Evidence map›Paper›PMID 34061827›Full record

ArticlePLoS genetics2021

High-throughput framework for genetic analyses of adverse drug reactions using electronic health records.

Neil S Zheng, Cosby A Stone, Lan Jiang, Christian M Shaffer, V Eric Kerchberger, Cecilia P Chung, QiPing Feng, Nancy J Cox, C Michael Stein, Dan M Roden and 3 more

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Non-IgE-Mediated Immediate Drug-Induced Hypersensitivity Reactions.The journal of allergy and clinical immunology. In practice · 2024
    Article
  7. Article
  8. Review
  9. Review
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

13 authors at 3 institutions in 1 country.

Neil S ZhengDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0001-8737-0773
Cosby A StoneDivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0002-1888-4188
Lan JiangDivision of Rheumatology & Immunology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0002-2583-3661
Christian M ShafferTennessee Valley Healthcare System-Nashville Campus, Nashville, Tennessee, United States of America.
V Eric KerchbergerDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0002-0342-1965
Cecilia P ChungDivision of Rheumatology & Immunology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0001-5908-9423
QiPing FengDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0002-6213-793X
Nancy J CoxVanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0001-9315-0830
C Michael SteinDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Dan M RodenDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0002-6302-0389
Joshua C DennyDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.
Elizabeth J PhillipsDivision of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0002-7623-3383
Wei-Qi WeiDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States of America.ORCID 0000-0003-4985-056X
Vanderbilt University Medical Center · USVanderbilt University · USVA Tennessee Valley Healthcare System · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Understanding and preventing HLA-associated drug reactionsP50GM115305 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2015 to 2019
$13.0M
Vanderbilt/Meharry Initiative for Minority Student DvptR25GM062459 · NIGMS · VANDERBILT UNIVERSITY · PI VELEZ EDWARDS, DIGNA R · 2002 to 2020
$10.4M
Vanderbilt Genome-Electronic Records (VGER) ProjectU01HG011181 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DAN M RODEN, Digna R Velez Edwards · 2020 to 2026
$7.0M
Improving precision health approaches through large-scale EHRs and biobanksZIAHG200417 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI DENNY, JOSHUA · 2022 to 2024
$4.2M
Drug repositioning for Alzheimer's disease via genetics, electronic health records, and human iPSC modelsR01AG069900 · NIA · VANDERBILT UNIVERSITY · PI LI, BINGSHAN, WEI, WEI-QI · 2021 to 2025
$4.0M
Genetic risk and long-term outcomes associated with Drug-induced Stevens-Johnson syndrome and toxic epidermal necrolysis in survivorsR01HG010863 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PHILLIPS, ELIZABETH · 2019 to 2022
$3.1M
Comparative Safety of Pain MedicationsR01AR073764 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CHUNG, CECILIA PILAR · 2019 to 2023
$2.3M
PheMAP: Measured, Automated Profile to Facilitate High Throughput PhenotypingR01GM139891 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WEI, WEI-QI · 2021 to 2024
$1.7M
Pleiotropy of PCSK9 InhibitionR01GM120523 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FENG, QIPING · 2016 to 2020
$1.7M
Pharmacogenetics to improve drug therapyR35GM131770 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STEIN, CHARLES M. · 2019 to 2023
$1.7M
Exploring Statin Pleiotropic Effects within a Very Large EHR Cohort - Diversity SupplementR01HL133786 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WEI, WEI-QI · 2017 to 2020
$1.7M
CSRD VA I01 CX001741NCATS NIH HHS UL1 TR000445NHGRI NIH HHS R01 HG010863NHGRI NIH HHS U01 HG011181NHLBI NIH HHS R01 HL133786NIAMS NIH HHS R01 AR073764NIGMS NIH HHS P50 GM115305NIGMS NIH HHS R01 GM120523NIGMS NIH HHS R01 GM139891NIGMS NIH HHS R25 GM062459NIGMS NIH HHS R35 GM131770
6 · The paper itself

Abstract

Understanding the contribution of genetic variation to drug response can improve the delivery of precision medicine. However, genome-wide association studies (GWAS) for drug response are uncommon and are often hindered by small sample sizes. We present a high-throughput framework to efficiently identify eligible patients for genetic studies of adverse drug reactions (ADRs) using "drug allergy" labels from electronic health records (EHRs). As a proof-of-concept, we conducted GWAS for ADRs to 14 common drug/drug groups with 81,739 individuals from Vanderbilt University Medical Center's BioVU DNA Biobank. We identified 7 genetic loci associated with ADRs at P < 5 × 10-8, including known genetic associations such as CYP2D6 and OPRM1 for CYP2D6-metabolized opioid ADR. Additional expression quantitative trait loci and phenome-wide association analyses added evidence to the observed associations. Our high-throughput framework is both scalable and portable, enabling impactful pharmacogenomic research to improve precision medicine.

Indexed as

Electronic Health RecordsDrug-Related Side Effects and Adverse ReactionsGenome-Wide Association StudyHigh-Throughput Nucleotide SequencingHumansPharmacogeneticsPrecision Medicine

Identifiers

PMID34061827
PMCPMC8195357
OpenAlexW3164352757

What OpenQuestion holds

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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.