PMID- 23830818 OWN - NLM STAT- MEDLINE DCOM- 20140319 LR - 20221207 IS - 1872-6844 (Electronic) IS - 0920-1211 (Linking) VI - 106 IP - 1-2 DP - 2013 Sep TI - Predictive markers for carbamazepine and lamotrigine-induced maculopapular exanthema in Han Chinese. PG - 296-300 LID - S0920-1211(13)00144-7 [pii] LID - 10.1016/j.eplepsyres.2013.05.004 [doi] AB - The aims of this study were to clarify the possible associations of carbamazepine (CBZ)- and lamotrigine (LTG)-induced maculopapular exanthema (MPE) with the human leukocyte antigen (HLA) alleles in Chinese patients. A total of 249 subjects, including 40 patients with CBZ-induced MPE (CBZ-MPE), 43 patients with LTG-induced MPE (LTG-MPE), 52 CBZ-tolerant controls, 42 LTG-tolerant controls and 72 healthy controls, were included in this study. High-resolution HLA genotyping was performed by a specific kit. Differences in the allele frequencies among the groups were assessed. The allele frequencies of HLA-A*0201 and HLA-DRB1*1405 were significantly higher (P=0.033 and P=0.003, respectively), but those of HLA-B*5801 and HLA-DRB1*0301 (P=0.037 and P=0.024, respectively) were lower in the CBZ-MPE patients when compared with the CBZ-tolerant group. We also observed two significantly increased alleles of HLA-A*3001 and HLA-B*1302 (P=0.013 and P=0.013, respectively) and a decreased allele of HLA-A*3303 (P=0.048) in the LTG-MPE patients when compared with those in the LTG-tolerant group. Our results support the hypothesis that these HLA alleles contribute to the genetic susceptibility to CBZ/LTG-MPE and may be valuable as potential biomarkers for CBZ/LTG-MPE in Han Chinese. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - Li, Li-Juan AU - Li LJ AD - Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China. FAU - Hu, Fa-Yun AU - Hu FY FAU - Wu, Xin-Tong AU - Wu XT FAU - An, Dong-Mei AU - An DM FAU - Yan, Bo AU - Yan B FAU - Zhou, Dong AU - Zhou D LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130705 PL - Netherlands TA - Epilepsy Res JT - Epilepsy research JID - 8703089 RN - 0 (Anticonvulsants) RN - 0 (Biomarkers) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*15:02 antigen) RN - 0 (HLA-B15 Antigen) RN - 0 (Triazines) RN - 33CM23913M (Carbamazepine) RN - U3H27498KS (Lamotrigine) SB - IM MH - Adult MH - Alleles MH - Anticonvulsants/*adverse effects/therapeutic use MH - Asian People MH - Biomarkers MH - Carbamazepine/*adverse effects/therapeutic use MH - Case-Control Studies MH - China/epidemiology MH - Drug Eruptions/*epidemiology/genetics MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genotype MH - HLA-B Antigens/*genetics MH - HLA-B15 Antigen/genetics MH - Humans MH - Lamotrigine MH - Male MH - Middle Aged MH - Parapsoriasis/*chemically induced/epidemiology/genetics MH - Predictive Value of Tests MH - Triazines/*adverse effects/therapeutic use MH - Young Adult OTO - NOTNLM OT - Carbamazepine OT - Human leukocyte antigen OT - Lamotrigine OT - Maculopapular exanthema EDAT- 2013/07/09 06:00 MHDA- 2014/03/22 06:00 CRDT- 2013/07/09 06:00 PHST- 2013/01/30 00:00 [received] PHST- 2013/04/18 00:00 [revised] PHST- 2013/05/13 00:00 [accepted] PHST- 2013/07/09 06:00 [entrez] PHST- 2013/07/09 06:00 [pubmed] PHST- 2014/03/22 06:00 [medline] AID - S0920-1211(13)00144-7 [pii] AID - 10.1016/j.eplepsyres.2013.05.004 [doi] PST - ppublish SO - Epilepsy Res. 2013 Sep;106(1-2):296-300. doi: 10.1016/j.eplepsyres.2013.05.004. Epub 2013 Jul 5.