Evidence map›Paper›PMID 28624888›Full record

Observational studyEuropean journal of clinical pharmacology2017

Steady-state pharmacokinetics of mycophenolic acid in renal transplant patients: exploratory analysis of the effects of cyclosporine, recipients' and donors' ABCC2 gene variants, and their interactions.

N Božina, Z Lalić, S Nađ-Škegro, A Borić-Bilušić, T Božina, Ž Kaštelan, V Trkulja

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Racial Disparity in Drug Disposition in the Digestive Tract.International journal of molecular sciences · 2021
    Review
  6. Article
  7. 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.

N BožinaDivision of Pharmacogenomics and Therapy Individualization, Department of Laboratory Diagnostics, University Hospital Center Zagreb, Kišpatićeva 12, 10000, Zagreb, Croatia. nbozina@kbc-zagreb.hr.
Z LalićDepartment of Laboratory Diagnostics, Analytical Toxicology and Pharmacology Division, University Hospital Center Zagreb, Zagreb, Croatia.
S Nađ-ŠkegroDepartment of Urology, University Hospital Center Zagreb, Zagreb, Croatia.
A Borić-BilušićAgency for Medicinal Products and Medical Devices of Croatia, Zagreb, Croatia.
T BožinaDepartment of Medical Chemistry, Biochemistry and Clinical Chemistry, Zagreb University School of Medicine, Zagreb, Croatia.
Ž KaštelanDepartment of Urology, University Hospital Center Zagreb, Zagreb University School of Medicine, Zagreb, Croatia.
V TrkuljaDepartment of Pharmacology, Zagreb University School of Medicine, Zagreb, Croatia.
University Hospital Centre Zagreb · HRUniversity of Zagreb · HRAgency for Medicinal Products and Medical Devices of Croatia · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aims to evaluate the impact of recipients' and donors' polymorphisms in multidrug resistance-associated protein 2 (MRP2) gene ABCC2 -24C>T and 1249G>A on disposition of mycophenolic acid (MPA) and their interaction with cyclosporine (CsA) (compared to tacrolimus, TAC) in stable de novo adult renal transplant patients of Croatian origin.

methodsA total of 68 recipient-donor pairs were genotyped. Steady-state pharmacokinetics of MPA was assessed by the model-independent method.

resultsAdjusted for MPA formulation, renal function, type of calcineurin inhibitor and recipients' and donors' genotypes at the two loci, donors' A-allele at 1249G>A was associated with a reduced peak (29%) and early (AUC

conclusionConsidering MPA disposition, data indicate: donors' ABCC2 1249G>A polymorphism increases clearance and reduces exposure; CsA increases clearance and reduces exposure by inhibiting MRP2 in the gut, the liver, and the kidney; donors' ABCC2 1249G>A polymorphism enhances the renal CsA effect, while recipients' polymorphism seems to enhance the liver and the gut CsA effects.

Indexed as

AdolescentAdultAgedATP-Binding Cassette, Sub-Family C ProteinsCalcineurin InhibitorsCyclosporineDrug InteractionsFemaleGenotypeHumansImmunosuppressive AgentsKidney TransplantationMaleMiddle AgedMultidrug Resistance-Associated Protein 2Mycophenolic AcidABCC2 protein, humanATP-Binding Cassette, Sub-Family C ProteinsCalcineurin InhibitorsCyclosporineImmunosuppressive AgentsMultidrug Resistance-Associated Protein 2Mycophenolic AcidTacrolimusABCC2 proteinCyclosporineImmunosuppressionMycophenolic acidRenal transplantationTacrolimus

Identifiers

PMID28624888
OpenAlexW2624724023

What OpenQuestion holds

Textmetadata
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.