PMID- 21301380 OWN - NLM STAT- MEDLINE DCOM- 20110803 LR - 20221207 IS - 1744-6880 (Electronic) IS - 1744-6872 (Linking) VI - 21 IP - 5 DP - 2011 May TI - Positive and negative associations of HLA class I alleles with allopurinol-induced SCARs in Koreans. PG - 303-7 LID - 10.1097/FPC.0b013e32834282b8 [doi] AB - Recent investigations suggest genetic susceptibility of allopurinol-induced severe cutaneous adverse reactions (SCARs). However, the strength of association was variable according to phenotypes and ethnic backgrounds. To explore genetic markers for allopurinol-induced SCARs in Koreans, we genotyped human leukocyte antigen (HLA) class I alleles of 25 cases of allopurinol-induced SCARs (20 cases of drug-induced hypersensitivity syndrome and five cases of Stevens-Johnson syndrome/toxic epidermal necrolysis) and 57 patients tolerant to allopurinol. Frequencies of B*5801 [92.0 vs. 10.5%, P(c)=2.45x10(-11), odds ratio (OR)=97.8], Cw*0302 (92.0 vs. 12.3%, P(c)=9.39x10(-11), OR=82.1), and A*3303 (88.0 vs. 26.3%, P(c)=3.31x10(-6), OR=20.5) were significantly higher in SCARs compared with tolerant controls. In contrast, A*0201 was not found in SCARs patients despite relatively high frequency in tolerant controls (29.8%). We found strong positive association of HLA-B*5801 and negative association of HLA-A*0201 with the development of allopurinol-induced SCARs in the Korean population. FAU - Kang, Hye-Ryun AU - Kang HR AD - Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. FAU - Jee, Young Koo AU - Jee YK FAU - Kim, Yon-Soo AU - Kim YS FAU - Lee, Chang Hwa AU - Lee CH FAU - Jung, Jae-Woo AU - Jung JW FAU - Kim, Sae Hoon AU - Kim SH FAU - Park, Heung-Woo AU - Park HW FAU - Chang, Yoon-Seok AU - Chang YS FAU - Jang, In-Jin AU - Jang IJ FAU - Cho, Sang-Heon AU - Cho SH FAU - Min, Kyung-Up AU - Min KU FAU - Kim, Sang-Heon AU - Kim SH FAU - Lee, Kyung Wha AU - Lee KW CN - Adverse Drug Reaction Research Group in Korea LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Pharmacogenet Genomics JT - Pharmacogenetics and genomics JID - 101231005 RN - 0 (Gout Suppressants) RN - 63CZ7GJN5I (Allopurinol) SB - IM EIN - Pharmacogenet Genomics. 2012 Aug;22(8):652 MH - Adult MH - Aged MH - Aged, 80 and over MH - Allopurinol/*adverse effects/therapeutic use MH - Asian People/genetics MH - Female MH - *Genes, MHC Class I MH - Genome-Wide Association Study MH - Gout Suppressants/*adverse effects/therapeutic use MH - Humans MH - Male MH - Middle Aged MH - Stevens-Johnson Syndrome/etiology/*genetics EDAT- 2011/02/09 06:00 MHDA- 2011/08/04 06:00 CRDT- 2011/02/09 06:00 PHST- 2011/02/09 06:00 [entrez] PHST- 2011/02/09 06:00 [pubmed] PHST- 2011/08/04 06:00 [medline] AID - 10.1097/FPC.0b013e32834282b8 [doi] PST - ppublish SO - Pharmacogenet Genomics. 2011 May;21(5):303-7. doi: 10.1097/FPC.0b013e32834282b8.