Evidence map›Paper›PMID 26265036›Full record

ArticlePharmacogenomics2015

Genome-wide association study of warfarin maintenance dose in a Brazilian sample.

Esteban J Parra, Mariana R Botton, Jamila A Perini, S Krithika, Stephane Bourgeois, Todd A Johnson, Tatsuhiko Tsunoda, Munir Pirmohamed, Mia Wadelius, Nita A Limdi and 7 more

Abstract read
In one paragraph

Article in Pharmacogenomics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. International journal of molecular sciences · 2026
    Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Ethnic Diversity and Warfarin Pharmacogenomics.Frontiers in pharmacology · 2022
    Review
  10. Review
  11. Genomewide Association Studies in Pharmacogenomics.Clinical pharmacology and therapeutics · 2021
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
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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

17 authors.

Esteban J ParraDepartment of Anthropology, University of Toronto at Mississauga, ON, Canada.
Mariana R BottonDepartment of Genetics, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Jamila A PeriniPharmacology Division, Instituto Nacional de Câncer, Rio de Janeiro, Brazil.
S KrithikaDepartment of Anthropology, University of Toronto at Mississauga, ON, Canada.
Stephane BourgeoisWilliam Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, UK.
Todd A JohnsonLaboratory for Medical Science Mathematics, RIKEN Center for Integrative Medical Sciences, Japan.
Tatsuhiko TsunodaLaboratory for Medical Science Mathematics, RIKEN Center for Integrative Medical Sciences, Japan.
Munir PirmohamedDepartment of Molecular & Clinical Pharmacology, University of Liverpool, UK.
Mia WadeliusDepartment of Medical Sciences, Clinical Pharmacology & Science for Life Laboratory, Uppsala University, Sweden.
Nita A LimdiDepartment of Neurology, University of Alabama at Birmingham, AL, USA.
Larisa H CavallariUniversity of Florida, Department of Pharmacotherapy & Translational Research, FL, USA.
James K BurmesterClinical Research Center, Marshfield Clinic Research Foundation, WI, USA.
Allan E RettieDepartment Medicinal Chemistry, School of Pharmacy, University of Washington, WA, USA.
Teri E KleinDepartment of Genetics, Stanford University School of Medicine, CA, USA.
Julie A JohnsonUniversity of Florida, Department of Pharmacotherapy & Translational Research, FL, USA.
Mara H HutzDepartment of Genetics, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Guilherme Suarez-KurtzPharmacology Division, Instituto Nacional de Câncer, Rio de Janeiro, Brazil.

Funding

PharmGKB: pharmacogenomics knowledge for precision medicineR24GM061374 · NIGMS · STANFORD UNIVERSITY · PI ALTMAN, RUSS BIAGIO, KLEIN, TERI ELLEN · 2010 to 2018
$25.2M
Predictors of hemorrhage among patients on direct acting oral anticoagulantsR01HL092173 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LIMDI, NITA A · 2008 to 2023
$10.4M
Medical Research Council MR/L006758/1NHLBI NIH HHS R01 HL092173NIGMS NIH HHS R24 GM061374PHS HHS NIH NIGMS R24GM61374
6 · The paper itself

Abstract

aimExtreme discordant phenotype and genome-wide association (GWA) approaches were combined to explore the role of genetic variants on warfarin dose requirement in Brazilians.

methodsPatients receiving low (≤ 20 mg/week; n = 180) or high stable warfarin doses (≥ 42.5 mg/week; n = 187) were genotyped with Affymetrix Axiom(®) Biobank arrays. Imputation was carried out using data from the combined 1000 Genomes project.

resultsGenome-wide signals (p ≤ 5 × 10(-8)) were identified in the well-known VKORC1 (lead SNP, rs749671; OR: 20.4; p = 1.08 × 10(-33)) and CYP2C9 (lead SNP, rs9332238, OR: 6.8 and p = 4.4 × 10(-13)) regions. The rs9332238 polymorphism is in virtually perfect LD with CYP2C9*2 (rs1799853) and CYP2C9*3 (rs1057910). No other genome-wide significant regions were identified in the study.

conclusionWe confirmed the important role of VKORC1 and CYP2C9 polymorphisms in warfarin dose. Original submitted 14 January 2015; Revision submitted 26 May 2015.

Indexed as

AgedAnticoagulantsBrazilCytochrome P-450 CYP2C9FemaleGenome-Wide Association StudyGenotypeHumansMaleMiddle AgedPhenotypePolymorphism, Single NucleotideVitamin K Epoxide ReductasesWarfarinAnticoagulantsCYP2C9 protein, humanCytochrome P-450 CYP2C9Vitamin K Epoxide ReductasesVKORC1 protein, humanWarfarin1000 Genomes ProjectBraziliansCYP2C9extreme discordant phenotypesgenome-wide association studyVKORC1warfarin

Identifiers

PMID26265036
PMCPMC4573240

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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.