Evidence map›Paper›PMID 27981573›Full record

ArticleClinical pharmacology and therapeutics2017

Genomewide Association Study Identifies Novel Genetic Loci That Modify Antiplatelet Effects and Pharmacokinetics of Clopidogrel.

W-P Zhong, H Wu, J-Y Chen, X-X Li, H-M Lin, B Zhang, Z-W Zhang, D-L Ma, S Sun, H-P Li and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical pharmacology and therapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.6field-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

22 citing papers in PubMed, 33 citations in OpenAlex.

  1. Recent research progress on the mechanisms of clopidogrel resistance.European journal of clinical pharmacology · 2026
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  8. Research and practice in thrombosis and haemostasis · 2023
    Article
  9. Review
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  12. The aquaporin gene PvXIP1;2 conferring drought resistance identified by GWAS at seedling stage in common bean.TAG. Theoretical and applied genetics. Theoretische und angewandte Genetik · 2022
    Article
  13. Evaluation of race and ethnicity disparities in outcome studies ofFrontiers in cardiovascular medicine · 2022
    Review
  14. Article
  15. Influence ofJournal of the American Heart Association · 2021
    Article
  16. Article
  17. The Impact of Kinase Insert Domain (KDR) Gene Polymorphism rs2305948 on Clopidogrel Resistance in Iraqi Patients Undergoing Elective Percutaneous Coronary Intervention (PCI).Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2020
    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

18 authors at 7 institutions in 1 country.

W-P ZhongGuangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangzhou, China.
H WuSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
J-Y ChenGuangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangzhou, China.
X-X LiMedical Research Center of Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
H-M LinSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
B ZhangGuangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangzhou, China.
Z-W ZhangMedical Research Center of Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
D-L MaGuangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangzhou, China.
S SunGuangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangzhou, China.
H-P LiGuangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangzhou, China.
L-P MaiMedical Research Center of Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
G-D HeMedical Research Center of Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
X-P WangMedical Research Center of Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
H-P LeiGuangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangzhou, China.
H-K ZhouGuangzhou Seq-Health Medical Technology Co., Ltd, Guangzhou, China.
L TangDepartment of Pharmaceutics, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China.
S-W LiuDepartment of Pharmaceutics, School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China.
S-L ZhongGuangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangzhou, China.
Guangdong Academy of Medical Sciences · CNGuangdong General Hospital · CNGuangdong Provincial Center for Disease Control and Prevention · CNSouthern Medical University · CNGuangzhou Electronic Technology (China) · CNSun Yat-sen Memorial Hospital · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genetic variants in the pharmacokinetic (PK) mechanism are the main underlying factors affecting the antiplatelet response to clopidogrel. Using a genomewide association study (GWAS) to identify new genetic loci that modify antiplatelet effects in Chinese patients with coronary heart disease, we identified novel variants in two transporter genes (SLC14A2 rs12456693, ATP-binding cassette [ABC]A1 rs2487032) and in N6AMT1 (rs2254638) associated with P2Y12 reaction unit (PRU) and plasma active metabolite (H4) concentration. These new variants dramatically improved the predictability of PRU variability to 37.7%. The associations between these loci and PK parameters of clopidogrel and H4 were observed in additional patients, and its function on the activation of clopidogrel was validated in liver S9 fractions (P < 0.05). Rs2254638 was further identified to exert a marginal risk effect for major adverse cardiac events in an independent cohort. In conclusion, new genetic variants were systematically identified as risk factors for the reduced efficacy of clopidogrel treatment.

Indexed as

Genetic LociPharmacogenomic VariantsPolymorphism, Single NucleotideAgedATP Binding Cassette Transporter 1BiotransformationChinaClopidogrelCoronary DiseaseFemaleGenome-Wide Association StudyHumansMaleMicrosomes, LiverMiddle AgedModels, BiologicalABCA1 protein, humanATP Binding Cassette Transporter 1ClopidogrelN6AMT1 protein, humanP2RY12 protein, humanPlatelet Aggregation InhibitorsPurinergic P2Y Receptor AntagonistsReceptors, Purinergic P2Y12Site-Specific DNA-Methyltransferase (Adenine-Specific)Ticlopidine

Identifiers

PMID27981573
PMCPMC5485718
OpenAlexW2567280222

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.