PMID- 21819236 OWN - NLM STAT- MEDLINE DCOM- 20120503 LR - 20161125 IS - 1545-4304 (Electronic) IS - 0362-1642 (Linking) VI - 52 DP - 2012 TI - Using genome-wide association studies to identify genes important in serious adverse drug reactions. PG - 21-35 LID - 10.1146/annurev-pharmtox-010611-134743 [doi] AB - Genome-wide association (GWA) studies have detected novel associations for serious, idiosyncratic, adverse drug reactions including liver toxicity, hypersensitivity, skin rash, and myotoxicity. Human leukocyte antigen (HLA) genotype has been established as an important predictor of susceptibility to drug-induced liver injury, including injury with some drugs where immune-related toxicity was not suspected previously. Similarly, GWA studies have shown a key role for HLA genotype in susceptibility to carbamazepine-related skin rash and hypersensitivity. HLA genotype is not a risk factor for all forms of drug-induced liver injury or for myotoxicity or cardiotoxicity. For simvastatin-related myotoxicity, a strong association with SLCO1B1, which encodes the hepatic statin uptake transporter, has been detected. Genome-wide studies have not yet found clear associations for drug-induced cardiotoxicity, but for bisphosphonate-induced necrosis of the jaw, polymorphisms in the cytochrome P450 CYP2C8 may predict susceptibility. Larger GWA studies and whole-genome sequencing may provide additional insights into all these toxicities. FAU - Daly, Ann K AU - Daly AK AD - Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom. a.k.daly@ncl.ac.uk LA - eng PT - Journal Article PT - Review DEP - 20110801 PL - United States TA - Annu Rev Pharmacol Toxicol JT - Annual review of pharmacology and toxicology JID - 7607088 RN - 0 (HLA-A Antigens) RN - 33CM23913M (Carbamazepine) RN - AGG2FN16EV (Simvastatin) RN - EC 1.14.14.1 (Aryl Hydrocarbon Hydroxylases) RN - EC 1.14.14.1 (CYP2C8 protein, human) RN - EC 1.14.14.1 (Cytochrome P-450 CYP2C8) SB - IM MH - Aryl Hydrocarbon Hydroxylases/genetics/metabolism MH - Carbamazepine/adverse effects MH - Chemical and Drug Induced Liver Injury/genetics MH - Cytochrome P-450 CYP2C8 MH - Drug-Related Side Effects and Adverse Reactions/*genetics MH - Exanthema/chemically induced/genetics MH - *Genetic Predisposition to Disease MH - *Genome, Human MH - Genome-Wide Association Study/*methods MH - Genotype MH - HLA-A Antigens/genetics MH - Humans MH - Hypersensitivity/genetics MH - Liver/drug effects MH - Pharmacogenetics/methods MH - Polymorphism, Genetic MH - Risk Factors MH - Simvastatin/adverse effects EDAT- 2011/08/09 06:00 MHDA- 2012/05/04 06:00 CRDT- 2011/08/09 06:00 PHST- 2011/08/09 06:00 [entrez] PHST- 2011/08/09 06:00 [pubmed] PHST- 2012/05/04 06:00 [medline] AID - 10.1146/annurev-pharmtox-010611-134743 [doi] PST - ppublish SO - Annu Rev Pharmacol Toxicol. 2012;52:21-35. doi: 10.1146/annurev-pharmtox-010611-134743. Epub 2011 Aug 1.