Evidence map›Paper›PMID 24727484›Full record

ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2014

CHRNA5 variant predicts smoking cessation in patients with acute myocardial infarction.

Li-Shiun Chen, Richard G Bach, Petra A Lenzini, John A Spertus, Laura Jean Bierut, Sharon Cresci

Abstract read
In one paragraph

Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. 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

6 authors.

Li-Shiun ChenDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO;
Richard G BachDepartment of Medicine, Washington University School of Medicine, St. Louis, MO;
Petra A LenziniDepartment of Genetics, Washington University School of Medicine, St. Louis, MO;
John A SpertusMid-America Heart Institute, University of Missouri-Kansas City, Kansas City, MO.
Laura Jean BierutDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO;
Sharon CresciDepartment of Medicine, Washington University School of Medicine, St. Louis, MO; Department of Genetics, Washington University School of Medicine, St. Louis, MO; scresci@dom.wustl.edu.

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
The Collaborative Genetic Study of Nicotine DependenceP01CA089392 · NCI · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2001 to 2012
$17.3M
SCCOR in Cardiac Dysfunction and DiseaseP50HL077113 · NHLBI · WASHINGTON UNIVERSITY · PI KELLY, DANIEL PATRICK · 2005 to 2009
$13.4M
Genomic variants associated with angina and health status outcome after MIR01NR013396 · NINR · WASHINGTON UNIVERSITY · PI CRESCI, SHARON · 2011 to 2019
$4.5M
Study of Addiction: Genetics and EnvironmentU01HG004422 · NHGRI · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2007 to 2010
$1.2M
Genetic and Environmental Risks for Smoking Characteristics and CessationK08DA030398 · NIDA · WASHINGTON UNIVERSITY · PI CHEN, LI-SHIUN · 2011 to 2014
$671k
Human Genetics of Addiction: A Study of Common and Specific FactorsK02DA021237 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2007 to 2011
$567k
NCATS NIH HHS UL1 TR000448NCI NIH HHS P01 CA089392NHGRI NIH HHS U01 HG004422NHLBI NIH HHS P50 HL077113NHLBI NIH HHS P50HL077113NIDA NIH HHS K02 DA021237NIDA NIH HHS K08 DA030398NINR NIH HHS R01 NR013396
6 · The paper itself

Abstract

introductionWhile smoking is a major modifiable risk factor for secondary prevention of myocardial infarction (MI), active smoking is common among patients hospitalized with acute MI. Recent studies suggest that nicotinic receptor variants, and specifically the high-risk CHRNA5 rs16969968 A allele, are associated with cessation failure among noncardiac patients. This study investigates the association between CHRNA5 rs16969968 and smoking cessation in patients hospitalized with acute MI.

methodsUsing data from the TRIUMPH study, we ascertained smoking status at the time of index hospitalization for acute MI and 1 year after hospitalization. After adjusting for age and sex, we used logistic regression to model the association between smoking cessation and CHRNA5 rs16969968.

resultsAt index admission, 752 Caucasian subjects were active smokers and 699 were former smokers. Among these ever-smokers, the A allele was associated with significantly decreased abstinence (45.0% abstinence for A allele carriers vs. 51.7% for GG homozygotes; odds ratio [OR] = 0.70, 95% confidence interval [CI] = 0.56-0.88, p = .0027). The A allele was also significantly associated with decreased abstinence at 1 year (69.1% abstinence for A allele carriers vs. 76.0% for GG homozygotes; OR = 0.70, 95% CI = 0.53-0.94, p = .0185).

conclusionsAmong patients who have smoked and who are hospitalized with acute MI, the high-risk CHRNA5 allele was associated with lower likelihood of quitting before hospitalization and significantly less abstinence 1 year after hospitalization with MI. The CHRNA5 rs16969968 genotype may therefore identify patients who would benefit from aggressive, personalized smoking cessation intervention.

Indexed as

AgedAllelesFemaleGenotypeHospitalizationHumansLogistic ModelsMaleMiddle AgedMyocardial InfarctionNerve Tissue ProteinsOdds RatioReceptors, NicotinicRisk FactorsSmokingSmoking CessationCHRNA5 protein, humanNerve Tissue ProteinsReceptors, Nicotinic

Identifiers

PMID24727484
PMCPMC4155476

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.