Evidence map›Paper›PMID 40055373›Full record

ArticleNPJ genomic medicine2025

Discovery of ancestry-specific variants associated with clopidogrel response among Caribbean Hispanics.

Guang Yang, Pablo González, Mariangeli Moneró, Kelvin Carrasquillo, Jessicca Y Renta, Dagmar F Hernandez-Suarez, Mariana R Botton, Kyle Melin, Stuart A Scott, Gualberto Ruaño and 5 more

Abstract read
In one paragraph

Article in NPJ genomic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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. Trial
  2. Article
  3. Review
  4. Challenges and prospects ofFrontiers in pharmacology · 2026
    Review
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Guang Yang *Department of Pharmacology, Center for Pharmacogenomics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-2920-6523
Pablo González *Department of Pharmacology, School of Medicine, University of Puerto Rico-Medical Sciences Campus, San Juan, PR, USA.
Mariangeli MoneróDepartment of Pharmacology, School of Medicine, University of Puerto Rico-Medical Sciences Campus, San Juan, PR, USA.
Kelvin CarrasquilloResearch Centers in Minority Institutions (RCMI) Program, Center for Collaborative Research in Health Disparities (CCRHD), Academic Affairs Deanship, University of Puerto Rico-Medical Sciences Campus, San Juan, PR, USA.
Jessicca Y RentaResearch Centers in Minority Institutions (RCMI) Program, Center for Collaborative Research in Health Disparities (CCRHD), Academic Affairs Deanship, University of Puerto Rico-Medical Sciences Campus, San Juan, PR, USA.
Dagmar F Hernandez-SuarezDepartment of Translational Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.
Mariana R BottonTransplant Immunology and Personalized Medicine Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.ORCID http://orcid.org/0000-0002-0509-9199
Kyle MelinDepartment of Pharmacy Practice, School of Pharmacy, University of Puerto Rico-Medical Sciences Campus, San Juan, PR, USA.ORCID http://orcid.org/0000-0002-4698-8021
Stuart A ScottDepartment of Pathology, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0001-5720-1864
Gualberto RuañoInstitute of Living at Hartford Hospital, Hartford, CT, USA.
Abiel Roche-LimaResearch Centers in Minority Institutions (RCMI) Program, Center for Collaborative Research in Health Disparities (CCRHD), Academic Affairs Deanship, University of Puerto Rico-Medical Sciences Campus, San Juan, PR, USA.
Cristina AlarconDepartment of Pharmacology, Center for Pharmacogenomics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Marylyn D RitchieDepartment of Genetics and Institute for Biomedical Informatics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-1208-1720
Minoli A Perera *Department of Pharmacology, Center for Pharmacogenomics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-1146-2791
Jorge Duconge *Research Centers in Minority Institutions (RCMI) Program, Center for Collaborative Research in Health Disparities (CCRHD), Academic Affairs Deanship, University of Puerto Rico-Medical Sciences Campus, San Juan, PR, USA. jorge.duconge@upr.edu.ORCID http://orcid.org/0000-0002-5955-3449

Funding

SCIENCE AND TECHNOLOGY COMPETENCY & EDUCATION CORE (STCE)P20GM103475 · NIGMS · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI Jose R. Rodriguez-Medina · 2012 to 2026
$52.9M
Upstream Regulation and Downstream effectors of c-MYC in Ovarian CancerU54MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI Souhail M Malave-Rivera · 2017 to 2026
$35.8M
RISE Option III: MBRS RISE at the UPR Medical Sciences CampusR25GM061838 · NIGMS · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI CADILLA, CARMEN LYDIA · 2000 to 2021
$25.5M
TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI LUCIANO, CARLOS A., NOBOA, CARIAMARIE · 2012 to 2018
$23.2M
African American Cardiovascular pharmacogenetic CONsorTium (ACCOuNT): discovery and translationU54MD010723 · NIMHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MELTZER, DAVID O, PERERA, MINOLI A · 2016 to 2020
$9.5M
Social, Genomic, and Epigenomic Drivers of Clopidogrel Response in Puerto RicansR01HG013773 · NHGRI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DUCONGE, JORGE, PERERA, MINOLI A · 2024 to 2024
$746k
NHGRI NIH HHS R01 HG013773NIGMS NIH HHS P20 GM103475NIGMS NIH HHS R25 GM061838NIMHD NIH HHS U54 MD007587NIMHD NIH HHS U54 MD007600NIMHD NIH HHS U54 MD010723U.S. Department of Health & Human Services | NIH | National Institute on Minority Health and Health Disparities (NIMHD) 1U54 MD010723U.S. Department of Health & Human Services | NIH | National Institute on Minority Health and Health Disparities (NIMHD) 2U54 MD007600-33
6 · The paper itself

Abstract

High on-treatment platelet reactivity (HTPR) with clopidogrel predicts ischemic events in adults with coronary artery disease, and while HTPR varies by ethnicity, no genome-wide association study (GWAS) of clopidogrel response has been conducted in Caribbean Hispanics. This study aimed to identify genetic predictors of HTPR in a cohort of 511 Puerto Rican cardiovascular patients treated with clopidogrel, stratified by P2Y12 reaction units (PRU) into responders and non-responders (HTPR). Local ancestry inference (LAI) and traditional GWAS identified variants in the CYP2C19 region associated with HTPR, primarily in individuals with European ancestry. Three variants (OSBPL10 rs1376606, DERL3 rs5030613, RGS6 rs9323567) showed suggestive significance, and a variant in UNC5C was linked to increased HTPR risk. These findings highlight the unique genetic landscape of Caribbean Hispanics and challenge the significance of CYP2C19*2 in predicting clopidogrel response in patients with high non-European ancestry. Further studies are needed to replicate these results in other diverse cohorts.

Identifiers

PMID40055373
PMCPMC11889249

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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.