August 2022 PMID 35724382

Race, Genotype, and Azathioprine Discontinuation : A Cohort Study.

Alyson L Dickson, Laura L Daniel, Elise Jackson, Jacy Zanussi, Wenjian Yang, W Dale Plummer, William D Dupont, Wei-Qi Wei, Puran Nepal, Adriana M Hung, Nancy J Cox, Sara L Van Driest, QiPing Feng, Jun J Yang, C Michael Stein

Mentions

116
Peak: 53 in Jun 2022
across 5 sources since Jun 2022

Extended reach

2,184,112
potential audience

Total likes

113

Video views

213

Mentions per month

Jun 2022 – Jun 2023

Where it's discussed

  • X / Twitter59 posts
  • News50 articles
  • Blogs4 articles
  • Facebook2 posts
  • YouTube1 videos

AI synopsis

What people are saying

The discussions reflect a strong consensus on the significance of the research, with comments praising the paper’s thoughtful design and clinical implications, such as highlighting how the ACKR1 CC genotype affects drug discontinuation rates independent of race; words like 'fantastic,' 'thoughtfully conceived,' and 'significant' demonstrate enthusiasm and recognition of real-world impact, indicating both high engagement and impact.

AgreementStrong agreement

Most discussions emphasize the importance and validity of the findings, especially regarding the genetic basis of drug response, indicating strong agreement.

InterestHigh interest

The posts demonstrate high interest by referencing specific genetic variants and emphasizing the clinical significance of the research.

EngagementHigh engagement

Many comments delve into the implications for clinical practice and pharmacogenomics, showing deep engagement with the topic.

ImpactHigh impact

The discussions highlight the potential for personalized medicine and addressing healthcare disparities, signifying a high impact.

Abstract in brief

  • The study found that individuals with the rs2814778CC genotype, which is common among people of African ancestry, had a significantly higher risk of stopping azathioprine due to hematopoietic toxicity, and this risk remained even after accounting for race.
  • Patients with the CC genotype also showed lower blood cell counts and required lower doses of the medication, a pattern confirmed in a separate group of children of African descent taking a similar drug, 6-mercaptopurine.
  • The research suggests that this genetic variant, rather than race alone, influences drug toxicity and dosing needs, highlighting the importance of personalized medicine based on genetic information.

Top posts

Most liked on X and Bluesky
Eric Topol
@EricTopol · X

A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medicine @VUMCClinPharm https://t.co/Cm6nK5Ji0X @AnnalsofIM https://t.co/3TV4Ztl2Iz

Jun 21, 2022 · 70 likes · 29 shares · 678,731 followers View post →
Jonathan Mosley
@JDMosley_Moses · X

Congratulations to Alyson Dickson and @CeciliaChung11 of @VUMC_Medicine (@VUMCClinPharm ) on their fantastic paper highlighting a pharmacogenomic health care inequity due to the ACKR1 CC genotype (@AnnalsofIM). Beautiful and important work. https://t.co/t9UPMkyYnX

Jun 20, 2022 · 11 likes · 1 share · 411 followers View post →
Medical Xpress
@medical_xpress · X

Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4QocbXZ

Jun 21, 2022 · 10 likes · 10 shares · 173,069 followers View post →
Jonathan Mosley
@JDMosley_Moses · X

Had fun joining @CeciliaChung11 talking about awesome her paper (https://t.co/RXUPKIPf8O) on leukopenia, azathioprine and the ACKR1 benign neutropenia phenotype. https://t.co/XUIm8DDTxW

Oct 31, 2022 · 6 likes · 411 followers View post →
PGRN
@pgrnhub · X

I am very intrigue by these figures showing how important are race and genotype in pharmacogenomics research! Thank you for sharing this #pgxread! https://t.co/NRH10aoEFL https://t.co/oAuHjNjal2 https://t.co/F70hY641MX

