Evidence map›Paper›PMID 37963685›Full record

SynthesisOpen heart2023

Role of genetic polymorphisms in clopidogrel response variability: a systematic review.

Jose Lopez, Justin Mark, Gustavo J Duarte, Mohammed Shaban, Franklin Sosa, Rishabh Mishra, Swati Jain, An Tran, Asma Khizar, Daniel Karpel and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Open heart, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 5% 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, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. P2YBiomedicines · 2025
    Article
  9. Article
  10. Beyond CYP2C19: inflammation and angiogenesis gene variants drive clopidogrel resistance in CAD patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. 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

12 authors at 5 institutions in 1 country.

Jose LopezDivision of Cardiovascular Disease, University of Miami Miller School of Medicine, Lantana, Florida, USA jll296@med.miami.edu.ORCID 0000-0001-8318-2249
Justin MarkDepartment of Internal Medicine, University of Miami Miller School of Medicine, Fort Lauderdale, Florida, USA.ORCID 0000-0003-1578-5595
Gustavo J DuarteDivision of Cardiology, Cleveland Clinic Florida, Weston, Florida, USA.
Mohammed ShabanDepartment of Internal Medicine, BronxCare Health System, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Franklin SosaDepartment of Internal Medicine, BronxCare Health System, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Rishabh MishraDepartment of Internal Medicine, Montefiore Health System, Albert Einstein College of Medicine, Bronx, New York, USA.
Swati JainDepartment of Internal Medicine, Montefiore Health System, Albert Einstein College of Medicine, Bronx, New York, USA.
An TranDepartment of Internal Medicine, Montefiore Health System, Albert Einstein College of Medicine, Bronx, New York, USA.
Asma KhizarDepartment of Internal Medicine, Montefiore Health System, Albert Einstein College of Medicine, Bronx, New York, USA.
Daniel KarpelDepartment of Internal Medicine, HCA Florida Aventura Hospital and Medical Center, Aventura, Florida, USA.
Giancarlo AcostaDivision of Cardiology, Georgia Heart Institute, Gainesville, Florida, USA.
Miguel Rodriguez-GuerraDepartment of Internal Medicine, Montefiore Health System, Albert Einstein College of Medicine, Bronx, New York, USA.
Albert Einstein College of Medicine · USMount Sinai Health System · USUniversity of Miami · USAventura Hospital and Medical Center · USCleveland Clinic Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClopidogrel is a P2Y AREAS COVERED: As a prodrug, the metabolism and efficacy of clopidogrel are contingent on the presence of wild-type CYP450 (CYP2C19) alleles. Genetic polymorphisms and variants are well known to impair its ability to prevent major adverse cardiovascular events in these patients, with inadequate response rates as high as 30% in previous publications. Patterns of allelic frequencies are expected to exhibit similarities between individuals of the same ancestry, ethnic group or geographic region. Accordingly, we seek to further elucidate worldwide prevalence rates for genetic polymorphisms in the CYP2C19-dependent metabolism of clopidogrel and review the potential of personalised CYP2C19 genotyping in clinical practice to mitigate this high treatment resistance and its associated burden on patients. EXPERTS' COMMENTARY: Our findings support the consideration of genotyping before initiation of therapy to guide adequate dosage or substitutions of other P2Y

Indexed as

Drug-Eluting StentsPlatelet Aggregation InhibitorsClopidogrelCytochrome P-450 CYP2C19HumansPolymorphism, GeneticClopidogrelCytochrome P-450 CYP2C19Platelet Aggregation InhibitorsAcute Coronary SyndromeAtherosclerosisChest PainDrug InteractionsMyocardial Infarction

Identifiers

PMID37963685
PMCPMC10649851
OpenAlexW4388673914

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.