Evidence map›Paper›PMID 33503046›Full record

Trial reportPloS one2021

Prevalence of CYP2C19 polymorphism in Bogotá, Colombia: The first report of allele *17.

Azucena Arévalo-Galvis, William A Otero-Regino, Gloria N Ovalle-Celis, Eliana R Rodríguez-Gómez, Alba A Trespalacios-Rangel

Registry-linked trialOpen access · goldAbstract readClinical TrialObservational Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03650543 (Effect of the CYP2C19 Polymorphism in Helicobacter Pylori Eradication), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

NCT03650543 phase4completednot on this map

Effect of the CYP2C19 Polymorphism in Helicobacter Pylori Eradication

TypeinterventionalSponsorJaveriana UniversityRan2012 to 2015Enrolled133ConditionsCYP2C19 Polymorphism, H.Pylori Infection, TherapyArmsamoxicillin clarithromycin omeprazole 1, amoxicillin clarithromycin omeprazole 2
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. [First-Line Eradication ofActa gastroenterologica Latinoamericana
    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

5 authors at 2 institutions in 1 country.

Azucena Arévalo-GalvisDepartamento de Microbiología, Grupo de Enfermedades Infecciosas, Laboratorio de Bacteriología Especial, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá D.C., Colombia.ORCID 0000-0003-0193-5089
William A Otero-ReginoFacultad de Medicina, Unidad de Gastroenterología, Universidad Nacional de Colombia, Bogotá D.C., Colombia.ORCID 0000-0002-6825-9014
Gloria N Ovalle-CelisDepartamento de Microbiología, Grupo de Enfermedades Infecciosas, Laboratorio de Bacteriología Especial, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá D.C., Colombia.
Eliana R Rodríguez-GómezDepartamento de Microbiología, Grupo de Enfermedades Infecciosas, Laboratorio de Bacteriología Especial, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá D.C., Colombia.ORCID 0000-0001-5511-9402
Alba A Trespalacios-RangelDepartamento de Microbiología, Grupo de Enfermedades Infecciosas, Laboratorio de Bacteriología Especial, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá D.C., Colombia.
Pontificia Universidad Javeriana · COUniversidad Nacional de Colombia · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProton pump inhibitors (PPIs) are a group of drugs that are essential for the treatment of acid-related disorders, such as gastroesophageal reflux (GERD), dyspepsia, gastric ulcers and Helicobacter pylori (H. pylori) infection. PPIs such as omeprazole, esomeprazole, pantoprazole and lansoprazole are metabolized by the CYP2C19 enzyme, which is encoded by a polymorphic gene. Four polymorphisms have an impact on the speed of PPI metabolism: CYP2C19*1/*1 (extensive metabolizers), CYP2C19*2/*2 (intermediate metabolizers), CYP2C19*3/*3 (poor metabolizers) and CYP2C19*17/*17 (ultrarapid metabolizers). Extensive and ultrarapid metabolizers inactivate PPIs quickly, which consequently causes low plasma concentrations of PPIs, while intermediate or poor metabolizers have higher plasma concentrations of PPIs and, therefore, PPIs have greater therapeutic efficacy in individuals with these polymorphisms.

objectiveTo determine the frequency of genetic polymorphisms of the CPY2C19 enzyme in Bogotá, Colombia.

methodsThis observational study was conducted in Bogotá between 2012 and 2015 and was part of a clinical trial (ID: NCT03650543). It included 239 subjects with dyspepsia, H. pylori infection, or GERD symptoms. CYP2C19 genotyping was performed on gastric biopsy samples. Polymorphisms *1, *2, and *3 were analyzed by real-time PCR (Roche®), and PCR-RFLP was used to determine the presence of polymorphism *17.

resultsThe distribution of different types of PPI metabolizers was as follows: extensive (70.7%), ultrarapid (12.9%), intermediate (8.8%) and poor (0.8%).

conclusionThe population studied consisted mainly of extensive and ultrarapid PPI metabolizers. These findings show that it is necessary to increase PPI doses in this group of subjects or to use PPIs that are not metabolized by CYP2C19 (rabeprazole). This is the first Colombian work to identify ultrarapid metabolizers.

Indexed as

Polymorphism, GeneticAdultAllelesColombiaCytochrome P-450 CYP2C19DyspepsiaFemaleGastroesophageal RefluxHelicobacter InfectionsHumansMaleMiddle AgedProton Pump InhibitorsStomach UlcerCYP2C19 protein, humanCytochrome P-450 CYP2C19Proton Pump Inhibitors

Identifiers

PMID33503046
PMCPMC7840015
OpenAlexW3123800769

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.