Evidence map›Paper›PMID 35461379›Full record

ArticleThe pharmacogenomics journal2022

Whole-genome sequencing analysis of clozapine-induced myocarditis.

Ankita Narang, Paul Lacaze, Kathlyn J Ronaldson, John J McNeil, Mahesh Jayaram, Naveen Thomas, Rory Sellmer, David N Crockford, Robert Stowe, Steven C Greenway and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in The pharmacogenomics journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Clozapine-induced Myocarditis in Korea: Analysis of a Nationwide Database and Comparison to Other Countries.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
    Article
  3. Article
  4. Review
  5. Rare variants in pharmacogenes influence clozapine metabolism in individuals with schizophrenia.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2024
    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

12 authors at 4 institutions in 2 countries.

Ankita NarangDepartment of Medical Genetics, University of Calgary, Calgary, AB, Canada.
Paul LacazeDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Kathlyn J RonaldsonDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0003-4728-009X
John J McNeilDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-1049-5129
Mahesh JayaramAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, VIC, Australia.ORCID 0000-0002-5352-1075
Naveen ThomasAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, VIC, Australia.
Rory SellmerDepartment of Psychiatry, University of Calgary, Calgary, AB, Canada.
David N CrockfordDepartment of Psychiatry, University of Calgary, Calgary, AB, Canada.
Robert StoweDepartments of Psychiatry and Neurology (Medicine), Neuropsychiatry Program, and Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada.
Steven C GreenwayDepartment of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Christos PantelisAdult Mental Health Rehabilitation Unit, North Western Mental Health, Melbourne Health, Western Health, Sunshine Hospital, St Albans, VIC, Australia.ORCID 0000-0002-9565-0238
Chad A BousmanDepartment of Medical Genetics, University of Calgary, Calgary, AB, Canada. chad.bousman@ucalgary.ca.ORCID 0000-0001-6303-8696
University of Calgary · CAMonash University · AUThe University of Melbourne · AUUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the concerns limiting the use of clozapine in schizophrenia treatment is the risk of rare but potentially fatal myocarditis. Our previous genome-wide association study and human leucocyte antigen analyses identified putative loci associated with clozapine-induced myocarditis. However, the contribution of DNA variation in cytochrome P450 genes, copy number variants and rare deleterious variants have not been investigated. We explored these unexplored classes of DNA variation using whole-genome sequencing data from 25 cases with clozapine-induced myocarditis and 25 demographically-matched clozapine-tolerant control subjects. We identified 15 genes based on rare variant gene-burden analysis (MLLT6, CADPS, TACC2, L3MBTL4, NPY, SLC25A21, PARVB, GPR179, ACAD9, NOL8, C5orf33, FAM127A, AFDN, SLC6A11, PXDN) nominally associated (p < 0.05) with clozapine-induced myocarditis. Of these genes, 13 were expressed in human myocardial tissue. Although independent replication of these findings is required, our study provides preliminary insights into the potential role of rare genetic variants in susceptibility to clozapine-induced myocarditis.

Indexed as

Antipsychotic AgentsClozapineMyocarditisSchizophreniaGenome-Wide Association StudyHumansAntipsychotic AgentsClozapine

Identifiers

PMID35461379
OpenAlexW4226346924

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.