Jun 22, 2022 · 4 likes · 1 share · 1,772 followers View post →
Lauren Merz
@LaurenMerzMD · X

Must-read article on impact of Duffy null on clinical care! Highlighting the need to look at this in cancer care as well. @ACPinternists @DanaFarber @BrighamHeme Race, Genotype, and Azathioprine Discontinuation: A Cohort Study: https://t.co/IQYX1VKYdw

Jun 21, 2022 · 4 likes · 1,193 followers View post →

All mentions

Lauren Merz
@LaurenMerzMD · X

@jeffsparks @BrighamWomens @JAMA_current Yes, they were excluded in our cohort. However, this amazing paper shows that azathioprine discontinuation was much higher for Duffy null patients with no difference between Black and White Duffy non-null. Much work to be done! https://t.co/t4aeSv9O9w

Jun 20, 2023 · 1 like · 1,193 followers View post →
Sasha Gusev
@SashaGusevPosts · X

RT @SashaGusevPosts: @Eric_Fauman Good recent talk on this from @NancyGenetics (https://t.co/XWuD6MGSA8) using WBC and unnecessary biopsies…

Jan 14, 2023 · 1 share · 19,586 followers View post →
Sasha Gusev
@SashaGusevPosts · X

@Eric_Fauman Good recent talk on this from @NancyGenetics (https://t.co/XWuD6MGSA8) using WBC and unnecessary biopsies as an example (https://t.co/l5m50Lz9qC).

Jan 14, 2023 · 1 share · 19,586 followers View post →
Jonathan Mosley
@JDMosley_Moses · X

Had fun joining @CeciliaChung11 talking about awesome her paper (https://t.co/RXUPKIPf8O) on leukopenia, azathioprine and the ACKR1 benign neutropenia phenotype. https://t.co/XUIm8DDTxW

Oct 31, 2022 · 6 likes · 411 followers View post →
Scott Williams
@scottmwilliams9 · X

Race, Genotype, and Azathioprine Discontinuation: A Cohort Study: Annals of Internal Medicine: Vol 175, No 8 https://t.co/qMirT5fKEr

Aug 17, 2022 · 2 likes · 858 followers View post →
Jonathan Mosley
@JDMosley_Moses · X

Another example: @CeciliaChung11 and Alyson Dickson showed that the ACKR1 rs2814778 variant accounted for a #RacialDisparity in discontinuation rates due to low white blood cell counts for the drug Azathioprine. https://t.co/t9UPMkQzMx

Jul 29, 2022 · 1 like · 411 followers View post →
Anurag Verma
@_anuragverma · X

RT @scottmwilliams9: Beyond Race: A Wake-up Call for Drug Therapy Informed by Genotyping | Annals of Internal Medicine https://t.co/YhuQFtG…

Jun 28, 2022 · 1 share · 406 followers View post →
Scott Williams
@scottmwilliams9 · X

Beyond Race: A Wake-up Call for Drug Therapy Informed by Genotyping | Annals of Internal Medicine https://t.co/YhuQFtGAkT A nice discussion of race and genetics in light of new paper https://t.co/kL95YR7yPk on adverse drug responses

Jun 28, 2022 · 2 likes · 1 share · 858 followers View post →
NP AGARWAL世界一フォローを目指しますAiming best in world.
@np_grwl · X

RT @medical_xpress: Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4Q…

Jun 27, 2022 · 10 shares · 1,785 followers View post →
ArkansasACP
@ArkansasACP · X

