Evidence map›Paper›PMID 26426212›Full record

ArticlePharmacogenetics and genomics2016

A genetic variant in NRP1 is associated with worse response to ranibizumab treatment in neovascular age-related macular degeneration.

Laura Lorés-Motta, Freekje van Asten, Philipp S Muether, Dzenita Smailhodzic, Joannes M Groenewoud, Amer Omar, John Chen, Robert K Koenekoop, Sascha Fauser, Carel B Hoyng and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Pharmacogenetics and genomics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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  15. Paradigm Shifts in Ophthalmic Diagnostics.Transactions of the American Ophthalmological Society · 2016
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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

12 authors at 5 institutions in 4 countries.

Laura Lorés-MottaDepartments of aOphthalmology bHealth Sciences cHuman Genetics, Radboud university medical center, Nijmegen, The Netherlands dDepartment of Ophthalmology, University Hospital of Cologne, Cologne, Germany eMontreal Retina Institute, Westmount Departments of fOphthalmology gPediatric Surgery, Human Genetics, and Ophthalmology, McGill University Health Centre, Montreal, Quebec, Canada.
Freekje van Asten
Philipp S Muether
Dzenita Smailhodzic
Joannes M Groenewoud
Amer Omar
John Chen
Robert K Koenekoop
Sascha Fauser
Carel B Hoyng
Anneke I den Hollander
Eiko K de Jong
Ophthalmology Associates (United States) · USUniversity Hospital Cologne · DEMcGill University Health Centre · CARadboud University Medical Center · NLRetina Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the study was to investigate the role of single-nucleotide polymorphisms (SNPs) located in the neuropilin-1 (NRP1) gene in treatment response to antivascular endothelial growth factor (VEGF) therapy for neovascular age-related macular degeneration (nvAMD).

methodsFour SNPs in the NRP1 gene (rs2229935, rs2247383, rs2070296, and rs2804495) were genotyped in a study cohort of 377 nvAMD patients who received the loading dose of three monthly ranibizumab injections. Treatment response was assessed as the change in visual acuity after three monthly loading injections compared with baseline.

resultsSNP rs2070296 was associated with change in visual acuity after 3 months of treatment. Patients carrying the GA or AA genotypes performed significantly worse than individuals carrying the GG genotype (P=0.01). A cumulative effect of rs2070296 in the NRP1 gene and rs4576072 located in the VEGF receptor 2 (VEGFR2 or KDR) gene, previously associated with treatment response, was observed. Patients carrying two risk alleles performed significantly worse than patients carrying zero or one risk allele (P=0.03), and patients with more than two risk alleles responded even worse to the therapy (P=3×10). The combined effect of these two SNPs on the response was also seen after 6 and 12 months of treatment.

conclusionThis study suggests that genetic variation in NRP1, a key molecule in VEGFA-driven neovascularization, influences treatment response to ranibizumab in nvAMD patients. The results of this study may be used to generate prediction models for treatment response, which in the future may help tailor medical care to individual needs.

Indexed as

AgedAged, 80 and overAngiogenesis InhibitorsFemaleHumansMaleNeuropilin-1Polymorphism, Single NucleotideRanibizumabTreatment OutcomeVascular Endothelial Growth Factor Receptor-2Wet Macular DegenerationAngiogenesis InhibitorsKDR protein, humanNeuropilin-1RanibizumabVascular Endothelial Growth Factor Receptor-2

Identifiers

PMID26426212
PMCPMC4890827
OpenAlexW2427023998

What OpenQuestion holds

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Registered trials

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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.