Cardiovascular Research · DEInserm · FRLudwig-Maximilians-Universität München · DEStanford University · USStarnberg Hospital · DEUniversity Hospital Münster · DEUniversity of Chicago · USUniversity of Münster · DE

Funding

PHARMACOGENOMICS OF ARRHYTHMIA THERAPYU01HL065962 · NHLBI · VANDERBILT UNIVERSITY · PI RODEN, DAN M · 2001 to 2009
$24.8M
Pharmacogenomics of Arrhythmia TherapyU19HL065962 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2010 to 2014
$17.4M
British Heart Foundation PG/12/38/29615NHLBI NIH HHS U01 HL065962NHLBI NIH HHS U01HL65962NHLBI NIH HHS U19 HL065962Wellcome Trust
6 · The paper itself

Abstract

Marked prolongation of the QT interval on the electrocardiogram associated with the polymorphic ventricular tachycardia Torsades de Pointes is a serious adverse event during treatment with antiarrhythmic drugs and other culprit medications, and is a common cause for drug relabeling and withdrawal. Although clinical risk factors have been identified, the syndrome remains unpredictable in an individual patient. Here we used genome-wide association analysis to search for common predisposing genetic variants. Cases of drug-induced Torsades de Pointes (diTdP), treatment tolerant controls, and general population controls were ascertained across multiple sites using common definitions, and genotyped on the Illumina 610k or 1M-Duo BeadChips. Principal Components Analysis was used to select 216 Northwestern European diTdP cases and 771 ancestry-matched controls, including treatment-tolerant and general population subjects. With these sample sizes, there is 80% power to detect a variant at genome-wide significance with minor allele frequency of 10% and conferring an odds ratio of ≥2.7. Tests of association were carried out for each single nucleotide polymorphism (SNP) by logistic regression adjusting for gender and population structure. No SNP reached genome wide-significance; the variant with the lowest P value was rs2276314, a non-synonymous coding variant in C18orf21 (p  =  3×10(-7), odds ratio = 2, 95% confidence intervals: 1.5-2.6). The haplotype formed by rs2276314 and a second SNP, rs767531, was significantly more frequent in controls than cases (p  =  3×10(-9)). Expanding the number of controls and a gene-based analysis did not yield significant associations. This study argues that common genomic variants do not contribute importantly to risk for drug-induced Torsades de Pointes across multiple drugs.

Indexed as

Genome, HumanPolymorphism, Single NucleotideAdolescentAdultAgedAged, 80 and overAllelesAnti-Arrhythmia AgentsArrhythmias, CardiacChildFemaleGene FrequencyGenetic LociGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansAnti-Arrhythmia Agents

Identifiers

PMID24223155
PMCPMC3819377
OpenAlexW2135573080

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.