PMID- 22732016 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121129 LR - 20220129 IS - 1756-994X (Electronic) IS - 1756-994X (Linking) VI - 4 IP - 6 DP - 2012 Jun 25 TI - In silico analysis of HLA associations with drug-induced liver injury: use of a HLA-genotyped DNA archive from healthy volunteers. PG - 51 LID - 10.1186/gm350 [doi] AB - BACKGROUND: Drug-induced liver injury (DILI) is one of the most common adverse reactions leading to product withdrawal post-marketing. Recently, genome-wide association studies have identified a number of human leukocyte antigen (HLA) alleles associated with DILI; however, the cellular and chemical mechanisms are not fully understood. METHODS: To study these mechanisms, we established an HLA-typed cell archive from 400 healthy volunteers. In addition, we utilized HLA genotype data from more than four million individuals from publicly accessible repositories such as the Allele Frequency Net Database, Major Histocompatibility Complex Database and Immune Epitope Database to study the HLA alleles associated with DILI. We utilized novel in silico strategies to examine HLA haplotype relationships among the alleles associated with DILI by using bioinformatics tools such as NetMHCpan, PyPop, GraphViz, PHYLIP and TreeView. RESULTS: We demonstrated that many of the alleles that have been associated with liver injury induced by structurally diverse drugs (flucloxacillin, co-amoxiclav, ximelagatran, lapatinib, lumiracoxib) reside on common HLA haplotypes, which were present in populations of diverse ethnicity. CONCLUSIONS: Our bioinformatic analysis indicates that there may be a connection between the different HLA alleles associated with DILI caused by therapeutically and structurally different drugs, possibly through peptide binding of one of the HLA alleles that defines the causal haplotype. Further functional work, together with next-generation sequencing techniques, will be needed to define the causal alleles associated with DILI. FAU - Alfirevic, Ana AU - Alfirevic A AD - Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, The Waterhouse Building, Brownlow Street 1-5, Liverpool, L69 3GL, UK. Ana.Alfirevic@liv.ac.uk. FAU - Gonzalez-Galarza, Faviel AU - Gonzalez-Galarza F FAU - Bell, Catherine AU - Bell C FAU - Martinsson, Klara AU - Martinsson K FAU - Platt, Vivien AU - Platt V FAU - Bretland, Giovanna AU - Bretland G FAU - Evely, Jane AU - Evely J FAU - Lichtenfels, Maike AU - Lichtenfels M FAU - Cederbrant, Karin AU - Cederbrant K FAU - French, Neil AU - French N FAU - Naisbitt, Dean AU - Naisbitt D FAU - Park, B Kevin AU - Park BK FAU - Jones, Andrew R AU - Jones AR FAU - Pirmohamed, Munir AU - Pirmohamed M LA - eng GR - G0700654/MRC_/Medical Research Council/United Kingdom PT - Journal Article DEP - 20120625 PL - England TA - Genome Med JT - Genome medicine JID - 101475844 PMC - PMC3698530 EDAT- 2012/06/27 06:00 MHDA- 2012/06/27 06:01 PMCR- 2012/06/25 CRDT- 2012/06/27 06:00 PHST- 2011/10/31 00:00 [received] PHST- 2012/04/20 00:00 [revised] PHST- 2012/06/25 00:00 [accepted] PHST- 2012/06/27 06:00 [entrez] PHST- 2012/06/27 06:00 [pubmed] PHST- 2012/06/27 06:01 [medline] PHST- 2012/06/25 00:00 [pmc-release] AID - gm350 [pii] AID - 10.1186/gm350 [doi] PST - epublish SO - Genome Med. 2012 Jun 25;4(6):51. doi: 10.1186/gm350.