PMID- 22197535 OWN - NLM STAT- MEDLINE DCOM- 20120813 LR - 20151119 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 73 IP - 2 DP - 2012 Feb TI - Human leukocyte antigen (HLA) and pharmacogenetics: screening for HLA-B*57:01 among human immunodeficiency virus-positive patients from southern Alberta. PG - 164-7 LID - 10.1016/j.humimm.2011.12.002 [doi] AB - The field of pharmacogenetics is witnessing a growing interest in the role of the human leukocyte antigen (HLA) in manifestation of adverse drug reactions (ADR). Here we report a retrospective analysis of the association of HLA-B*5701 with abacavir hypersensitivity syndrome (AHS) in a large Canadian cohort of 489 human immunodeficiency virus-1-positive patients exposed to abacavir. A total of 3.7% of abacavir-exposed patients had developed AHS. Using polymerase chain reaction sequence-specific primer-based genotyping, the HLA-B*5701 allele was observed in 20 patients (4.1%). Of the 20 HLA-B*5701(+) abacavir-treated patients, 18 (90%) had developed AHS. Carriage of the HLA-B*5701 allele indicated a strong association with abacavir hypersensitivity (p < 0.0001; odds ratio = 6,934; 95% confidence interval = 321-149,735). HLA-B*5701 genotyping demonstrated high sensitivity, specificity, and positive and negative predictive values. The data derived from the study highlight the importance of engaging histocompatibility and immunogenetics laboratories in taking a lead in mapping other less characterized HLA and immunogenetic markers associated with ADRs. CI - Crown Copyright (c) 2012. Published by Elsevier Inc. All rights reserved. FAU - Berka, Noureddine AU - Berka N AD - Alberta Health Services, Calgary Laboratory Services, 9, Calgary, Alberta T2L 2K8, Canada. Noureddine.Berka@cls.ab.ca FAU - Gill, John M AU - Gill JM FAU - Liacini, Abdelhamid AU - Liacini A FAU - O'Bryan, Tyler AU - O'Bryan T FAU - Khan, Faisal M AU - Khan FM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111208 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Anti-HIV Agents) RN - 0 (Biomarkers) RN - 0 (Dideoxynucleosides) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B57 antigen) RN - WR2TIP26VS (abacavir) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Alberta MH - Anti-HIV Agents/*adverse effects/therapeutic use MH - Biomarkers/analysis MH - Dideoxynucleosides/*adverse effects/therapeutic use MH - Drug Hypersensitivity/*complications/*genetics MH - Female MH - Genetic Testing MH - HIV Infections/*complications/drug therapy MH - HLA-B Antigens/*genetics MH - Humans MH - Male MH - Middle Aged MH - *Pharmacogenetics MH - Retrospective Studies EDAT- 2011/12/27 06:00 MHDA- 2012/08/14 06:00 CRDT- 2011/12/27 06:00 PHST- 2011/02/28 00:00 [received] PHST- 2011/11/14 00:00 [revised] PHST- 2011/12/01 00:00 [accepted] PHST- 2011/12/27 06:00 [entrez] PHST- 2011/12/27 06:00 [pubmed] PHST- 2012/08/14 06:00 [medline] AID - S0198-8859(11)00586-6 [pii] AID - 10.1016/j.humimm.2011.12.002 [doi] PST - ppublish SO - Hum Immunol. 2012 Feb;73(2):164-7. doi: 10.1016/j.humimm.2011.12.002. Epub 2011 Dec 8.