PMID- 25114785 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140812 LR - 20211021 IS - 2042-0986 (Print) IS - 2042-0994 (Electronic) IS - 2042-0986 (Linking) VI - 4 IP - 6 DP - 2013 Dec TI - The risk of cutaneous adverse reactions among patients with the HLA-A* 31:01 allele who are given carbamazepine, oxcarbazepine or eslicarbazepine: a perspective review. PG - 246-53 LID - 10.1177/2042098613499791 [doi] AB - Carbamazepine is a drug that is widely used for the treatment of epilepsy, trigeminal neuralgia and bipolar disorder. This drug is also known to cause cutaneous adverse drug reactions (cADRs) in up to 10% of patients. The recent progress in pharmacogenetics has revealed that human leukocyte antigen (HLA) genotypes are associated with a susceptibility to the cADRs caused by particular drugs. For carbamazepine-induced Stevens-Johnson syndrome and toxic epidermal necrolysis, very strong associations with HLA-B*15:02 have been found mainly in patients of Southeastern Asian origin. In some countries, prescreening HLA-B*15:02 allele has already been put to practical use as a biomarker to avoid the life-threatening adverse drug reactions. In this review, another risk factor for carbamazepine-induced cADRs is discussed, namely HLA-A*31:01. We compare the strength of the association between HLA-A*31:01 and carbamazepine-induced cADRs based on reports for various ethnic populations; discuss the difference between the HLA-A*31:01 and HLA-B*15:02 biomarkers and the usefulness of prescreening HLA-A*31:01 to detect patients at high risk for carbamazepine-induced cADRs; and refer to points that remain to be resolved. FAU - Kaniwa, Nahoko AU - Kaniwa N AD - Senior Researcher, Division of Medicinal Safety Science, National Institute of Health Sciences, 1-18-1 Kamiyoga, Setagaya-ku, Tokyo 158-8501, Japan. FAU - Saito, Yoshiro AU - Saito Y AD - Director, Division of Medicinal Safety Science, National Institute of Health Sciences, Tokyo, Japan. LA - eng PT - Journal Article PT - Review PL - England TA - Ther Adv Drug Saf JT - Therapeutic advances in drug safety JID - 101549074 PMC - PMC4125310 OTO - NOTNLM OT - Biomarker OT - HLA genotype OT - Stevens-Johnson syndrome OT - hypersensitivity syndrome OT - toxic epidermal necrolysis COIS- Conflict of interest statement: We confirm that we have read the journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. None of the authors have any conflict of interest to disclose. EDAT- 2014/08/13 06:00 MHDA- 2014/08/13 06:01 PMCR- 2013/12/01 CRDT- 2014/08/13 06:00 PHST- 2014/08/13 06:00 [entrez] PHST- 2014/08/13 06:00 [pubmed] PHST- 2014/08/13 06:01 [medline] PHST- 2013/12/01 00:00 [pmc-release] AID - 10.1177_2042098613499791 [pii] AID - 10.1177/2042098613499791 [doi] PST - ppublish SO - Ther Adv Drug Saf. 2013 Dec;4(6):246-53. doi: 10.1177/2042098613499791.