Evidence map›Paper›PMID 40585417›Full record

ArticleADMET & DMPK2025

Metabolic insights into the warfarin-mango interaction: A pilot study integrating clinical observations and metabolomics.

Piyapat Rattanasuwan, Prem Lertpongpipat, Natthapat Hiranchatchawal, Konwalin Wannaphueak, Sakonwan Pounghom, Parinya Thongkhao-On, Matchuda Suwanthai, Duangthip Sompradee, Auiporn Saithongdee, Churdsak Jaikang and 1 more

Abstract read
In one paragraph

Article in ADMET & DMPK, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

11 authors.

Piyapat RattanasuwanFaculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Prem LertpongpipatFaculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Natthapat HiranchatchawalFaculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Konwalin WannaphueakFaculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Sakonwan PounghomHua Hin Hospital, Prachuap Khiri Khan 77110, Thailand.
Parinya Thongkhao-OnHua Hin Hospital, Prachuap Khiri Khan 77110, Thailand.
Matchuda SuwanthaiHua Hin Hospital, Prachuap Khiri Khan 77110, Thailand.
Duangthip SompradeeHua Hin Hospital, Prachuap Khiri Khan 77110, Thailand.
Auiporn SaithongdeeHua Hin Hospital, Prachuap Khiri Khan 77110, Thailand.
Churdsak JaikangDepartment of Forensic Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
Preechaya TajaiDepartment of Forensic Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: Warfarin is a widely prescribed oral anticoagulant for the prevention and treatment of thromboembolic events, frequently used in patients with atrial fibrillation. However, its effectiveness is often challenged by a narrow therapeutic range and significant inter-patient variability in dosage requirements and treatment responses. Drug interactions remain a critical concern, as they heighten the risk of supratherapeutic anticoagulation. Reports of interactions between warfarin and mango have documented cases of elevated international normalized ratio (INR) following mango consumption, although the underlying molecular mechanisms remain unclear. Experimental approach: This study investigates the molecular basis of the warfarin-mango interaction using proton nuclear magnetic resonance ( Key results and conclusion: This is the first study to utilize

Indexed as

1H-NMR-based metabolomicsBiomarkerdrug interactionmetabolitespersonalized anticoagulant

Identifiers

PMID40585417
PMCPMC12205924

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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.