PMID- 28931918 OWN - NLM STAT- MEDLINE DCOM- 20190701 LR - 20220318 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 7 IP - 1 DP - 2017 Sep 20 TI - Association of HLA-B and HLA-DRB1 polymorphisms with antithyroid drug-induced agranulocytosis in a Han population from northern China. PG - 11950 LID - 10.1038/s41598-017-12350-2 [doi] LID - 11950 AB - Antithyroid drug (ATD)-induced agranulocytosis is associated with human leukocyte antigen (HLA) and nearby genes in Southeast Asian and European populations. The susceptibility of the Han population from northern China to ATD-induced agranulocytosis has not been reported. We evaluated the associations of genetic variants at the HLA-B and HLA-DRB1 loci and 32 candidate single nucleotide polymorphisms (SNPs) with agranulocytosis in 29 patients with ATD-induced agranulocytosis and in 140 patients with Graves' disease (GD) as controls. All subjects were of Han descent from northern China. HLA-B*27:05 (P = 1.10 x 10(-4)), HLA-B*38:02 (P = 2.41 x 10(-4)) and HLA-DRB1*08:03 (P = 1.57 x 10(-3)) were susceptibility HLA variants for ATD-induced agranulocytosis. All subjects carrying the HLA-B*27:05 allele had agranulocytosis. The odds ratios (ORs) comparing allele carriers to non-carriers were 66.24 (95% confidence interval (CI): 3.54-1239.66) for HLA-B*27:05, 7.525 (95% CI: 2.294-24.68) for HLA-B*38:02 and 4.316 (95% CI: 1.56-11.93) for HLA-DRB1*08:03. Two SNPs, rs2596487 (OR = 4.196, 95% CI = 2.086-8.441, P = 2.08 x 10(-5)) and rs2228391 (OR = 3.621, 95% CI = 1.596-8.217, P = 1.2 x 10(-3)), were independently associated with ATD-induced agranulocytosis. Subjects carrying the 'A' allele of rs1811197 or HLA-B*38:02 showed lower minimum granulocyte counts than non-carriers (P = 4.74 x 10(-4) and P = 7.39 x 10(-4), respectively). Our findings support the association between genetic variations of HLA-B and HLA-DRB1 with ATD-induced agranulocytosis in a Han population from northern China. FAU - He, Yayi AU - He Y AD - Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. FAU - Zheng, Jie AU - Zheng J AD - Clinical Research Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. FAU - Zhang, Qian AU - Zhang Q AD - College of Medicine & Forensic, Health Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. FAU - Hou, Peng AU - Hou P AD - Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. FAU - Zhu, Feng AU - Zhu F AD - Center for Translational Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. FAU - Yang, Jian AU - Yang J AD - Clinical Research Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. FAU - Li, Wenhao AU - Li W AD - School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. FAU - Chen, Pu AU - Chen P AD - Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. FAU - Liu, Shu AU - Liu S AD - Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. FAU - Zhang, Bao AU - Zhang B AD - College of Medicine & Forensic, Health Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. zhangbao_814@mail.xjtu.edu.cn. FAU - Shi, Bingyin AU - Shi B AD - Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, The People's Republic of China. shibingy@126.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170920 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Antithyroid Agents) RN - 0 (HLA-B protein, human) RN - 0 (HLA-B27 Antigen) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Adult MH - Agranulocytosis/*chemically induced/*genetics MH - Antithyroid Agents/administration & dosage/*adverse effects MH - China MH - Ethnicity MH - Female MH - *Genetic Predisposition to Disease MH - HLA-B27 Antigen/*genetics MH - HLA-DRB1 Chains/*genetics MH - Humans MH - Male MH - Middle Aged MH - *Polymorphism, Single Nucleotide MH - Young Adult PMC - PMC5607267 COIS- The authors declare that they have no competing interests. EDAT- 2017/09/22 06:00 MHDA- 2019/07/02 06:00 PMCR- 2017/09/20 CRDT- 2017/09/22 06:00 PHST- 2017/03/09 00:00 [received] PHST- 2017/09/07 00:00 [accepted] PHST- 2017/09/22 06:00 [entrez] PHST- 2017/09/22 06:00 [pubmed] PHST- 2019/07/02 06:00 [medline] PHST- 2017/09/20 00:00 [pmc-release] AID - 10.1038/s41598-017-12350-2 [pii] AID - 12350 [pii] AID - 10.1038/s41598-017-12350-2 [doi] PST - epublish SO - Sci Rep. 2017 Sep 20;7(1):11950. doi: 10.1038/s41598-017-12350-2.