Evidence map›Paper›PMID 26830411›Full record

ArticleInternational journal of clinical pharmacy2016

Influence of CYP2B6 and CYP2C19 polymorphisms on sertraline metabolism in major depression patients.

Nazan Yuce-Artun, Bora Baskak, Erguvan Tugba Ozel-Kizil, Hatice Ozdemir, Zuhal Uckun, Halise Devrimci-Ozguven, Halit Sinan Suzen

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In one paragraph

Article in International journal of clinical pharmacy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.5field-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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Pharmaceuticals (Basel, Switzerland) · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. PharmGKB summary: sertraline pathway, pharmacokinetics.Pharmacogenetics and genomics · 2020
    Article
  20. Gene-Based Dose Optimization in Children.Annual review of pharmacology and toxicology · 2020
    Review
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

7 authors at 3 institutions in 1 country.

Nazan Yuce-ArtunBiotechnology Institute, Ankara University, Ankara, Turkey.
Bora BaskakSchool of Medicine, Psychiatry Department, Ankara University, Dikimevi, Ankara, Turkey.
Erguvan Tugba Ozel-KizilSchool of Medicine, Psychiatry Department, Ankara University, Dikimevi, Ankara, Turkey.
Hatice OzdemirSchool of Medicine, Psychiatry Department, Kirikkale University, Kirikkale, Turkey.
Zuhal UckunFaculty of Pharmacy, Department of Toxicology, Mersin University, Mersin, Turkey.
Halise Devrimci-OzguvenFaculty of Pharmacy, Department of Toxicology, Ankara University, Tandogan, Ankara, Turkey.
Halit Sinan SuzenFaculty of Pharmacy, Department of Toxicology, Ankara University, Tandogan, Ankara, Turkey. suzen@pharmacy.ankara.edu.tr.
Ankara University · TRKırıkkale University · TRMersin Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGenetic polymorphisms in CYP2B6 and CYP2C19 may cause variability in the metabolism of sertraline, a widely used antidepressant in major depressive disorder treatment.

objectiveThis study investigates the impact of CYP2B6*4 (785A > G), CYP2B6*9 (516G > T), CYP2B6*6 (516G > T + 685G > A) CYP2C19*2 (685G > A), CYP2C19*17 (-3402C > T) polymorphisms on plasma concentrations of sertraline and N-desmethyl sertraline in major depression patients treated with sertraline [n = 50].

settingParticipants were patients who admitted to an adult psychiatry outpatient unit at a university hospital. These were DSM-IV major depression diagnosed patients with a stable sertraline medication regimen [for at least one month].

methodsCYP2B6*4 (rs 2279343; 785A > G), CYP2B6*9 (516G > T; rs 3745274), CYP2B6*6 (516G > T + 685G > A) CYP2C19*2 (rs 4244285; 685G > A), CYP2C19*17 (rs 11188072; -3402C > T), polymorphisms were analyzed by polymerase chain reaction and restriction fragment length polymorphism. Plasma concentrations were measured by high-performance liquid chromatography in patients treated with SERT.

main outcome measureThe distribution of CYP2B6*4, *6, *9 and CYP2C19*2, *17 among patient group and the association between genotype and sertraline metabolism.

resultsSertraline, N-desmethyl sertraline, N-desmethyl sertraline/sertraline and dose-adjusted plasma concentrations were statistically compared between individuals with wild-type and variant alleles both for CYP2B6 and CYP2C19 enzymes. The mean N-desmethyl sertraline/sertraline value, was significantly lower in all subgroups with *6 and *9 variant alleles (p < 0.05). Sertraline/C values were significantly higher (p < 0.05) and N-desmethyl sertraline/C values were lower in all subgroups with *6 and *9 variant alleles compared to wild-type subgroup.

conclusionCYP2B6*6 and *9 variant alleles had a significant decreasing effect on sertraline metabolism in major depression patients which might result as variations in sertraline therapy.

Indexed as

AdolescentAdultAntidepressive AgentsCytochrome P-450 CYP2B6Cytochrome P-450 CYP2C19FemaleHumansMajor Depressive DisorderMaleMiddle AgedPharmacogenomic VariantsPolymorphism, Single NucleotideSertralineYoung AdultAntidepressive AgentsCYP2B6 protein, humanCYP2C19 protein, humanCytochrome P-450 CYP2B6Cytochrome P-450 CYP2C19SertralineCYP2B6CYP2C19Cytochrome P450PharmacogeneticsSertraline

Identifiers

PMID26830411
OpenAlexW2460689009

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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.