Evidence map›Paper›PMID 30647433›Full record

ArticleMolecular psychiatry2019

A genome-wide association study in individuals of African ancestry reveals the importance of the Duffy-null genotype in the assessment of clozapine-related neutropenia.

Sophie E Legge, Antonio F Pardiñas, Marinka Helthuis, John A Jansen, Karel Jollie, Steven Knapper, James H MacCabe, Dan Rujescu, David A Collier, Michael C O'Donovan and 2 more

Abstract read
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In one paragraph

Article in Molecular psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
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  11. Genetic identification of undiagnosed benign ethnic neutropenia in patients receiving clozapine treatment.The British journal of psychiatry : the journal of mental science · 2025
    Article
  12. Review
  13. Polygenic overlap with granulocyte counts identifies novel loci for clozapine metabolism and clozapine-induced agranulocytosis.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    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

12 authors.

Sophie E Legge *MRC Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, UK.ORCID http://orcid.org/0000-0001-6617-0289
Antonio F Pardiñas *MRC Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, UK.ORCID http://orcid.org/0000-0001-6845-7590
Marinka HelthuisLeyden Delta B.V., Nijmegen, The Netherlands.
John A JansenLeyden Delta B.V., Nijmegen, The Netherlands.
Karel JollieLeyden Delta B.V., Nijmegen, The Netherlands.
Steven KnapperDivision of Cancer and Genetics, School of Medicine, Cardiff University, Cardiff, UK.
James H MacCabeDepartment of Psychosis Studies, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.ORCID http://orcid.org/0000-0002-6754-1018
Dan RujescuDepartment of Psychiatry, Martin Luther University Halle-Wittenberg, Halle, Germany.
David A CollierDiscovery Neuroscience Research, Eli Lilly and Company Ltd, Lilly Research Laboratories, Erl Wood Manor, Surrey, UK.ORCID http://orcid.org/0000-0003-4087-1559
Michael C O'DonovanMRC Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, UK.ORCID http://orcid.org/0000-0001-7073-2379
Michael J OwenMRC Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, UK.ORCID http://orcid.org/0000-0003-4798-0862
James T R WaltersMRC Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, UK. WaltersJT@Cardiff.ac.uk.

Funding

EC | Seventh Framework Programme (EC Seventh Framework Programme) 279227Medical Research Council G0800509Medical Research Council MR/L010305/1Medical Research Council MR/L011794/1RCUK | Medical Research Council (MRC) G0800509RCUK | Medical Research Council (MRC) MR/L011794/1
6 · The paper itself

Abstract

Individuals of African ancestry in the United States and Europe are at increased risk of developing schizophrenia and have poorer clinical outcomes. The antipsychotic clozapine, the only licensed medication for treatment-resistant schizophrenia, is under-prescribed and has high rates of discontinuation in individuals of African ancestry, due in part to increased rates of neutropenia. The genetic basis of lower neutrophil levels in those of African ancestry has not previously been investigated in the context of clozapine treatment. We sought to identify risk alleles in the first genome-wide association study of neutrophil levels during clozapine treatment, in 552 individuals with treatment-resistant schizophrenia and robustly inferred African genetic ancestry. Two genome-wide significant loci were associated with low neutrophil counts during clozapine treatment. The most significantly associated locus was driven by rs2814778 (β = -0.9, P = 4.21 × 10

Indexed as

AllelesAntipsychotic AgentsBlack PeopleClozapineDuffy Blood-Group SystemFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansMaleNeutropeniaNeutrophilsPolymorphism, Single NucleotideReceptors, Cell SurfaceRisk FactorsSchizophreniaACKR1 protein, humanAntipsychotic AgentsClozapineDuffy Blood-Group SystemReceptors, Cell Surface

Identifiers

What OpenQuestion holds

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Read underepoch 390

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.