Genetic susceptibilities and prediction modeling of carbamazepine and allopurinol-induced severe cutaneous adverse reactions in Vietnamese

被引:15
作者
Dinh van Nguyen [1 ,2 ,3 ,4 ]
Hieu Chi Chu [5 ]
Vidal, Christopher [3 ]
Fulton, Richard B. [4 ]
Nguyet Nhu Nguyen [5 ]
Nga Thi Quynh [6 ]
Tu Linh Tran [7 ]
Thuy Ninh Nguyen [7 ]
Ha Thi Thu Nguyen [8 ]
Hanh Hong Chu [9 ]
Huyen Thi Thanh Thuc [9 ]
Huong Thi Minh Le [9 ]
van Nunen, Sheryl [3 ,10 ]
Anderson, Janet [4 ]
Fernando, Suran L. [3 ,4 ,10 ]
机构
[1] Vinmec Healthcare Syst, Hanoi 100000, Vietnam
[2] VinUniversity, Coll Hlth Sci, Hanoi 100000, Vietnam
[3] Univ Sydney, Sydney Med Sch Northern, Sydney, NSW 2065, Australia
[4] Royal North Shore Hosp, ImmunoRheumatol Lab, NSW Hlth Pathol North, Sydney, NSW 2065, Australia
[5] Bach Mai Hosp, Ctr Allergol & Clin Immunol, Hanoi 115000, Vietnam
[6] Natl Inst Hyg & Epidemiol, Dept Immunol & Mol Biol, Hanoi 100000, Vietnam
[7] Hanoi Heart Hosp, Hanoi 100000, Vietnam
[8] Hanoi Med Univ, Dept Allergy & Clin Immunol, Hanoi 100000, Vietnam
[9] Natl Hosp Pediat, Dept Allergy Immunol & Rheumatol, Hanoi 100000, Vietnam
[10] Royal North Shore Hosp, Dept Clin Immunol & Allergy, Sydney, NSW 2065, Australia
关键词
allopurinol; carbamazepine; DRESS; HLA; severe cutaneous adverse drug reactions; S[!text type='JS']JS[!/text; TEN; Vietnamese; TOXIC EPIDERMAL NECROLYSIS; STEVENS-JOHNSON-SYNDROME; INDUCED HYPERSENSITIVITY REACTIONS; HLA-B-ASTERISK-1502; ALLELE; ANTIEPILEPTIC DRUGS; RURAL DISTRICT; ASSOCIATION; EPILEPSY; POPULATION; OXYPURINOL;
D O I
10.2217/pgs-2019-0146
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aims: To determine genetic susceptibility markers for carbamazepine (CBZ) and allopurinol-induced severe cutaneous adverse reactions (SCARs) in Vietnamese. Methods: A case control study was performed involving 122 patients with CBZ or allopurinol induced SCARs and 120 drug tolerant controls. Results: HLA-B*58:01 was strongly associated with allopurinol-induced SCARs and strongly correlated with SNP rs9263726. HLA-B*15:02 was associated with CBZ-induced Stevens-Johnson syndrome/toxic epidermal necrolysis but not with drug-induced hypersensitivity syndrome/drug rash with eosinophilia and systemic symptoms. No association was found between HLA-A*31:01 and CBZ-induced SCARs. HLA-B*58:01 and rs3909184 allele A with renal insufficiency were shown to increase the risk of allopurinol-induced SCARs. Conclusion: HLA-B*58:01 and HLA-B*15:02 confer susceptibility to allopurinol-induced SCARs and CBZ-induced SJS/TEN in Vietnamese. Single nucleotide polymorphism rs9263726 can be used as a surrogate marker in identifying HLA-B*58:01.
引用
收藏
页码:1 / 12
页数:12
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