Evidence map›Paper›PMID 30712247›Full record

ArticleMolecular biology reports2019

Interpretation of the effect of CYP2C9, VKORC1 and CYP4F2 variants on warfarin dosing adjustment in Turkey.

Ahmet Kocael, Allison Pınar Eronat, Mete Bora Tüzüner, Ahmet Ekmekçi, Ahmet Lütfullah Orhan, İbrahim İkizceli, Hülya Yılmaz-Aydoğan, Oğuz Öztürk

Abstract read
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Article in Molecular biology reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 16% 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, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Functionally Significant Coumarin-Related Variant Alleles and Time to Therapeutic Range in Chilean Cardiovascular Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

8 authors at 4 institutions in 2 countries.

Ahmet KocaelDepartment of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-6991-6920
Allison Pınar EronatDepartment of Molecular Medicine, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-8095-1759
Mete Bora TüzünerResearch and Development Center, Acibadem Labmed Clinical Laboratories, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-8924-4850
Ahmet EkmekçiClinic of Cardiology, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Center Training and Research Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-5424-149X
Ahmet Lütfullah OrhanClinic of Cardiology, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Center Training and Research Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-1994-4661
İbrahim İkizceliDepartment of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-9825-4716
Hülya Yılmaz-AydoğanDepartment of Molecular Medicine, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-8837-6664
Oğuz ÖztürkDepartment of Molecular Medicine, Aziz Sancar Institute of Experimental Medicine, Istanbul University, Istanbul, Turkey. oguzozturk@istanbul.edu.tr.ORCID http://orcid.org/0000-0002-2439-9269
Istanbul University · TRDr. Siyami Ersek Göğüs Kalp Ve Damar Cerrahisi Eğitim Ve Araştırma Hastanesi · TRAcıbadem Adana Hospital · TRIstanbul Kültür University · TR

Funding

Bilimsel Araştirma Projeleri Birimi, Istanbul Üniversitesi 28968
6 · The paper itself

Abstract

It was aimed to underline the importance and explain the meaning of genetic testing in warfarin dosing and investigate and evaluate the contributions of the CYP2C9, VKORC1, and CYP4F2 variants in a Turkish population. Two hundred patients were genotyped for CYP2C9 (rs1799853, rs1057910 and rs56165452), VKORC1 (rs9934438, rs8050894, rs9923231, rs7294 and rs2359612) and CYP4F2 (rs2108622), yet, only 127 patients were found suitable for further evaluation in terms of their personal response to warfarin due to long term usage and available INR and dose usage information. The DNA sequences were determined by the ABI PRISM 3100 Genetic Analyzer to 3130xl System (Applied Biosystems, Foster City, California). Warfarin dose application suggestions by warfaringdosing.org, FDA and MayoClinic were followed. Dose requirements in the Turkish population were found higher than the suggested doses by warfarindosing.org. The multivariate logistic regression analysis reveals the utilization of VCORC1 genetic evaluation is valuable in warfarin dosing (low and moderate vs. high) in this study (p < 0.001). The present study provides findings for clinicians to adapt the genetic data to the daily practice. We observed that the VKORC1 variant showed a more potent impact in warfarin dosing in this study.

Indexed as

AdultAgedBiomarkers, PharmacologicalCytochrome P-450 CYP2C9Cytochrome P450 Family 4Dose-Response Relationship, DrugFemaleGene FrequencyGenetic VariationGenotypeHumansMaleMiddle AgedPharmacogeneticsPolymorphism, Single NucleotideTurkeyBiomarkers, PharmacologicalCYP2C9 protein, humanCYP4F2 protein, humanCytochrome P-450 CYP2C9Cytochrome P450 Family 4Vitamin K Epoxide ReductasesVKORC1 protein, humanWarfarinDrug sensitivityPharmacogeneticsWarfarin dosing

Identifiers

PMID30712247
OpenAlexW2913762854

What OpenQuestion holds

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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.