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HLA-C12:02 is strongly associated with Xuesaitong-induced cutaneous adverse drug reactions

Xuesaitong (XST) is mainly used to treat cardiovascular and cerebrovascular diseases, sometimes causing cutaneous adverse drug reactions (cADRs) with unknown mechanisms of pathogenicity or risk factors. We aimed to verify whether human leukocyte antigen ( HLA ) alleles are associated with XST-relate...

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Published in:The pharmacogenomics journal 2019-06, Vol.19 (3), p.277-285
Main Authors: Yan, Sijia, Xiong, Hao, Shao, Fengmin, Zhang, Wen, Yang, Fanping, Qi, Zheng, Chen, Shengan, He, Lin, Jiang, Menglin, Su, Yu, Zhu, Huizhong, Qin, Shengying, Zhu, Qinyuan, Luo, Xiaoqun, Xing, Qinghe
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cited_by cdi_FETCH-LOGICAL-c439t-58262d9945ef9829716afc0d96dd4c0b44b5e3fb4d09680889019d176d021ccd3
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container_title The pharmacogenomics journal
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creator Yan, Sijia
Xiong, Hao
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Yang, Fanping
Qi, Zheng
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Zhu, Huizhong
Qin, Shengying
Zhu, Qinyuan
Luo, Xiaoqun
Xing, Qinghe
description Xuesaitong (XST) is mainly used to treat cardiovascular and cerebrovascular diseases, sometimes causing cutaneous adverse drug reactions (cADRs) with unknown mechanisms of pathogenicity or risk factors. We aimed to verify whether human leukocyte antigen ( HLA ) alleles are associated with XST-related cADRs in Han Chinese population. We carried out an association study including 12 subjects with XST-induced cADRs, 283 controls, and 28 XST-tolerant subjects. Five out of 12 patients with XST-induced cADRs carried HLA-C*12:02 , and all of them received XST via intravenous drip. The carrier frequency of HLA-C*12:02 was significantly high compare to that of the control population (Pc = 4.4 × 10 −4 , odds ratio (OR) = 21.75, 95% CI = 5.78–81.88). Compared with that of the XST-tolerant group, the patients who received XST through intravenous drip presented a higher OR of cADRs (Pc = 0.011, OR = 27.00, 95% CI = 2.58–282.98). The results suggest that HLA-C*12:02 is a potentially predictive marker of XST-induced cADRs in Han Chinese, especially when XST is administered via intravenous drip.
doi_str_mv 10.1038/s41397-018-0051-3
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We aimed to verify whether human leukocyte antigen ( HLA ) alleles are associated with XST-related cADRs in Han Chinese population. We carried out an association study including 12 subjects with XST-induced cADRs, 283 controls, and 28 XST-tolerant subjects. Five out of 12 patients with XST-induced cADRs carried HLA-C*12:02 , and all of them received XST via intravenous drip. The carrier frequency of HLA-C*12:02 was significantly high compare to that of the control population (Pc = 4.4 × 10 −4 , odds ratio (OR) = 21.75, 95% CI = 5.78–81.88). Compared with that of the XST-tolerant group, the patients who received XST through intravenous drip presented a higher OR of cADRs (Pc = 0.011, OR = 27.00, 95% CI = 2.58–282.98). 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subjects 45
45/77
631/208/212/1728
692/53/2423
Adult
Adverse and side effects
Aged
Aged, 80 and over
Alleles
Antigens
Asians - genetics
Biomedical and Life Sciences
Biomedicine
Cardiovascular disease
Carrier frequencies
Cerebrovascular diseases
Dermatology
Drug Eruptions - genetics
Drug-Related Side Effects and Adverse Reactions - genetics
Drugs
Drugs, Chinese Herbal - adverse effects
Erythema
Female
Gene Expression
Gene Frequency - genetics
Genetic Predisposition to Disease - genetics
Genotype
Histocompatibility antigen HLA
HLA-C Antigens - genetics
Hospitals
Human Genetics
Humans
Intravenous administration
Male
Membrane proteins
Middle Aged
Oncology
Pathogenicity
Pathogens
Patients
Pharmacotherapy
Population
Population genetics
Psychopharmacology
Risk factors
Saponins - adverse effects
Side effects
Urticaria
Values
Vascular diseases
Young Adult
title HLA-C12:02 is strongly associated with Xuesaitong-induced cutaneous adverse drug reactions
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