PMID- 24388047 OWN - NLM STAT- MEDLINE DCOM- 20150207 LR - 20220408 IS - 1873-569X (Electronic) IS - 0923-1811 (Linking) VI - 74 IP - 1 DP - 2014 Apr TI - Simple and rapid detection of HLA-A*31:01 for prediction of carbamazepine-induced hypersensitivity using loop-mediated isothermal amplification method. PG - 88-92 LID - S0923-1811(13)00383-6 [pii] LID - 10.1016/j.jdermsci.2013.11.013 [doi] AB - BACKGROUND: Carbamazepine (CBZ), which is widely used in management of epilepsy or neuropathic pain, causes fatal severe cutaneous adverse reactions (SCARs). CBZ-induced SCARs are known to occur in strong association with human leukocyte antigen (HLA)-A*31:01 in Japanese and European populations. HLA genotyping is currently used to detect human HLA-A*31:01. OBJECTIVE: To establish a simple and rapid screening assay specific for HLA-A*31:01, the loop-mediated isothermal amplification (LAMP) method was employed on a sample Japanese population. METHODS: A set of LAMP primers targeting exon 2 of HLA-A*31:01 were designed. Thirty-two clinical samples including the representative HLA-A allele in Japan were used to assess the specificity of LAMP primers in the detection of HLA-A*31:01. RESULTS: The HLA-A*31:01-specific LAMP assay showed consistency with polymerase chain reaction reverse sequence-specific oligonucleotide probe (PCR-rSSO) and polymerase chain reaction-sequence based typing (PCR-SBT) results. CONCLUSION: High sensitivity and specificity of the HLA-A*31:01 LAMP assay was confirmed. Considering its convenience, the assay can be widely used to screen patients at high genetic risk of CBZ-induced SCARs. CI - Copyright (c) 2014 Japanese Society for Investigative Dermatology. Published by Elsevier Ireland Ltd. All rights reserved. FAU - Niihara, Hiroyuki AU - Niihara H AD - Department of Dermatology, Shimane University Hospital, Izumo, Japan. Electronic address: ofcourse@med.shimane-u.ac.jp. FAU - Kohno, Kunie AU - Kohno K AD - Center for Community-Based Health Research and Education (COHRE), Organization for the Promotion of Project Research, Shimane University, Izumo, Japan. FAU - Taketani, Takeshi AU - Taketani T AD - Department of Pediatrics, Shimane University Hospital, Izumo, Japan. FAU - Kaneko, Sakae AU - Kaneko S AD - Department of Dermatology, Shimane University Hospital, Izumo, Japan. FAU - Ito, Takafumi AU - Ito T AD - Section of Nephrology, Department of Internal Medicine, Shimane University Hospital, Izumo, Japan. FAU - Sugamori, Takashi AU - Sugamori T AD - Section of Cardiovascular Internal Medicine, Department of Internal Medicine, Shimane University Hospital, Izumo, Japan. FAU - Takahashi, Nobuyuki AU - Takahashi N AD - Section of Cardiovascular Internal Medicine, Department of Internal Medicine, Shimane University Hospital, Izumo, Japan. FAU - Miyaoka, Tuyoshi AU - Miyaoka T AD - Department of Psychiatry, Shimane University Hospital, Izumo, Japan. FAU - Okazaki, Shihoh AU - Okazaki S AD - Department of Psychiatry, Shimane University Hospital, Izumo, Japan. FAU - Yasuda, Hideaki AU - Yasuda H AD - Department of Psychiatry, Shimane University Hospital, Izumo, Japan. FAU - Furuya, Motohide AU - Furuya M AD - Department of Psychiatry, Shimane University Hospital, Izumo, Japan. FAU - Nagahama, Michiharu AU - Nagahama M AD - Department of Psychiatry, Shimane University Hospital, Izumo, Japan. FAU - Morita, Eishin AU - Morita E AD - Department of Dermatology, Shimane University Hospital, Izumo, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131216 PL - Netherlands TA - J Dermatol Sci JT - Journal of dermatological science JID - 9011485 RN - 0 (Anticonvulsants) RN - 0 (DNA Primers) RN - 0 (HLA-A Antigens) RN - 0 (HLA-A*31:01 antigen) RN - 33CM23913M (Carbamazepine) SB - IM MH - Alleles MH - Anticonvulsants/adverse effects MH - Base Sequence MH - Carbamazepine/*adverse effects MH - DNA Primers/genetics MH - Drug Hypersensitivity/*genetics/mortality MH - Gene Frequency MH - Genotype MH - HLA-A Antigens/*analysis MH - Humans MH - Japan MH - Molecular Sequence Data MH - *Nucleic Acid Amplification Techniques MH - Polymerase Chain Reaction MH - Sequence Analysis, DNA MH - Skin/drug effects OTO - NOTNLM OT - Carbamazepine OT - Fatal severe cutaneous adverse reactions OT - Human leukocyte antigen-A*31:01 OT - Loop-mediated isothermal amplification EDAT- 2014/01/07 06:00 MHDA- 2015/02/11 06:00 CRDT- 2014/01/07 06:00 PHST- 2013/05/18 00:00 [received] PHST- 2013/10/31 00:00 [revised] PHST- 2013/11/27 00:00 [accepted] PHST- 2014/01/07 06:00 [entrez] PHST- 2014/01/07 06:00 [pubmed] PHST- 2015/02/11 06:00 [medline] AID - S0923-1811(13)00383-6 [pii] AID - 10.1016/j.jdermsci.2013.11.013 [doi] PST - ppublish SO - J Dermatol Sci. 2014 Apr;74(1):88-92. doi: 10.1016/j.jdermsci.2013.11.013. Epub 2013 Dec 16.