Evidence map›Paper›PMID 27272044›Full record

ArticleThe pharmacogenomics journal2016

High frequency of CYP2D6 ultrarapid metabolizers in Spain: controversy about their misclassification in worldwide population studies.

M E G Naranjo, F de Andrés, A Delgado, J Cobaleda, E M Peñas-Lledó, A LLerena

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Article in The pharmacogenomics journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Influence ofPharmaceuticals (Basel, Switzerland) · 2026
    Article
  2. Pharmacogenomics ofPharmaceutics · 2025
    Article
  3. Article
  4. Pharmaceuticals (Basel, Switzerland) · 2023
    Article
  5. Article
  6. Article
  7. Frontiers in pharmacology · 2021
    Article
  8. Article
  9. Article
  10. Evaluation of CYP2D6 phenotype in the Yoruba Nigerian population.Expert review of clinical pharmacology · 2017
    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

6 authors.

M E G NaranjoCICAB Clinical Research Center, Extremadura University and Medical School, Badajoz, Spain.
F de AndrésCICAB Clinical Research Center, Extremadura University and Medical School, Badajoz, Spain.
A DelgadoCICAB Clinical Research Center, Extremadura University and Medical School, Badajoz, Spain.
J CobaledaCICAB Clinical Research Center, Extremadura University and Medical School, Badajoz, Spain.
E M Peñas-LledóCICAB Clinical Research Center, Extremadura University and Medical School, Badajoz, Spain.
A LLerenaCICAB Clinical Research Center, Extremadura University and Medical School, Badajoz, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A high frequency (7-10%) of CYP2D6 ultrarapid metabolizers estimated from the genotype (gUMs) has been claimed to exist among Spaniards and Southern Europeans. However, methodological aspects such as the inclusion of individuals carrying non-active multiplied alleles as gUMs may have led to an overestimation. Thus, this study aimed to analyze the gUM frequency (considering only those carrying more than two active genes) in 805 Spanish healthy volunteers studied for CYP2D6*2, *3, *4, *5, *6, *10, *17, *35, *41, and multiplications. Second, all worldwide studies reporting gUM frequencies were reviewed in order to evaluate potential misclassifications. The gUM frequency in this Spanish population was 5.34%, but increased to 8.3% if all individuals with CYP2D6 multiplications were classified as gUMs without considering the activity of the multiplied alleles. Moreover, among all reviewed worldwide studies only 55.6% precisely determined whether the multiplied alleles were active. Present results suggest that the evaluation of CYP2D6 ultrarapid metabolism should be standarized, and that the frequency of gUMs should be reconsidered in Spaniards and globally.

Indexed as

Gene FrequencyPharmacogenomic TestingPharmacogenomic VariantsCytochrome P-450 CYP2D6GenotypeHumansKineticsPhenotypePredictive Value of TestsReproducibility of ResultsSpainCytochrome P-450 CYP2D6

Identifiers

PMID27272044

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.