PMID- 34414773 OWN - NLM STAT- MEDLINE DCOM- 20220221 LR - 20221207 IS - 1744-8042 (Electronic) IS - 1462-2416 (Linking) VI - 22 IP - 13 DP - 2021 Aug TI - The effect of CYP2C19 gene polymorphism on the eradication rate of Helicobacter pylori by proton pump inhibitors-containing regimens in Asian populations: a meta-analysis. PG - 859-879 LID - 10.2217/pgs-2020-0127 [doi] AB - Premise: The effects of proton pump inhibitors (PPI) depend on metabolic enzyme CYP2C19 that has different activity due to gene polymorphism. The purpose of this meta-analysis is to determine the potential effects of CYP2C19 polymorphism on the efficiency of PPI-based treatment. Materials & methods: The PubMed, EMBASE, Cochrane Library, etc. were searched for relevant articles published in English or Chinese from inception to 31 May 2020. Finally, 26 randomized controlled trials and 15 cohort studies met the inclusion criteria and used for the meta-analysis via STATA version 15. Results: Poor metabolizer (PM) genotype Helicobacter pylori eradication rates were highest for Asian individuals receiving triple or quadruple first-line therapy based on PPIs (p < 0.05). CYP2C19 polymorphism could influence H. pylori eradication rate only in Mainland China and Japan (p < 0.05). Conclusion: PM genotype facilitates the elimination of H. pylori in Asian populations. Rabeprazole-, esomeprazole- and pantoprazole-based eradication program was less affected by the CYP2C19 polymorphism. FAU - Fu, Juan AU - Fu J AD - Department of Infectious Diseases, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. FAU - Sun, Chang-Feng AU - Sun CF AD - Department of Infectious Diseases, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. AD - Department of Tuberculosis, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. AD - Infection & Immunity Laboratory, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. FAU - He, Hong-Yan AU - He HY AD - Experimental Teaching Center, School of Public Health of Southwest Medical University, Luzhou, 646000, China. FAU - Ojha, Suvash Chandra AU - Ojha SC AD - Department of Infectious Diseases, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. AD - Department of Tuberculosis, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. AD - Infection & Immunity Laboratory, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. FAU - Shi, Han AU - Shi H AD - Department of Infectious Diseases, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. FAU - Deng, Cun-Liang AU - Deng CL AD - Department of Infectious Diseases, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. AD - Department of Tuberculosis, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. AD - Infection & Immunity Laboratory, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. FAU - Sheng, Yun-Jian AU - Sheng YJ AUID- ORCID: 0000-0003-0772-5971 AD - Department of Infectious Diseases, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. AD - Department of Tuberculosis, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. AD - Infection & Immunity Laboratory, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20210820 PL - England TA - Pharmacogenomics JT - Pharmacogenomics JID - 100897350 RN - 0 (Proton Pump Inhibitors) RN - EC 1.14.14.1 (CYP2C19 protein, human) RN - EC 1.14.14.1 (Cytochrome P-450 CYP2C19) SB - IM MH - Asian People MH - Cohort Studies MH - Cytochrome P-450 CYP2C19/*genetics MH - Helicobacter Infections/*drug therapy/*genetics MH - *Helicobacter pylori MH - Humans MH - Polymorphism, Genetic/*genetics MH - Proton Pump Inhibitors/*therapeutic use MH - Randomized Controlled Trials as Topic OTO - NOTNLM OT - Asia OT - CYP2C19 OT - Helicobacter pylori OT - eradication OT - polymorphism OT - proton pump inhibitors EDAT- 2021/08/21 06:00 MHDA- 2022/02/22 06:00 CRDT- 2021/08/20 08:43 PHST- 2021/08/21 06:00 [pubmed] PHST- 2022/02/22 06:00 [medline] PHST- 2021/08/20 08:43 [entrez] AID - 10.2217/pgs-2020-0127 [doi] PST - ppublish SO - Pharmacogenomics. 2021 Aug;22(13):859-879. doi: 10.2217/pgs-2020-0127. Epub 2021 Aug 20.