Evidence map›Paper›PMID 27566955›Full record

ArticleEBioMedicine2016

Systems Pharmacogenomics Finds RUNX1 Is an Aspirin-Responsive Transcription Factor Linked to Cardiovascular Disease and Colon Cancer.

Deepak Voora, A Koneti Rao, Gauthami S Jalagadugula, Rachel Myers, Emily Harris, Thomas L Ortel, Geoffrey S Ginsburg

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 8% 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, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Transcription factor RUNX1 regulates coagulation factor XIII-A (Research and practice in thrombosis and haemostasis · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Influence of Sex on Platelet Reactivity in Response to Aspirin.Journal of the American Heart Association · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Preparation and activity of glycosylated acetylsalicylic acid.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2018
    Article
  15. Article
  16. 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

7 authors at 2 institutions in 1 country.

Deepak VooraDuke Center for Applied Genomics & Precision Medicine, Duke University, Durham, NC, United States; Department of Medicine, Duke University, Durham, NC, United States. Electronic address: deepak.voora@duke.edu.
A Koneti RaoDepartment of Medicine and Sol Sherry Thrombosis Research Center, Temple University School of Medicine, Philadelphia, PA, United States.
Gauthami S JalagadugulaDepartment of Medicine and Sol Sherry Thrombosis Research Center, Temple University School of Medicine, Philadelphia, PA, United States.
Rachel MyersDuke Center for Applied Genomics & Precision Medicine, Duke University, Durham, NC, United States.
Emily HarrisDuke Center for Applied Genomics & Precision Medicine, Duke University, Durham, NC, United States.
Thomas L OrtelDepartment of Medicine, Duke University, Durham, NC, United States.
Geoffrey S GinsburgDuke Center for Applied Genomics & Precision Medicine, Duke University, Durham, NC, United States; Department of Medicine, Duke University, Durham, NC, United States. Electronic address: geoffrey.ginsburg@duke.edu.
Duke University · USTemple University · US

Funding

Development Of Prognostic Platelet RNA Biomarkers To Tailor Antiplatelet TherapyR01HL118049 · NHLBI · DUKE UNIVERSITY · PI VOORA, DEEPAK · 2013 to 2017
$3.9M
Human Platelet Defects in Transcription Factor RUNX1 HaplodeficiencyR01HL109568 · NHLBI · TEMPLE UNIV OF THE COMMONWEALTH · PI RAO, ANGARA KONETI · 2013 to 2022
$3.4M
Phase I Clinical Trial Describing the Pharmacogenomics of AspirinRC1GM091083 · NIGMS · DUKE UNIVERSITY · PI GINSBURG, GEOFFREY S · 2009 to 2010
$1000k
NHLBI NIH HHS R01 HL109568NHLBI NIH HHS R01 HL118049NIGMS NIH HHS RC1 GM091083
6 · The paper itself

Abstract

Aspirin prevents cardiovascular disease and colon cancer; however aspirin's inhibition of platelet COX-1 only partially explains its diverse effects. We previously identified an aspirin response signature (ARS) in blood consisting of 62 co-expressed transcripts that correlated with aspirin's effects on platelets and myocardial infarction (MI). Here we report that 60% of ARS transcripts are regulated by RUNX1 - a hematopoietic transcription factor - and 48% of ARS gene promoters contain a RUNX1 binding site. Megakaryocytic cells exposed to aspirin and its metabolite (salicylic acid, a weak COX-1 inhibitor) showed up regulation in the RUNX1 P1 isoform and MYL9, which is transcriptionally regulated by RUNX1. In human subjects, RUNX1 P1 expression in blood and RUNX1-regulated platelet proteins, including MYL9, were aspirin-responsive and associated with platelet function. In cardiovascular disease patients RUNX1 P1 expression was associated with death or MI. RUNX1 acts as a tumor suppressor gene in gastrointestinal malignancies. We show that RUNX1 P1 expression is associated with colon cancer free survival suggesting a role for RUNX1 in aspirin's protective effect in colon cancer. Our studies reveal an effect of aspirin on RUNX1 and gene expression that may additionally explain aspirin's effects in cardiovascular disease and cancer.

Indexed as

Genetic Predisposition to DiseaseAspirinBlood PlateletsCardiovascular DiseasesCell Line, TumorColonic NeoplasmsCore Binding Factor Alpha 2 SubunitGene Expression ProfilingGene Expression RegulationHumansMegakaryocytesNeoplasm StagingPharmacogeneticsPrognosisAspirinCore Binding Factor Alpha 2 SubunitAspirinCardiovascular diseaseColorectal cancerGene expression profilingRUNX1Systems pharmacogenomics

Identifiers

PMID27566955
PMCPMC5049978
OpenAlexW2511571370

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.