Evidence map›Paper›PMID 41293777›Full record

ReviewERJ open research2025

Drugs and toxins associated with pulmonary arterial hypertension: from established culprits to novel threats.

Julien Grynblat, Alex Hlavaty, Laurent Savale, Jason Weatherald, Antoine Le Bozec, Benoit Aguado, Marie-Camille Chaumais, Marc Humbert, Charles Khouri, David Montani

Abstract readReview
In one paragraph

Review in ERJ open research, 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. Review
  2. Review
  3. 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

10 authors.

Julien GrynblatINSERM UMR_S 999 "Pulmonary hypertension: pathophysiology and novel therapies", HPPIT, Marie Lannelongue Hospital and Bicêtre Hospital, Le Kremlin-Bicêtre, France.ORCID https://orcid.org/0000-0001-5593-3383
Alex HlavatyUniv. Grenoble Alpes, HP2 Laboratory, INSERM U 1300, Grenoble, France.
Laurent SavaleINSERM UMR_S 999 "Pulmonary hypertension: pathophysiology and novel therapies", HPPIT, Marie Lannelongue Hospital and Bicêtre Hospital, Le Kremlin-Bicêtre, France.ORCID https://orcid.org/0000-0002-6862-8975
Jason WeatheraldDepartment of Medicine, Division of Pulmonary Medicine, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0002-0615-4575
Antoine Le BozecINSERM UMR_S 999 "Pulmonary hypertension: pathophysiology and novel therapies", HPPIT, Marie Lannelongue Hospital and Bicêtre Hospital, Le Kremlin-Bicêtre, France.ORCID https://orcid.org/0000-0002-0789-5180
Benoit AguadoINSERM UMR_S 999 "Pulmonary hypertension: pathophysiology and novel therapies", HPPIT, Marie Lannelongue Hospital and Bicêtre Hospital, Le Kremlin-Bicêtre, France.ORCID https://orcid.org/0009-0005-6895-194X
Marie-Camille ChaumaisINSERM UMR_S 999 "Pulmonary hypertension: pathophysiology and novel therapies", HPPIT, Marie Lannelongue Hospital and Bicêtre Hospital, Le Kremlin-Bicêtre, France.ORCID https://orcid.org/0000-0002-1217-8442
Marc HumbertINSERM UMR_S 999 "Pulmonary hypertension: pathophysiology and novel therapies", HPPIT, Marie Lannelongue Hospital and Bicêtre Hospital, Le Kremlin-Bicêtre, France.ORCID https://orcid.org/0000-0003-0703-2892
Charles KhouriUniv. Grenoble Alpes, HP2 Laboratory, INSERM U 1300, Grenoble, France.ORCID https://orcid.org/0000-0002-8427-8573
David MontaniINSERM UMR_S 999 "Pulmonary hypertension: pathophysiology and novel therapies", HPPIT, Marie Lannelongue Hospital and Bicêtre Hospital, Le Kremlin-Bicêtre, France.ORCID https://orcid.org/0000-0002-9358-6922

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary arterial hypertension (PAH) is a rare form of precapillary pulmonary hypertension. PAH may be idiopathic, heritable, associated with features of pulmonary veno-occlusive disease and/or pulmonary capillary haemangiomatosis, or linked to drug and toxin exposure. Since the first identification of PAH cases associated with drugs and toxins >50 years ago, the number of suspected agents has significantly increased. Following the 6th World Symposium on Pulmonary Hypertension (2018), drugs and toxins have been categorised based on their strength of association with PAH, with nine agents currently classified as definitely associated and 16 as possibly associated. At the 7th World Symposium on Pulmonary Hypertension (2024), carfilzomib and mitomycin C were added as definitely associated with PAH, while bevacizumab and bortezomib were considered as possibly associated with PAH. In cases of suspected PAH following drug or toxin exposure, specific measures are required, including pharmacovigilance reporting, echocardiography, right heart catheterisation to confirm the diagnosis and potential initiation of targeted treatment. Here, we review the latest updates on PAH associated with drugs and toxins.

Identifiers

PMID41293777
PMCPMC12643032

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.