Evidence map›Paper›PMID 34158603›Full record

SynthesisThe pharmacogenomics journal2021

New genetic variants associated with major adverse cardiovascular events in patients with acute coronary syndromes and treated with clopidogrel and aspirin.

Xiaomin Liu, Hanshi Xu, Huaiqian Xu, Qingshan Geng, Wai-Ho Mak, Fei Ling, Zheng Su, Fang Yang, Tao Zhang, Jiyan Chen and 8 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in The pharmacogenomics journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-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

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Identification of genetic biomarkers of blood cholesterol levels using whole gene pathogenicity modelling.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. The Physiological and Pathological Role of Acyl-CoA Oxidation.International journal of molecular sciences · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. 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

18 authors at 3 institutions in 1 country.

Xiaomin Liu *BGI-Shenzhen, Shenzhen, 518083, China.ORCID http://orcid.org/0000-0003-2155-3627
Hanshi Xu *BGI-Shenzhen, Shenzhen, 518083, China.
Huaiqian Xu *BGI-tech, BGI-Wuhan, Wuhan, 430075, Hubei, China.
Qingshan Geng *Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Wai-Ho MakBGI-Shenzhen, Shenzhen, 518083, China.
Fei LingSchool of Biology and Biological Engineering, South China University of Technology, Guangzhou, 510006, China.
Zheng SuBGI-Shenzhen, Shenzhen, 518083, China.
Fang YangBGI-Shenzhen, Shenzhen, 518083, China.
Tao ZhangBGI-Shenzhen, Shenzhen, 518083, China.
Jiyan ChenGuangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Huanming YangBGI-Shenzhen, Shenzhen, 518083, China.
Jian WangBGI-Shenzhen, Shenzhen, 518083, China.
Xiuqing ZhangBGI-Shenzhen, Shenzhen, 518083, China.
Xun XuBGI-Shenzhen, Shenzhen, 518083, China.
Huijue JiaBGI-Shenzhen, Shenzhen, 518083, China.
Zhiwei ZhangGuangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Xiao LiuBGI-Shenzhen, Shenzhen, 518083, China. liuxiao@sz.tsinghua.edu.cn.ORCID http://orcid.org/0000-0002-8073-0534
Shilong ZhongGuangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. gdph_zhongsl@gd.gov.cn.ORCID http://orcid.org/0000-0002-2696-7696
BGI Group (China) · CNGuangdong Academy of Medical Sciences · CNSouth China University of Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although a few studies have reported the effects of several polymorphisms on major adverse cardiovascular events (MACE) in patients with acute coronary syndromes (ACS) and those undergoing percutaneous coronary intervention (PCI), these genotypes account for only a small fraction of the variation and evidence is insufficient. This study aims to identify new genetic variants associated with MACE end point during the 18-month follow-up period by a two-stage large-scale sequencing data, including high-depth whole exome sequencing of 168 patients in the discovery cohort and high-depth targeted sequencing of 1793 patients in the replication cohort. We discovered eight new genotypes and their genes associated with MACE in patients with ACS, including MYOM2 (rs17064642), WDR24 (rs11640115), NECAB1 (rs74569896), EFR3A (rs4736529), AGAP3 (rs75750968), ZDHHC3 (rs3749187), ECHS1 (rs140410716), and KRTAP10-4 (rs201441480). Notably, the expressions of MYOM2 and ECHS1 are downregulated in both animal models and patients with phenotypes related to MACE. Importantly, we developed the first superior classifier for predicting 18-month MACE and achieved high predictive performance (AUC ranged between 0.92 and 0.94 for three machine-learning methods). Our findings shed light on the pathogenesis of cardiovascular outcomes and may help the clinician to make a decision on the therapeutic intervention for ACS patients.

Indexed as

Pharmacogenomic TestingPharmacogenomic VariantsAcute Coronary SyndromeAgedAspirinCardiovascular DiseasesClopidogrelDual Anti-Platelet TherapyExome SequencingFemaleHumansMachine LearningMaleMiddle AgedPharmacogeneticsPlatelet Aggregation InhibitorsAspirinClopidogrelPlatelet Aggregation Inhibitors

Identifiers

PMID34158603
PMCPMC8602039
OpenAlexW3173600849

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.