Evidence map›Paper›PMID 30520769›Full record

ArticlePharmacogenetics and genomics2019

CYP2D6 haplotypes with enhancer single-nucleotide polymorphism rs5758550 and rs16947 (*2 allele): implications for CYP2D6 genotyping panels.

Balmiki Ray, Eren Ozcagli, Wolfgang Sadee, Danxin Wang

Open access · greenAbstract read
In one paragraph

Article in Pharmacogenetics and genomics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-weighted citation impact, top 7% 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.

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3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 27 citations in OpenAlex.

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  13. Monitoring Plasmodium vivax resistance to antimalarials: Persisting challenges and future directions.International journal for parasitology. Drugs and drug resistance · 2021
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Balmiki RayAssurex Health, Mason.
Eren OzcagliDepartment of Pharmaceutical Toxicology, Faculty of Pharmacy, Istanbul University, Beyazit-Istanbul, Turkey.
Wolfgang SadeeDepartment of Cancer Biology and Genetics, Center for Pharmacogenomics, College of Medicine, The Ohio State University, Columbus, Ohio.
Danxin WangDepartment of Cancer Biology and Genetics, Center for Pharmacogenomics, College of Medicine, The Ohio State University, Columbus, Ohio.
Istanbul University · TRThe Ohio State University · USUniversity of Florida · US

Funding

Expression Genetics in Drug TherapyU01GM092655 · NIGMS · OHIO STATE UNIVERSITY · PI SADEE, WOLFGANG · 2010 to 2014
$8.6M
Expression Genetics of CYP3A Drug Metabolizing EnzymesR01GM120396 · NIGMS · UNIVERSITY OF FLORIDA · PI WANG, DANXIN · 2017 to 2020
$1.1M
NIGMS NIH HHS R01 GM120396NIGMS NIH HHS U01 GM092655
6 · The paper itself

Abstract

introductionCYP2D6 metabolizes ∼25% of all clinically used drugs, with numerous genetic polymorphisms affecting enzyme activity and drug response. Clinical utility of current CYP2D6 genotyping is partially compromised the unresolved complex haplotype structure of the CYP2D6 locus. We have identified a distal enhancer single-nucleotide polymorphism rs5758550 that robustly increases CYP2D6 expression, whereas rs16947 (CYP2D6*2), previously considered inert, reduces correct mRNA splicing and expression, thereby affecting presumed activity of other alleles on the *2 haplotype.

objectiveThis study aims to determine the structure and frequency of haplotypes containing either rs5758550 or rs16947, or both, together with other relevant CYP2D6 alleles, assigning predictive enzyme activity scores to each, and addressing ambiguities in estimating diplotypes in different populations.

methodsThe structure and frequency of haplotypes containing rs5758550 and/or rs16947 in different populations were determined by using phased genotype data from 'The 1000 Genomes Project'. The assigned haplotype-phenotype relationship was tested by associating assigned CYP2D6 activity score with CYP2D6 enzyme activity in a cohort of 122 human liver microsomes.

resultsAddition of enhancer single-nucleotide polymorphism rs5758550 and *2 to a CYP2D6 panel improves prediction of CYP2D6 activity. Moreover, the haplotype containing rs5758550 and rs16947 predict extensive CYP2D6 activity more accurately than CYP2D6*2A, a surrogate marker for extensive activity.

conclusionWith further studies, the results support possible incorporation of rs5758550 and rs16947 into CYP2D6 biomarker panels for more accurate prediction of CYP2D6 metabolizer status.

Indexed as

Biomarkers, PharmacologicalEnhancer Elements, GeneticAllelesCytochrome P-450 CYP2D6Gene Expression RegulationGenotypeHaplotypesHumansRegulatory Sequences, Nucleic AcidRNA SplicingBiomarkers, PharmacologicalCytochrome P-450 CYP2D6

Identifiers

PMID30520769
PMCPMC6441960
OpenAlexW2903158614

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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.