Race, Genotype, and Azathioprine Discontinuation https://t.co/56hA669A1i

Jun 24, 2022 · 291 followers View post →
IllinoisACP
@IllinoisACP · X

Race, Genotype, and Azathioprine Discontinuation https://t.co/SpuzZNv6iX

Jun 24, 2022 · 638 followers View post →
IndianaACP
@AcpIndiana · X

Race, Genotype, and Azathioprine Discontinuation https://t.co/AbNDNQS6dC

Jun 24, 2022 · 315 followers View post →
ACPNewMexico
@ACPNewMexico · X

Race, Genotype, and Azathioprine Discontinuation https://t.co/FRTvpW9Vkn

Jun 24, 2022 · 120 followers View post →
Annals of Int Med
@AnnalsofIM · X

#ICYMI from @VUMChealth @CeciliaChung11: patients with CC genotype at 3x higher risk for #azathioprine discontinuation attributed to hematopoietic toxicity and lower thiopurine doses, even after adjusting for race: https://t.co/ERRagjAM0H https://t.co/FI8sLbt0Ne

Jun 23, 2022 · 2 likes · 72,433 followers View post →
Will Heise MD
@HeiseToxFM · X

This is a great paper, thoughtfully conceived and with significant clinical implications for thiopurine dosing. Race, Genotype, and Azathioprine Discontinuation: A Cohort Study https://t.co/BC6CQhR9MB

Jun 23, 2022 · 345 followers View post →
Ben Reisman MD PhD
@BenjaminReisman · X

RT @JDMosley_Moses: Congratulations to Alyson Dickson and @CeciliaChung11 of @VUMC_Medicine (@VUMCClinPharm ) on their fantastic paper high…

Jun 22, 2022 · 1 share · 1,134 followers View post →
Baronian Consulting
@BaronianConsult · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 22, 2022 · 29 shares · 1,088 followers View post →
Tina Han
@tingfordha · X

RT @pgrnhub: I am very intrigue by these figures showing how important are race and genotype in pharmacogenomics research! Thank you for sh…

Jun 22, 2022 · 1 share · 1,165 followers View post →
Dr.Salim.rheumatologist
@FtrSalim · X

Race, Genotype, and Azathioprine Discontinuation: A Cohort Study: Annals of Internal Medicine: Vol 0, No 0 https://t.co/iAWQN1XlQj

Jun 22, 2022 · 106 followers View post →
PGRN
@pgrnhub · X

I am very intrigue by these figures showing how important are race and genotype in pharmacogenomics research! Thank you for sharing this #pgxread! https://t.co/NRH10aoEFL https://t.co/oAuHjNjal2 https://t.co/F70hY641MX

Jun 22, 2022 · 4 likes · 1 share · 1,772 followers View post →
宮澤孝紀
@miyacyan35 · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 22, 2022 · 29 shares · 718 followers View post →
soda_troubles,https://med-mastodon.com/@haysam
@set_fortess · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 22, 2022 · 29 shares · 2,545 followers View post →
Eduard Centeno
@segol60 · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 22, 2022 · 29 shares · 410 followers View post →
Frantz Fanon
@waweru · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 22, 2022 · 29 shares · 8,020 followers View post →
Andy Fick
@TRZRGRT · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 201 followers View post →
Christopher Goodman
@cmgoodman · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 813 followers View post →
PharmaDecisions LLC
@PharmaDecisions · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 452 followers View post →
Nkumbulo
@jamessodabi · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 521 followers View post →
Margie Sherlock
@MargieSherlock · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 1,676 followers View post →
Petra von K
@Petra_von_K · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 56 followers View post →
MaryAnn Decker
@MaryAnn27608053 · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 367 followers View post →
Wimen
@1a31551c566e43d · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 664 followers View post →
DiveDoc
@LJLMD · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 4,698 followers View post →
Juan Enriquez
@EvolvingJuan · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 6,964 followers View post →
Max Konig
@MaxKonigMD · X

