Evidence map›Paper›PMID 38360955›Full record

ArticleThe pharmacogenomics journal2024

Composite CYP3A (CYP3A4 and CYP3A5) phenotypes and influence on tacrolimus dose adjusted concentrations in adult heart transplant recipients.

Michelle Liu, Savine Hernandez, Christina L Aquilante, Kimberly M Deininger, Joann Lindenfeld, Kelly H Schlendorf, Sara L Van Driest

Abstract read
In one paragraph

Article in The pharmacogenomics journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 11 citations in OpenAlex.

  1. Genetic PolymorphismsPharmaceuticals (Basel, Switzerland) · 2026
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  13. Weight,Current pharmaceutical design · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Michelle Liu *Department of Pharmacy, Vanderbilt University Medical Center, Nashville, TN, USA. michelle.liu.1@vumc.org.ORCID 0000-0001-6925-7064
Savine Hernandez *Department of Pharmacy, Vanderbilt University Medical Center, Nashville, TN, USA.
Christina L AquilanteDepartment of Pharmaceutical Sciences, University of Colorado, Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO, USA.
Kimberly M DeiningerDepartment of Pharmaceutical Sciences, University of Colorado, Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO, USA.
Joann LindenfeldDivision of Cardiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Kelly H SchlendorfDivision of Cardiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Sara L Van DriestDivision of General Pediatrics, Department of Pediatrics, and Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · USUniversity of Montana · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Vanderbilt Integrated Center of Excellence in Maternal and Pediatric Precision Therapeutics (VICE-MPRINT)P50HD106446 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PRINCE Joseph KANNANKERIL, Digna R Velez Edwards · 2021 to 2026
$9.7M
Genomic Approaches for Predicting Drug ResponseR01GM132204 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KANNANKERIL, PRINCE JOSEPH · 2019 to 2023
$1.8M
NCATS NIH HHS UL1 TR000445NICHD NIH HHS P50 HD106446NIGMS NIH HHS R01 GM132204
6 · The paper itself

Abstract

CYP3A5 genetic variants are associated with tacrolimus metabolism. Controversy remains on whether CYP3A4 increased [*1B (rs2740574), *1 G (rs2242480)] and decreased function [*22 (rs35599367)] genetic variants provide additional information. This retrospective cohort study aims to address whether tacrolimus dose-adjusted trough concentrations differ between combined CYP3A (CYP3A5 and CYP3A4) phenotype groups. Heart transplanted patients (n = 177, between 2008 and 2020) were included and median age was 54 years old. Significant differences between CYP3A phenotype groups in tacrolimus dose-adjusted trough concentrations were found in the early postoperative period and continued to 6 months post-transplant. In CYP3A5 nonexpressers, carriers of CYP3A4*1B or *1 G variants (Group 3) compared to CYP3A4*1/*1 (Group 2) patients were found to have lower tacrolimus dose-adjusted trough concentrations at 2 months. In addition, significant differences were found among CYP3A phenotype groups in the dose at discharge and time to therapeutic range while time in therapeutic range was not significantly different. A combined CYP3A phenotype interpretation may provide more nuanced genotype-guided TAC dosing in heart transplant recipients.

Indexed as

Heart TransplantationTacrolimusAdultCytochrome P-450 CYP3AGenotypeHumansImmunosuppressive AgentsMiddle AgedPhenotypePolymorphism, Single NucleotideRetrospective StudiesTransplant RecipientsCYP3A4 protein, humanCYP3A5 protein, humanCytochrome P-450 CYP3AImmunosuppressive AgentsTacrolimus

Identifiers

PMID38360955
PMCPMC13261553
OpenAlexW4391844236

What OpenQuestion holds

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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.