Evidence map›Paper›PMID 31699831›Full record

ArticlePediatrics2019

CYP2C19 Phenotype and Risk of Proton Pump Inhibitor-Associated Infections.

Christiana J Bernal, Ida Aka, Robert J Carroll, Joseph R Coco, John J Lima, Sari A Acra, Dan M Roden, Sara L Van Driest

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Guideline
  2. Utility of theClinical and translational science · 2022
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  7. Evaluation ofPharmacogenomics and personalized medicine · 2024
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  8. Vonoprazan-associatedTherapeutic advances in drug safety · 2024
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  9. Review
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  14. Review
  15. Review
  16. Article
  17. Observational
  18. The impact of gastrointestinal dysmotility on the aerodigestive microbiome of pediatric lung transplant recipients.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Christiana J BernalDepartments of Pediatrics.
Ida AkaDepartments of Pediatrics.
Robert J CarrollBiomedical Informatics.
Joseph R CocoBiomedical Informatics.
John J LimaCenter for Pharmacogenomics and Translational Research, Nemours Children's Health System, Jacksonville, Florida.
Sari A AcraDepartments of Pediatrics.
Dan M RodenBiomedical Informatics.
Sara L Van DriestDepartments of Pediatrics, sara.van.driest@vanderbilt.edu.
Biomedical Informatics Research Center Antwerp · BENemours Children's Health System · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
CLINICAL PHARMACOLOGY TRAINING PROGRAMT32GM007569 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Bjorn C Knollmann · 1985 to 2026
$12.4M
Automated Storage and Retrieval of Biological SystemsS10RR025141 · NCRR · VANDERBILT UNIVERSITY · PI RODEN, DAN M · 2008 to 2008
$988k
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NCRR NIH HHS S10 RR025141NCRR NIH HHS UL1 RR024975NIDDK NIH HHS P30 DK058404NIGMS NIH HHS T32 GM007569
6 · The paper itself

Abstract

objectivesProton pump inhibitors (PPIs) are often used in pediatrics to treat common gastrointestinal disorders, and there are growing concerns for infectious adverse events. Because CYP2C19 inactivates PPIs, genetic variants that increase CYP2C19 function may decrease PPI exposure and infections. We tested the hypothesis that CYP2C19 metabolizer phenotypes are associated with infection event rates in children exposed to PPIs.

methodsThis retrospective biorepository cohort study included individuals aged 0 to 36 months at the time of PPI exposure. Respiratory tract and gastrointestinal tract infection events were identified by using

resultsIn all, 670 individuals were included (median age 7 months; 44% girls). CYP2C19 NMs (

conclusionsPPI therapy is associated with higher infection rates in children with normal CYP2C19 function than in those with increased CYP2C19 function, highlighting this adverse effect of PPI therapy and the relevance of

Indexed as

PhenotypeCohort StudiesCytochrome P-450 CYP2C19FemaleHumansInfantInfectionsMaleProton Pump InhibitorsRetrospective StudiesRisk FactorsCYP2C19 protein, humanCytochrome P-450 CYP2C19Proton Pump Inhibitors

Identifiers

PMID31699831
PMCPMC6889971
OpenAlexW2986424025

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.