Evidence map›Paper›PMID 35588539›Full record

ArticleMemorias do Instituto Oswaldo Cruz2022

Homozygotes NAT2*5B slow acetylators are highly associated with hepatotoxicity induced by anti-tuberculosis drugs.

Kenia Balbi El-Jaick, Marcelo Ribeiro-Alves, Marcos Vinícius Guimarães Soares, Gabriela Eduardo França de Araujo, Gabriel Rodrigues Coutinho Pereira, Valeria Cavalcanti Rolla, Joelma Freire De Mesquita, Liane De Castro

Open access · diamondAbstract read
In one paragraph

Article in Memorias do Instituto Oswaldo Cruz, 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
1.2field-weighted citation impact, top 23% 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, 7 citations in OpenAlex.

  1. Article
  2. Pharmacogenomic heterogeneity ofAnnals of medicine · 2025
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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

8 authors at 2 institutions in 1 country.

Kenia Balbi El-JaickUniversidade Federal do Estado do Rio de Janeiro, Departamento de Genética e Biologia Molecular, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0003-3316-9323
Marcelo Ribeiro-AlvesFundação Oswaldo Cruz-Fiocruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa Clínica em DST e AIDS, Rio de Janeiro, RJ, Brasil.
Marcos Vinícius Guimarães SoaresUniversidade Federal do Estado do Rio de Janeiro, Instituto Biomédico, Programa de Pós-Graduação em Biologia Molecular e Celular, Rio de Janeiro, RJ, Brasil.
Gabriela Eduardo França de AraujoUniversidade Federal do Estado do Rio de Janeiro, Instituto Biomédico, Programa de Pós-Graduação em Biologia Molecular e Celular, Rio de Janeiro, RJ, Brasil.
Gabriel Rodrigues Coutinho PereiraUniversidade Federal do Estado do Rio de Janeiro, Instituto Biomédico, Programa de Pós-Graduação em Biologia Molecular e Celular, Rio de Janeiro, RJ, Brasil.
Valeria Cavalcanti RollaFundação Oswaldo Cruz-Fiocruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa Clínica em Micobacterioses, Rio de Janeiro, RJ, Brasil.
Joelma Freire De MesquitaUniversidade Federal do Estado do Rio de Janeiro, Departamento de Genética e Biologia Molecular, Rio de Janeiro, RJ, Brasil.
Liane De CastroFundação Oswaldo Cruz-Fiocruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa em Farmacogenética, Rio de Janeiro, RJ, Brasil.
Universidade Federal do Estado do Rio de Janeiro · BRFundação Oswaldo Cruz · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDistinct N-acetyltransferase 2 (NAT2) slow acetylators genotypes have been associated with a higher risk to develop anti-tuberculosis drug-induced hepatotoxicity (DIH). However, studies have not pointed the relevance of different acetylation phenotypes presented by homozygotes and compound heterozygotes slow acetylators on a clinical basis.

objectivesThis study aimed to investigate the association between NAT2 genotypes and the risk of developing DIH in Brazilian patients undergoing tuberculosis treatment, focusing on the discrimination of homozygotes and compound heterozygotes slow acetylators. METHODS/

findingsThe frequency of NAT2 genotypes was analysed by DNA sequencing in 162 patients undergoing tuberculosis therapy. The mutation analyses revealed 15 variants, plus two new NAT2 mutations, that computational simulations predicted to cause structural perturbations in the protein. The multivariate statistical analysis revealed that carriers of NAT2*5/*5 slow acetylator genotype presented a higher risk of developing anti-tuberculosis DIH, on a clinical basis, when compared to the compound heterozygotes presenting NAT2*5 and any other slow acetylator haplotype [aOR 4.97, 95% confidence interval (CI) 1.47-16.82, p = 0.01].

conclusionThese findings suggest that patients with TB diagnosis who present the NAT2*5B/*5B genotype should be properly identified and more carefully monitored until treatment outcome in order to prevent the occurrence of anti-tuberculosis DIH.

Indexed as

Arylamine N-AcetyltransferaseChemical and Drug Induced Liver InjuryTuberculosisAcetyltransferasesAntitubercular AgentsGenotypeHomozygoteHumansAcetyltransferasesAntitubercular AgentsArylamine N-AcetyltransferaseNAT2 protein, human

Identifiers

PMID35588539
PMCPMC9049236
OpenAlexW4285740382

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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.