Evidence map›Paper›PMID 35486119›Full record

ArticleEuropean journal of clinical pharmacology2022

A view of response and resistance to atomoxetine treatment in children with ADHD: effects of CYP2C19 polymorphisms and BDNF levels.

Esra Demirci, Elif Funda Sener, Melike Kevser Gul, Muge Gulcihan Onal, Fatma Dal

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Article in European journal of clinical pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

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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

5 authors at 2 institutions in 1 country.

Esra DemirciDepartment of Child and Adolescent Psychiatry, Erciyes University School of Medicine, Kayseri, 38039, Turkey. esra_z_d_r@hotmail.com.ORCID http://orcid.org/0000-0002-8424-4947
Elif Funda SenerGenome and Stem Cell Center (GENKOK)/Erciyes University Faculty of Medicine Department of Medical Biology, Erciyes University, Kayseri, Turkey.
Melike Kevser GulDepartment of Child and Adolescent Psychiatry, Kayseri City Hospital, Kayseri, Turkey.
Muge Gulcihan OnalGenome and Stem Cell Center (GENKOK)/Erciyes University Faculty of Medicine Department of Medical Biology, Erciyes University, Kayseri, Turkey.
Fatma DalGenome and Stem Cell Center (GENKOK)/Erciyes University Faculty of Medicine Department of Medical Biology, Erciyes University, Kayseri, Turkey.
Erciyes University · TRKayseri Eğitim ve Araştırma Hastanesi · TR

Funding

Erciyes Üniversitesi TOA-2018-7800
6 · The paper itself

Abstract

objectiveAlthough several genes have previously been studied about the treatment of Attention Deficit Hyperactivity Disorder (ADHD), the number of studies investigating the effects of genes on atomoxetine (ATX) treatment is very limited. In this study, we aimed to investigate the effect of CYP2C19 polymorphisms, which have a role in ATX biotransformation, on the treatment response and also to assess whether there is a relationship between BDNF and treatment response in children and adolescents with ADHD.

methodsOne hundred children with ADHD and 100 healthy controls (HCs) were included in this study. The treatment response was assessed 2 months after the start of the ATX treatment. DNA samples from peripheral venous blood were replicated using PCR and analyzed using the ILLUMINA next-generation sequencing method. The resulting fastqs were analyzed using Basespace's Variant Interpreter Program. Plasma BDNF levels were evaluated with ELISA kits.

resultsTreatment response was found to be lower in both heterozygous and homozygous carriers of the c.681G > A (CYP2C19*2) polymorphism. When the BDNF level was compared, it was found to be significantly higher in the ADHD group compared to HCs. Also, BDNF has a stronger predictive value for assessing resistance to ATX treatment.

conclusionsTo our knowledge, this is the first study to assess the effects of CYP2C19 polymorphisms and BDNF levels together on ATX treatment in children. Further studies with an extensive population are needed to better understand the effects of CYP2C19 polymorphisms on treatment and side effects, as well as the effects of BDNF levels.

Indexed as

Attention Deficit Disorder with HyperactivityAdolescentAdrenergic Uptake InhibitorsAtomoxetine HydrochlorideBrain-Derived Neurotrophic FactorChildCytochrome P-450 CYP2C19HumansTreatment OutcomeAdrenergic Uptake InhibitorsAtomoxetine HydrochlorideBDNF protein, humanBrain-Derived Neurotrophic FactorCYP2C19 protein, humanCytochrome P-450 CYP2C19ADHDAtomoxetineBDNFChildrenCYP2C19

Identifiers

PMID35486119
OpenAlexW4225123819

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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.