PMID- 21913872 OWN - NLM STAT- MEDLINE DCOM- 20120501 LR - 20161125 IS - 1097-9883 (Electronic) IS - 0360-2532 (Linking) VI - 44 IP - 1 DP - 2012 Feb TI - Genetic association studies in drug-induced liver injury. PG - 116-26 LID - 10.3109/03602532.2011.605790 [doi] AB - A large number of case-control association studies on genetic susceptibility to drug-induced liver injury, involving both candidate gene and genome-wide association approaches, have now been reported. The strongest associations have been observed for human leukocyte antigen (HLA) class I and II genes and N-acetyltransferase 2 (NAT2). The associations with HLA class I and II genes are drug specific, though some apparently unrelated compounds show genetic associations with the same alleles. The underlying mechanism for the HLA association is likely to involve T-cell responses to either drug-protein adducts or to drug alone, but needs further investigation. The NAT2 association relates to liver injury induced by isoniazid, with most published studies finding an increased risk of injury in slow acetylators lacking NAT2 enzyme activity, presumably because of the accumulation of toxic metabolites. Other associations with genes relevant to drug disposition, innate immunity, oxidative stress, and mitochondrial function have also been reported, though these still need to be confirmed by replication in independent cohorts. FAU - Daly, Ann K AU - Daly AK AD - Institute of Cellular Medicine, Newcastle University Medical School, Newcastle upon Tyne, United Kingdom. a.k.daly@ncl.ac.uk FAU - Day, Christopher P AU - Day CP LA - eng PT - Journal Article PT - Review DEP - 20110914 PL - England TA - Drug Metab Rev JT - Drug metabolism reviews JID - 0322067 RN - 0 (Antitubercular Agents) RN - 0 (HLA Antigens) RN - 0 (Pharmaceutical Preparations) RN - V83O1VOZ8L (Isoniazid) SB - IM MH - Antitubercular Agents/adverse effects MH - Case-Control Studies MH - Chemical and Drug Induced Liver Injury/*genetics MH - Drug-Related Side Effects and Adverse Reactions MH - Genes, MHC Class I MH - *Genetic Predisposition to Disease MH - *Genome-Wide Association Study MH - Genotype MH - HLA Antigens/genetics MH - Humans MH - Immunity, Innate/genetics MH - Isoniazid/adverse effects MH - Oxidative Stress/genetics MH - Pharmaceutical Preparations/metabolism MH - Polymorphism, Genetic EDAT- 2011/09/15 06:00 MHDA- 2012/05/02 06:00 CRDT- 2011/09/15 06:00 PHST- 2011/09/15 06:00 [entrez] PHST- 2011/09/15 06:00 [pubmed] PHST- 2012/05/02 06:00 [medline] AID - 10.3109/03602532.2011.605790 [doi] PST - ppublish SO - Drug Metab Rev. 2012 Feb;44(1):116-26. doi: 10.3109/03602532.2011.605790. Epub 2011 Sep 14.