PMID- 27527795 OWN - NLM STAT- MEDLINE DCOM- 20170605 LR - 20170605 IS - 1528-1167 (Electronic) IS - 0013-9580 (Linking) VI - 57 IP - 10 DP - 2016 Oct TI - Genetic risk factors for antiepileptic drug-induced hypersensitivity reactions in Israeli populations. PG - e205-e209 LID - 10.1111/epi.13498 [doi] AB - The human leukocyte antigen (HLA) alleles B*15:02 and A*31:01 have been identified as predictive markers of adverse cutaneous effects of carbamazepine and phenytoin in Asian and North European populations, respectively. Our aim was to estimate the distribution of these alleles in Jewish and Arab populations in Israel. The HLA-B*15:02 and HLA-A*31:01 carrier rate was estimated based on data from the Hadassah Bone Marrow Registry. Data on Stevens-Johnson syndrome (SJS)- and toxic epidermal necrolysis (TEN)-related hospitalizations were obtained from the Israeli Ministry of Health (MOH) registries and from four Israeli medical centers. Of 83,705 Jewish and Arab-Muslim donors, 81 individuals of known origin carried the HLA-B*15:02. Among them, 66 were Jews of India-Cochin descent. Of the Cochin Jewish donors, 12.7% were B*15:02 carriers. HLA-A*31:01 carrier incidence among Arab and Jewish Israeli populations (3.5% and 2.2%, respectively) was within the range reported in other countries. We did not identify SJS- or TEN-related hospitalizations of Jews of Indian descent. Yet, this population should be considered at greater risk for antiepileptic drug-induced SJS and TEN. Until further data on actual risk are available, such patients should be typed for HLA-B before treatment with carbamazepine or phenytoin. CI - Wiley Periodicals, Inc. (c) 2016 International League Against Epilepsy. FAU - Israel, Shoshana AU - Israel S AD - Tissue Typing Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Maggio, Nicola AU - Maggio N AD - Department of Neurology, Sheba Medical Center, Tel Hashomer, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Ekstein, Dana AU - Ekstein D AD - Department of Neurology, Agnes Ginges Center for Human Neurogenetics, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Zaid, Huda AU - Zaid H AD - Institute for Drug Research, School of Pharmacy, The Hebrew University, Jerusalem, Israel. FAU - Firer, Maria AU - Firer M AD - Institute for Drug Research, School of Pharmacy, The Hebrew University, Jerusalem, Israel. FAU - Bederovsky, Yana AU - Bederovsky Y AD - Institute for Drug Research, School of Pharmacy, The Hebrew University, Jerusalem, Israel. FAU - Noyman, Iris AU - Noyman I AD - Department of Pediatric Neurology, Soroka Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel. FAU - Gandelman-Marton, Revital AU - Gandelman-Marton R AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. AD - Department of Neurology, Assaf Harofeh Medical Center, Zerifin, Israel. FAU - Blatt, Ilan AU - Blatt I AD - Department of Neurology, Sheba Medical Center, Tel Hashomer, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Brautbar, Chaim AU - Brautbar C AD - Tissue Typing Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Marom, Eli AU - Marom E AD - Department of Pharmacology, Israel Ministry of Health, Jerusalem, Israel. FAU - Nahlieli Dil, Dorit AU - Nahlieli Dil D AD - Department of Pharmacology, Israel Ministry of Health, Jerusalem, Israel. FAU - Berman, Erez AU - Berman E AD - Department of Pharmacology, Israel Ministry of Health, Jerusalem, Israel. FAU - Sabag, David AU - Sabag D AD - Tissue Typing Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Ingber, Arieh AU - Ingber A AD - Department of Dermatology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Eyal, Sara AU - Eyal S AD - Institute for Drug Research, School of Pharmacy, The Hebrew University, Jerusalem, Israel. sarae@ekmd.huji.ac.il. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20160816 PL - United States TA - Epilepsia JT - Epilepsia JID - 2983306R RN - 0 (Anticonvulsants) RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) SB - IM MH - Anticonvulsants/*adverse effects MH - Arabs MH - Drug Hypersensitivity/epidemiology/ethnology/*etiology/*genetics MH - Epilepsy/drug therapy/ethnology MH - Female MH - Genetic Predisposition to Disease/*genetics MH - HLA-A Antigens/*genetics MH - HLA-B Antigens/*genetics MH - Humans MH - Incidence MH - Israel/epidemiology/ethnology MH - Jews MH - Male MH - Retrospective Studies MH - Risk Factors OTO - NOTNLM OT - Arab-Muslim OT - Carbamazepine OT - HLA-A*31:01 OT - HLA-B*15:02 OT - Jewish OT - Stevens-Johnson syndrome EDAT- 2016/08/17 06:00 MHDA- 2017/06/06 06:00 CRDT- 2016/08/17 06:00 PHST- 2016/07/18 00:00 [accepted] PHST- 2016/08/17 06:00 [pubmed] PHST- 2017/06/06 06:00 [medline] PHST- 2016/08/17 06:00 [entrez] AID - 10.1111/epi.13498 [doi] PST - ppublish SO - Epilepsia. 2016 Oct;57(10):e205-e209. doi: 10.1111/epi.13498. Epub 2016 Aug 16.