{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T19:30:28Z","timestamp":1790364628469,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["ascpt.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Pharma and Therapeutics"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n                    Proton pump inhibitors (PPIs) have recently been reported to be linked with nephrotoxicity. PPIs are metabolized mainly or partly by cytochrome P450 2C19 (CYP2C19). However, the relationship between\n                    <jats:italic>CYP2C19<\/jats:italic>\n                    genetic polymorphism and PPI\u2010induced nephrotoxicity is unclear. In this study, we aimed to analyze the association between the time of occurrence of renal injury by PPIs, including lansoprazole, esomeprazole, rabeprazole, and vonoprazan, and CYP2C19 metabolizer status classified by\n                    <jats:italic>CYP2C19<\/jats:italic>\n                    genotypes. Patients prescribed PPIs were reviewed in this retrospective cohort study. The primary outcome was the time to a 30% decrease in estimated glomerular filtration rate (eGFR) from baseline. In patients treated with lansoprazole, the time to a 30% decrease in eGFR for the CYP2C19 poor metabolizer (PM) group was significantly shorter than that for the non\u2010PM group (hazard ratio for PM vs. non\u2010PM, 2.43, 95% confidence interval, 1.21 to 4.87,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.012). In contrast, in patients that received esomeprazole, rabeprazole, or vonoprazan, no significant differences were found in the time to a 30% decrease in eGFR between non\u2010PM and PM groups. The adjusted hazard ratios for the time to a 30% eGFR decrease in patients treated with lansoprazole were significantly higher for CYP2C19 PM, hypertension, and a history of myocardial infarction. In conclusion, this retrospective study showed that CYP2C19 metabolizer status was associated with the time to a 30% eGFR decrease in patients treated with lansoprazole, but not with esomeprazole, rabeprazole, or vonoprazan.\n                  <\/jats:p>","DOI":"10.1002\/cpt.3183","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T02:24:59Z","timestamp":1705976699000},"page":"1141-1151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Relationships of Proton Pump Inhibitor\u2010Induced Renal Injury with\n                    <i>CYP2C19<\/i>\n                    Polymorphism: A Retrospective Cohort Study"],"prefix":"10.1002","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0313-0711","authenticated-orcid":false,"given":"Rika","family":"Fukui","sequence":"first","affiliation":[{"name":"Department of Pharmacotherapeutics Shiga University of Medical Science  Otsu Shiga 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Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4079-707X","authenticated-orcid":false,"given":"Shin\u2010ya","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapeutics Shiga University of Medical Science  Otsu Shiga 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