Evidence map›Paper›PMID 21889769›Full record

Trial reportAtherosclerosis2011

Variants in the APOA5 gene region and the response to combination therapy with statins and fenofibric acid in a randomized clinical trial of individuals with mixed dyslipidemia.

Ariel Brautbar, Daniel Covarrubias, John Belmont, Fremiet Lara-Garduno, Salim S Virani, Peter H Jones, Suzanne M Leal, Christie M Ballantyne

Open access · greenAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Atherosclerosis, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Review
  7. Article
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  11. Polymorphism rs10105606 ofJournal of inflammation research · 2021
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  15. Influence ofFrontiers in pharmacology · 2018
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  19. Association study of BUD13-ZNF259 gene rs964184 polymorphism and hemorrhagic stroke risk.International journal of clinical and experimental medicine · 2015
    Article
  20. 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

8 authors at 2 institutions in 1 country.

Ariel BrautbarSection of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA. brautbar@bcm.edu
Daniel Covarrubias
John Belmont
Fremiet Lara-Garduno
Salim S Virani
Peter H Jones
Suzanne M Leal
Christie M Ballantyne
Baylor College of Medicine · USHouston Methodist · US

Funding

Effect of lipid modification on peripheral arterial disease (PAD)R01HL075824 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI BALLANTYNE, CHRISTIE MITCHELL · 2003 to 2007
$4.4M
NHLBI NIH HHS R01 HL075824
6 · The paper itself

Abstract

objectiveAtherogenic dyslipidemia is highly associated with coronary heart disease and is characterized by elevated triglycerides (TG), low high-density lipoprotein cholesterol (HDL-C), and elevated low-density lipoprotein cholesterol (LDL-C). The combination of statins and fibrates is a common modality to treat individuals with atherogenic dyslipidemia. We sought to identify single nucleotide polymorphisms (SNPs) associated with HDL-C, TG, and apolipoprotein A1 (ApoA-I) response to combination therapy with statins and fenofibric acid (FA) in individuals with atherogenic dyslipidemia.

methods2228 individuals with mixed dyslipidemia who were participating in a multicenter, randomized, double-blind, active-controlled study comparing FA alone, in combination with a statin, or statin alone for a 12-week period, were genotyped for 304 candidate SNPs. A multivariate linear regression analysis for percent change in HDL-C, ApoA-I and TG levels was performed.

resultsSNPs in the apolipoprotein (APO) A5-ZNF259 region rs3741298 (P = 1.8 × 10(-7)), rs964184 (P = 3.6 × 10(-6)), rs651821 (P = 4.5 × 10(-5)), and rs10750097 (P = 1 × 10(-4)), were significantly associated with HDL-C response to combination therapy with statins and FA, with a similar association identified for ApoA-I. A haplotype composed of the minor alleles of SNPs rs3741298, rs964184, and rs10750097, was associated with a positive response to statins and FA (P = 8.7 × 10(-7)) and had a frequency of 18% in the study population.

conclusionIn a population with atherogenic dyslipidemia, common SNPs and haplotypes within the APOA5-ZNF259 region are highly associated with HDL-C and ApoA-I response to combination therapy with statins and FA.

Indexed as

Polymorphism, Single NucleotideApolipoprotein A-IApolipoprotein A-VApolipoproteins ABiomarkersCholesterol, HDLDouble-Blind MethodDrug Therapy, CombinationDyslipidemiasFemaleFenofibrateGene FrequencyGenetic Predisposition to DiseaseHaplotypesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsAPOA1 protein, humanAPOA5 protein, humanApolipoprotein A-IApolipoprotein A-VApolipoproteins ABiomarkersCholesterol, HDLFenofibrateHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic AgentsTriglycerides

Identifiers

PMID21889769
PMCPMC6174528
OpenAlexW2005027193

What Socratic holds

Texttitle and abstract
LicenceTDM
Read underepoch 390

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 Socratic graph.