PMID- 26095714 OWN - NLM STAT- MEDLINE DCOM- 20160318 LR - 20161125 IS - 1097-9883 (Electronic) IS - 0360-2532 (Linking) VI - 47 IP - 2 DP - 2015 May TI - Pharmacogenetics of isoniazid-induced hepatotoxicity. PG - 222-8 LID - 10.3109/03602532.2014.984070 [doi] AB - Tuberculosis is still a major problem in some developed and developing countries. The poor compliance to the treatment of tuberculosis patients due to the adverse events was supposed to be an important factor contributing to the high prevalence. This review aims to clarify the role and the pharmacological mechanism of the genes involved in the isoniazid-induced hepatotoxicity. We selected English articles of studies in human from PubMed up to May 2014 with the keywords pharmacogenetic, isoniazid and hepatotoxicity, N-acetyl transferase 2 (NAT2), CYP2E1 and glutathione S transferase (GST). Polymorphisms of NAT2, CYP2E1 and GST1 could increase patients' susceptibility to isoniazid-induced hepatotoxicity. The rapid acetylators of NAT2 and rapid metabolizers of CYP2E1 showed increased concentrations of hepatotoxic metabolites. However, the rapid metabolizers of GST1 could decrease the concentration of hepatotoxic metabolites. Some studies of human leukocyte antigen (HLA), Uridine 5'-dipphospho (UDP) glucuronosyltransferase (UGT), nitric oxide synthase (NOS), Broad complex, Tramtrack, Bric-a-brac (BTB) and cap'n'collar type of basic region leucine zipper factor family (CNC) homolog (BACH) and Maf basic leucine zipper protein (MAFK) polymorphisms showed their roles in isoniazid-induced hepatotoxicity by modifying the expression of antioxidant enzymes. A better insight into the role of polymorphisms of HLA, UGT, NOS, BACH and MAFK in addition to NAT2, CYP2E1 and GST1 in the hepatotoxicity of isoniazid may support physicians in monitoring patients hepatotoxicity symptoms and laboratory data and optimizing pharmacotherapy. Future studies about the role of such polymorphisms in different ethnicities are suggested. FAU - Perwitasari, Dyah Aryani AU - Perwitasari DA AD - Faculty of Pharmacy, University of Ahmad Dahlan , Yogyakarta , Indonesia . FAU - Atthobari, Jarir AU - Atthobari J FAU - Wilffert, Bob AU - Wilffert B LA - eng PT - Journal Article PT - Review DEP - 20141119 PL - England TA - Drug Metab Rev JT - Drug metabolism reviews JID - 0322067 RN - 0 (Antitubercular Agents) RN - 0 (Reactive Oxygen Species) RN - EC 1.14.13.- (Cytochrome P-450 CYP2E1) RN - EC 2.3.1.5 (Arylamine N-Acetyltransferase) RN - EC 2.3.1.5 (NAT2 protein, human) RN - EC 2.5.1.- (glutathione S-transferase T1) RN - EC 2.5.1.18 (Glutathione Transferase) RN - EC 2.5.1.18 (glutathione S-transferase M1) RN - V83O1VOZ8L (Isoniazid) SB - IM MH - Antitubercular Agents/adverse effects/*pharmacokinetics MH - Arylamine N-Acetyltransferase/genetics/metabolism MH - Chemical and Drug Induced Liver Injury/enzymology/etiology/*genetics MH - Cytochrome P-450 CYP2E1/genetics/metabolism MH - *Genetic Variation MH - Glutathione Transferase/genetics/metabolism MH - Humans MH - Isoniazid/adverse effects/*pharmacokinetics MH - Pharmacogenetics MH - Reactive Oxygen Species/metabolism OTO - NOTNLM OT - Genetic OT - hepatotoxicity OT - oral antituberculosis OT - polymorphism OT - tuberculosis EDAT- 2015/06/23 06:00 MHDA- 2016/03/19 06:00 CRDT- 2015/06/23 06:00 PHST- 2015/06/23 06:00 [entrez] PHST- 2015/06/23 06:00 [pubmed] PHST- 2016/03/19 06:00 [medline] AID - 10.3109/03602532.2014.984070 [doi] PST - ppublish SO - Drug Metab Rev. 2015 May;47(2):222-8. doi: 10.3109/03602532.2014.984070. Epub 2014 Nov 19.