Evidence map›Paper›PMID 33491253›Full record

ArticleBritish journal of clinical pharmacology2021

Haplotype structure defines effects of common DPYD variants c.85T > C (rs1801265) and c.496A > G (rs2297595) on dihydropyrimidine dehydrogenase activity: Implication for 5-fluorouracil toxicity.

Seid Hamzic, Dominic Schärer, Steven M Offer, Didier Meulendijks, Christos Nakas, Robert B Diasio, Stefano Fontana, Marc Wehrli, Stefan Schürch, Ursula Amstutz and 1 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.5field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Review
  6. Article
  7. International journal of molecular sciences · 2024
    Article
  8. Article
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  10. GermlineeLife · 2024
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  12. GermlinebioRxiv : the preprint server for biology · 2024
    Article
  13. Clinical Implementation of Rare and NovelInternational journal of biological sciences · 2024
    Review
  14. Article
  15. Review
  16. Genetic Variations of theJournal of personalized medicine · 2022
    Article
  17. Journal of personalized medicine · 2021
    Article
  18. 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

11 authors at 4 institutions in 4 countries.

Seid HamzicInstitute of Clinical Chemistry, Inselspital, Bern University Hospital, University of Bern, INO-F, Bern, Switzerland.ORCID 0000-0002-3316-0022
Dominic SchärerInstitute of Clinical Chemistry, Inselspital, Bern University Hospital, University of Bern, INO-F, Bern, Switzerland.
Steven M OfferDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
Didier MeulendijksDepartment of Clinical Pharmacology, Division of Medical Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Christos NakasInstitute of Clinical Chemistry, Inselspital, Bern University Hospital, University of Bern, INO-F, Bern, Switzerland.ORCID 0000-0003-4155-722X
Robert B DiasioDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-9648-9570
Stefano FontanaRegional Blood Transfusion Service of the Swiss RedCross, Bern, Switzerland.
Marc WehrliDepartment of Medical Oncology, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland.
Stefan SchürchDepartment of Chemistry and Biochemistry, University of Bern, Bern, Switzerland.
Ursula AmstutzInstitute of Clinical Chemistry, Inselspital, Bern University Hospital, University of Bern, INO-F, Bern, Switzerland.
Carlo R LargiadèrInstitute of Clinical Chemistry, Inselspital, Bern University Hospital, University of Bern, INO-F, Bern, Switzerland.ORCID 0000-0002-0889-8922
University of Bern · CHMayo Clinic · USSwiss Red Cross · CHThe Netherlands Cancer Institute · NL

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Keith L. Knutson · 1985 to 2026
$151.3M
NCI NIH HHS P30 CA015083
6 · The paper itself

Abstract

aimsThe aim of this study was to identify risk variants and haplotypes that impair dihydropyrimidine dehydrogenase (DPD) activity and are, therefore, candidate risk variants for severe toxicity to 5-fluorouracil (5-FU) chemotherapy.

methodsPlasma dihydrouracil/uracil (UH

resultsSignificantly lower UH

conclusionsBased on our data, DPYD-c.496A > G is a strong candidate risk allele for 5-FU toxicity. Our data suggest that DPYD-c.85T > C might be protective; however, the deleterious impacts of the linked alleles c.496A > G and c.1129-5923C > G likely limit this effect in patients. The possible protective effect of c.85T > C and linkage disequilibrium with c.496A > G and c.1129-5923C > G may have hampered prior association studies and should be considered in future clinical studies.

Indexed as

Dihydrouracil Dehydrogenase (NADP)Drug-Related Side Effects and Adverse ReactionsFluorouracilGenotypeHaplotypesHumansDihydrouracil Dehydrogenase (NADP)Fluorouracil5-fluorouracilchemotherapydihydropyrimidine dehydrogenaseDPYDhaplotypepharmacogeneticsuracil

Identifiers

PMID33491253
PMCPMC8359980
OpenAlexW3123367317

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.