PMID- 19826974 OWN - NLM STAT- MEDLINE DCOM- 20091217 LR - 20220310 IS - 1098-8971 (Electronic) IS - 0272-8087 (Linking) VI - 29 IP - 4 DP - 2009 Nov TI - Genetic association studies in drug-induced liver injury. PG - 400-11 LID - 10.1055/s-0029-1240009 [doi] AB - Genetic studies on drug-induced liver injury (DILI) have proved challenging, both because of their rarity and their difficulty in replicating observed effects. However, significant progress has now been achieved by both candidate-gene and genome-wide association studies. These two approaches are considered in detail, together with examples of DILI due to specific drugs where consistent associations have been reported. Particular consideration is given to associations between antituberculosis drug-related liver injury and the "slow acetylator" genotype for N-acetyltransferase 2, amoxicillin/clavulanate-related liver injury, and the human leukocyte antigen (HLA) class II DRB1*1501 allele and flucloxacillin-related injury and the HLA class I B*5701 allele. Although these associations are drug-specific, the possibility that additional, more general susceptibility genes for DILI exist requires further investigation, ideally by genome-wide association studies involving international collaboration. The possibility of interethnic variation in susceptibility to DILI also requires further study. FAU - Daly, Ann K AU - Daly AK AD - Institute of Cellular Medicine, Newcastle University Medical School, Newcastle upon Tyne, United Kingdom. FAU - Day, Chris P AU - Day CP LA - eng GR - Department of Health/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20091013 PL - United States TA - Semin Liver Dis JT - Seminars in liver disease JID - 8110297 RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Antitubercular Agents) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*57:01 antigen) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA-DRB1*15:01 antigen) RN - 144O8QL0L1 (Diclofenac) RN - 43B2M34G2V (Floxacillin) RN - 74469-00-4 (Amoxicillin-Potassium Clavulanate Combination) RN - EC 2.3.1.5 (Arylamine N-Acetyltransferase) RN - EC 2.3.1.5 (NAT2 protein, human) SB - IM MH - Adverse Drug Reaction Reporting Systems MH - Amoxicillin-Potassium Clavulanate Combination/adverse effects MH - Anti-Bacterial Agents/adverse effects MH - Anti-Inflammatory Agents, Non-Steroidal/adverse effects MH - Antitubercular Agents/adverse effects MH - Arylamine N-Acetyltransferase/genetics MH - Chemical and Drug Induced Liver Injury/enzymology/*genetics/immunology MH - Diclofenac/adverse effects MH - Floxacillin/adverse effects MH - *Genetic Association Studies MH - Genetic Predisposition to Disease MH - HLA-B Antigens/genetics MH - HLA-DR Antigens/genetics MH - HLA-DRB1 Chains MH - Humans MH - Phenotype MH - *Polymorphism, Single Nucleotide MH - Risk Assessment MH - Risk Factors RF - 77 EDAT- 2009/10/15 06:00 MHDA- 2009/12/18 06:00 CRDT- 2009/10/15 06:00 PHST- 2009/10/15 06:00 [entrez] PHST- 2009/10/15 06:00 [pubmed] PHST- 2009/12/18 06:00 [medline] AID - 10.1055/s-0029-1240009 [doi] PST - ppublish SO - Semin Liver Dis. 2009 Nov;29(4):400-11. doi: 10.1055/s-0029-1240009. Epub 2009 Oct 13.