TY - JOUR
T1 - The HLA-B*13:01 and the dapsone hypersensitivity syndrome in Korean and Asian populations
T2 - genotype- and meta-analyses
AU - Drug Allergy Work Group of KAAACI
AU - Park, Hye Jung
AU - Park, Jung Won
AU - Kim, Sae Hoon
AU - Choi, So yun
AU - Kim, Hee Kyoo
AU - Jung, Chang Gyu
AU - Yang, Min Suk
AU - Kang, Dong Yoon
AU - Cho, Min Kyoung
AU - Kwon, Hyouk Soo
AU - Kang, Hye Ryun
AU - Lee, Yong Won
N1 - Publisher Copyright:
© 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2020
Y1 - 2020
N2 - Background: The human leukocyte antigen (HLA)-B*13:01 were reported as an important risk factor for dapsone hypersensitivity syndrome (DHS) in Chinese and Thai populations. Research design and methods: From the Korean nationwide registry, seven subjects with previous DHS were included. Their HLA allele/phenotype frequencies were compared with 8 dapsone-tolerant subjects recruited from a single institution, and general population (n=485) in Korea. The authors also performed a meta-analysis with these data using previous Chinese and Thai studies. Results: Among the seven DHS subjects, 85.7% presented with the HLA-B*13:01 allele. The HLA-C*03:04, HLA-DRB1*12:02 (both in linkage disequilibrium with HLA-B*13:01), and HLA-A*02:01 alleles were also presented in 85.7%, 71.4%, and 71.4%, respectively. Subjects with HLA-B*13:01 were susceptible to developing DHS compared to dapsone-tolerant controls (odds ratio [OR]: 73.667) and the Korean general population (OR: 139.500). HLA-C*03:04 (OR: 40.935), HLA-DRB*12:02 (OR: 36.613), and HLA-A*02:01 (OR: 5.862) showed similar results. In meta-analysis, HLA-B*13:01 was associated with dapsone-induced hypersensitivity (overall OR: 42.692), and subgroup analyses according to the control types demonstrated similar results (OR:43.694 and 41.866, respectively). Conclusions: Similar to previous Asian population studies, HLA-B*13:01 is significantly associated with the risk of DHS in Korea. These associations may be useful for preventing DHS and improving drug safety.
AB - Background: The human leukocyte antigen (HLA)-B*13:01 were reported as an important risk factor for dapsone hypersensitivity syndrome (DHS) in Chinese and Thai populations. Research design and methods: From the Korean nationwide registry, seven subjects with previous DHS were included. Their HLA allele/phenotype frequencies were compared with 8 dapsone-tolerant subjects recruited from a single institution, and general population (n=485) in Korea. The authors also performed a meta-analysis with these data using previous Chinese and Thai studies. Results: Among the seven DHS subjects, 85.7% presented with the HLA-B*13:01 allele. The HLA-C*03:04, HLA-DRB1*12:02 (both in linkage disequilibrium with HLA-B*13:01), and HLA-A*02:01 alleles were also presented in 85.7%, 71.4%, and 71.4%, respectively. Subjects with HLA-B*13:01 were susceptible to developing DHS compared to dapsone-tolerant controls (odds ratio [OR]: 73.667) and the Korean general population (OR: 139.500). HLA-C*03:04 (OR: 40.935), HLA-DRB*12:02 (OR: 36.613), and HLA-A*02:01 (OR: 5.862) showed similar results. In meta-analysis, HLA-B*13:01 was associated with dapsone-induced hypersensitivity (overall OR: 42.692), and subgroup analyses according to the control types demonstrated similar results (OR:43.694 and 41.866, respectively). Conclusions: Similar to previous Asian population studies, HLA-B*13:01 is significantly associated with the risk of DHS in Korea. These associations may be useful for preventing DHS and improving drug safety.
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U2 - 10.1080/14740338.2020.1796965
DO - 10.1080/14740338.2020.1796965
M3 - Article
C2 - 32700588
AN - SCOPUS:85088481258
SN - 1474-0338
SP - 1349
EP - 1356
JO - Expert Opinion on Drug Safety
JF - Expert Opinion on Drug Safety
ER -