Evidence map›Paper›PMID 26173871›Full record

ReviewExpert opinion on drug metabolism & toxicology2015

The pharmacogenetic control of antiplatelet response: candidate genes and CYP2C19.

Yao Yang, Joshua P Lewis, Jean-Sébastien Hulot, Stuart A Scott

Abstract readReview
In one paragraph

Review in Expert opinion on drug metabolism & toxicology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Pharmacogenetics of Antiplatelet Therapy.Annual review of pharmacology and toxicology · 2023
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. ThePharmacogenomics and personalized medicine · 2019
    Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. 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

4 authors.

Yao Yanga 1 Icahn School of Medicine at Mount Sinai, Department of Genetics and Genomic Sciences , New York, NY, USA +1 212 241 3780 ; +1 212 241 0139 ; stuart.scott@mssm.edu.
Joshua P Lewisb 2 University of Maryland School of Medicine, Division of Endocrinology, Diabetes and Nutrition, and Program for Personalized and Genomic Medicine , Baltimore, MD, USA.
Jean-Sébastien Hulotc 3 Icahn School of Medicine at Mount Sinai, Cardiovascular Research Center , New York, NY, USA.
Stuart A Scotta 1 Icahn School of Medicine at Mount Sinai, Department of Genetics and Genomic Sciences , New York, NY, USA +1 212 241 3780 ; +1 212 241 0139 ; stuart.scott@mssm.edu.

Funding

Aspirin Pharmacogenomics: Role of PEAR1 in Personalized Anti-Platelet TherapyK23GM102678 · NIGMS · UNIVERSITY OF MARYLAND BALTIMORE · PI LEWIS, JOSHUA PATRICK · 2012 to 2016
$806k
The Pharmacogenomic Control of Clopidogrel Response in Acute Coronary SyndromesK23GM104401 · NIGMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SCOTT, STUART ALEXANDER · 2013 to 2016
$778k
NIGMS NIH HHS K23 GM102678NIGMS NIH HHS K23 GM104401
6 · The paper itself

Abstract

introductionAspirin, clopidogrel, prasugrel and ticagrelor are antiplatelet agents for the prevention of ischemic events in patients with acute coronary syndromes (ACS), percutaneous coronary intervention (PCI) and other indications. Variability in response is observed to different degrees with these agents, which can translate to increased risks for adverse cardiovascular events. As such, potential pharmacogenetic determinants of antiplatelet pharmacokinetics, pharmacodynamics and clinical outcomes have been actively studied. AREAS COVERED: This article provides an overview of the available antiplatelet pharmacogenetics literature. Evidence supporting the significance of candidate genes and their potential influence on antiplatelet response and clinical outcomes are summarized and evaluated. Additional focus is directed at CYP2C19 and clopidogrel response, including the availability of clinical testing and genotype-directed antiplatelet therapy. EXPERT OPINION: The reported aspirin response candidate genes have not been adequately replicated and few candidate genes have thus far been implicated in prasugrel or ticagrelor response. However, abundant data support the clinical validity of CYP2C19 and clopidogrel response variability among ACS/PCI patients. Although limited prospective trial data are available to support the utility of routine CYP2C19 testing, the increased risks for reduced clopidogrel efficacy among ACS/PCI patients that carry CYP2C19 loss-of-function alleles should be considered when genotype results are available.

Indexed as

PharmacogeneticsCardiovascular DiseasesClopidogrelCytochrome P-450 CYP2C19GenotypeHumansPlatelet Aggregation InhibitorsTiclopidineClopidogrelCytochrome P-450 CYP2C19Platelet Aggregation InhibitorsTiclopidineantiplatelet agentsaspirincandidate genesclopidogrelCYP2C19pharmacogeneticspharmacogenomicsprasugrelticagrelor

Identifiers

PMID26173871
PMCPMC4829114

What OpenQuestion holds

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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.