PMID- 22931407 OWN - NLM STAT- MEDLINE DCOM- 20130429 LR - 20181202 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 80 IP - 5 DP - 2012 Nov TI - HLA-B*15:02 is associated with anemia in patients with chronic hepatitis C treated with pegylated interferon-alpha and ribavirin. PG - 424-30 LID - 10.1111/j.1399-0039.2012.01956.x [doi] AB - To investigate the relationship between human leukocyte antigen (HLA) class I and II alleles and treatment-induced anemia in chronic hepatitis C (CHC) patients receiving combination therapy with pegylated interferon-alpha (PEG-IFN-alpha) and ribavirin (RBV). One hundred six naive CHC patients (59 females and 47 males; mean age, 53.08 years) who underwent combination treatment were enrolled. The patients were considered positive for hemoglobin (Hb)-related side effects if the Hb concentrations dropped below 10 g/dl during PEG-IFN-alpha plus RBV treatment. The HLA-A, -B, -C, -DR, and -DQ loci were investigated by sequence-based genotyping. The effects of the clinical characteristics, virologic variables, and the HLA alleles on treatment-induced anemia were evaluated by a logistic regression analysis. Forty patients (37.7%) had Hb levels below 10 g/dl during the treatment course. Low baseline Hb levels and an advanced liver fibrosis stage were associated with decreases in Hb levels to below 10 g/dl. The occurrence of treatment-related anemia (Hb < 10 g/dl) was significantly associated with HLA-B*15:02 as shown by multivariate analysis (adjusted odds ratio, 8.13; 95% confidence interval: 1.19-55.70; P-value after Holm's procedure, 0.03). HLA-B*15:02 is associated with treatment-induced anemia in Taiwanese CHC patients receiving combination therapy with PEG-IFN-alpha plus RBV. CI - (c) 2012 John Wiley & Sons A/S. FAU - Tseng, C-W AU - Tseng CW AD - Department of Internal Medicine, Buddhist Dalin Tzu Chi General Hospital, Chia-Yi, Taiwan. FAU - Hsieh, Y-H AU - Hsieh YH FAU - Chang, C-K AU - Chang CK FAU - Lai, N-S AU - Lai NS FAU - Hung, T-H AU - Hung TH FAU - Wu, S-F AU - Wu SF FAU - Tseng, K-C AU - Tseng KC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120830 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (Antiviral Agents) RN - 0 (HLA-B*15:02 antigen) RN - 0 (HLA-B15 Antigen) RN - 0 (Hemoglobins) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Interferon-alpha) RN - 0 (Recombinant Proteins) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - 49717AWG6K (Ribavirin) RN - Q46947FE7K (peginterferon alfa-2a) SB - IM MH - Adult MH - Aged MH - Anemia/chemically induced/*genetics/immunology/virology MH - Antiviral Agents/administration & dosage/*adverse effects MH - Drug Therapy, Combination/adverse effects MH - Female MH - Genotype MH - HLA-B15 Antigen/*genetics/immunology MH - Hemoglobins/analysis MH - Hepacivirus/drug effects/physiology MH - Hepatitis C, Chronic/complications/*genetics/immunology/virology MH - Histocompatibility Antigens Class I/genetics/immunology MH - Histocompatibility Antigens Class II/genetics/immunology MH - Histocompatibility Testing MH - Humans MH - Interferon-alpha/administration & dosage/*adverse effects MH - Liver Cirrhosis/etiology/*genetics/immunology/virology MH - Male MH - Middle Aged MH - Polyethylene Glycols/administration & dosage/*adverse effects MH - Recombinant Proteins/administration & dosage/adverse effects MH - Ribavirin/administration & dosage/*adverse effects MH - Sequence Analysis, DNA EDAT- 2012/08/31 06:00 MHDA- 2013/04/30 06:00 CRDT- 2012/08/31 06:00 PHST- 2012/03/03 00:00 [received] PHST- 2012/06/30 00:00 [revised] PHST- 2012/08/06 00:00 [accepted] PHST- 2012/08/31 06:00 [entrez] PHST- 2012/08/31 06:00 [pubmed] PHST- 2013/04/30 06:00 [medline] AID - 10.1111/j.1399-0039.2012.01956.x [doi] PST - ppublish SO - Tissue Antigens. 2012 Nov;80(5):424-30. doi: 10.1111/j.1399-0039.2012.01956.x. Epub 2012 Aug 30.