https://t.co/8xZrLd44XH

Jun 21, 2022 · 2,816 followers View post →
Kristina Revay
@KristinaRevay · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 1,805 followers View post →
Eldon Edwards
@eldonredwards · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 2,605 followers View post →
marypg keating aka Mary-the-Cat
@marypgkeating · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 3,197 followers View post →
Diane Dewhirst
@NJdoc · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 20,633 followers View post →
Klinisk Farmakologisk Afdeling
@KlinFarmBBH · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 91 followers View post →
Javeria
@drJaveriaAhmad · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 39 followers View post →
Dr. Shashank Joshi
@AskDrShashank · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 32,514 followers View post →
Skatiq
@Skatiq3 · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 271 followers View post →
Marie-Julie Favé
@MJ_Fave · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 789 followers View post →
Mohammed Awal Ibrahim
@ibrahim_mawal · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 1,582 followers View post →
EU ♥️
@eu504 · X

RT @EricTopol: A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medici…

Jun 21, 2022 · 29 shares · 1,394 followers View post →
Eric Topol
@EricTopol · X

A wake-up call for drug-gene interactions https://t.co/CufZhaKPp9 by @CeciliaChung11 and colleagues @VUMChealth @VUMC_Medicine @VUMCClinPharm https://t.co/Cm6nK5Ji0X @AnnalsofIM https://t.co/3TV4Ztl2Iz

Jun 21, 2022 · 70 likes · 29 shares · 678,731 followers View post →
Annals of Int Med
@AnnalsofIM · X

New from @VUMChealth @CeciliaChung11: patients with CC genotype at 3x higher risk for #azathioprine discontinuation attributed to hematopoietic toxicity and lower thiopurine doses, even after adjusting for race: https://t.co/2IfAczkT30 https://t.co/kAsIlDXjFy

Jun 21, 2022 · 72,433 followers View post →
serrgv
@serrgv · X

RT @medical_xpress: Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4Q…

Jun 21, 2022 · 10 shares · 148 followers View post →
TecnoFreedom
@TecnoFreedom · X

RT @medical_xpress: Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4Q…

Jun 21, 2022 · 10 shares · 674 followers View post →
Raymond Luk
@RaymondRomeo28 · X

RT @medical_xpress: Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4Q…

Jun 21, 2022 · 10 shares · 16 followers View post →
Lauren Merz
@LaurenMerzMD · X

Must-read article on impact of Duffy null on clinical care! Highlighting the need to look at this in cancer care as well. @ACPinternists @DanaFarber @BrighamHeme Race, Genotype, and Azathioprine Discontinuation: A Cohort Study: https://t.co/IQYX1VKYdw

Jun 21, 2022 · 4 likes · 1,193 followers View post →
ASHCPUK
@ASHCPUK · X

RT @medical_xpress: Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4Q…

Jun 21, 2022 · 10 shares · 26 followers View post →
Frank Paul Mora
@InTime_49 · X

RT @medical_xpress: Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4Q…

Jun 21, 2022 · 10 shares · 393 followers View post →
Medical Xpress
@physorg_health · X

RT @medical_xpress: Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4Q…

Jun 21, 2022 · 10 shares · 7,100 followers View post →
Science X
@sciencex_com · X

RT @medical_xpress: Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4Q…

Jun 21, 2022 · 10 shares · 3,531 followers View post →
Phys.org
@physorg_com · X

RT @medical_xpress: Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4Q…

Jun 21, 2022 · 10 shares · 1,024,050 followers View post →
Medical Xpress
@medical_xpress · X

Study shows genotype leads to discontinued, decreased medication @AnnalsofIM https://t.co/fJAxaKgIPu https://t.co/8To4QocbXZ

Jun 21, 2022 · 10 likes · 10 shares · 173,069 followers View post →
Jonathan Mosley
@JDMosley_Moses · X

Congratulations to Alyson Dickson and @CeciliaChung11 of @VUMC_Medicine (@VUMCClinPharm ) on their fantastic paper highlighting a pharmacogenomic health care inequity due to the ACKR1 CC genotype (@AnnalsofIM). Beautiful and important work. https://t.co/t9UPMkyYnX

Jun 20, 2022 · 11 likes · 1 share · 411 followers View post →