Evidence map›Paper›PMID 27086920›Full record

ArticleOncotarget2016

Changes in cytochrome P450s-mediated drug clearance in patients with hepatocellular carcinoma in vitro and in vivo: a bottom-up approach.

Jie Gao, Jun Zhou, Xiao-Pei He, Yun-Fei Zhang, Na Gao, Xin Tian, Yan Fang, Qiang Wen, Lin-Jing Jia, Han Jin and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
7.7field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 38 citations in OpenAlex.

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  12. Genetic variants ofCancer management and research · 2018
    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

11 authors at 1 institution in 1 country.

Jie GaoInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Jun ZhouInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Xiao-Pei HeInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Yun-Fei ZhangInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Na GaoInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Xin TianInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Yan FangInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Qiang WenInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Lin-Jing JiaInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Han JinInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Hai-Ling QiaoInstitute of Clinical Pharmacology, Zhengzhou University, Zhengzhou, China.
Zhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) accompanied by severe liver dysfunction is a serious disease, which results in altered hepatic clearance. Generally, maintenance doses depend upon drug clearance, so individual dosage regimens should be customized for HCC patients based on the condition of patients. Based on clearance of CYP isoform-specific substrates at the microsomal level (CLM), microsomal protein per gram of liver (MPPGL), liver weight, hepatic blood flow, hepatic clearance values (CLH) for 10 CYPs in HCC patients (n=102) were extrapolated using a predictive bottom-up pharmacokinetic model. Compared with controls, the CLM values for CYP2C9, 2D6, 2E1 were significantly increased in HCC patients. Additionally, CYP1A2, 2C8, 2C19 CLM values decreased while the values for CYP2A6, 2B6, 3A4/5 were unchanged. The MPPGL values in HCC tissues were significantly reduced. CLH values of HCC patients for CYP1A2, 2A6, 2B6, 2C8, 2C19, and 3A4/5 were significantly reduced, while this for CYP2E1 were markedly increased and those for CYP2C9 and 2D6 did not change. Moreover, disease (fibrosis and cirrhosis) and polymorphisms of the CYP genes have influenced the CLH for some CYPs. Prediction of the effects of HCC on drug clearance may be helpful for the design of clinical studies and the clinical management of drugs in HCC patients.

Indexed as

AlgorithmsCarcinoma, HepatocellularCytochrome P-450 Enzyme SystemGABA ModulatorsHumansIsoenzymesKineticsLiver NeoplasmsMetabolic Clearance RateMicrosomes, LiverMidazolamOmeprazolePharmaceutical PreparationsProton Pump InhibitorsCytochrome P-450 Enzyme SystemGABA ModulatorsIsoenzymesMidazolamOmeprazolePharmaceutical PreparationsProton Pump Inhibitorsbottom-up IVIVE approachcytochrome P450shepatic clearancehepatocellular carcinomamicrosomal protein per gram of liver

Identifiers

PMID27086920
PMCPMC5053749
OpenAlexW2337623329

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.