Evidence map›Paper›PMID 40301309›Full record

ArticleNature communications2025

Drug-induced cis-regulatory elements in human hepatocytes affect molecular phenotypes associated with adverse reactions.

Saki Gotoh-Saito, Ryoko Wada, Tomoe Nishimura, Hideya Kawaji

Abstract read
In one paragraph

Article in Nature communications, 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. Article
  2. Article
  3. Review
  4. Review
  5. Article
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

4 authors.

Saki Gotoh-SaitoResearch Center for Genome & Medical Sciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Ryoko WadaResearch Center for Genome & Medical Sciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Tomoe NishimuraCenter for Basic Technology Research, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Hideya KawajiResearch Center for Genome & Medical Sciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan. kawaji-hd@igakuken.or.jp.ORCID http://orcid.org/0000-0002-0575-0308

Funding

Japan Agency for Medical Research and Development (AMED) 23kk0305024MEXT | Japan Science and Technology Agency (JST) JPMJND2202
6 · The paper itself

Abstract

Genomic variation drives phenotypic diversity, including individual differences in drug response. While coding polymorphisms linked to drug efficacy and adverse reactions are well characterized, the contribution of noncoding regulatory elements remains underexplored. Using CAGE (Cap Analysis of Gene Expression), profiling transcription initiations of mRNAs and enhancer RNAs, we identify candidate cis-regulatory elements (CREs) and assessed their activities simultaneously in HepG2 cells expressing the drug-responsive transcription factor pregnane X receptor (PXR). Comparison with GWAS data reveals strong enrichment of the drug-induced CREs near variants associated with bilirubin and vitamin D levels. Among those bound by PXR in primary hepatocytes, we identify enhancers of UGT1A1, TSKU, and CYP24A1 and functional alleles that alter regulatory activities. We also find that TSKU influences expression of vitamin D-metabolizing enzymes. This study expands the landscape of PXR-mediated regulatory elements and uncovers noncoding variants impacting drug response, providing insights into the genomic basis of adverse drug reactions.

Indexed as

Drug-Related Side Effects and Adverse ReactionsHepatocytesRegulatory Sequences, Nucleic AcidEnhancer Elements, GeneticGene Expression RegulationGenome-Wide Association StudyGlucuronosyltransferaseHep G2 CellsHumansPhenotypePolymorphism, Single NucleotidePregnane X ReceptorUGT1A1 EnzymeVitamin DVitamin D3 24-HydroxylaseCYP24A1 protein, humanGlucuronosyltransferasePregnane X ReceptorUGT1A1 EnzymeVitamin DVitamin D3 24-Hydroxylase

Identifiers

PMID40301309
PMCPMC12041347

What OpenQuestion holds

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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.