PMID- 30661239 OWN - NLM STAT- MEDLINE DCOM- 20200330 LR - 20210109 IS - 1532-6535 (Electronic) IS - 0009-9236 (Linking) VI - 106 IP - 1 DP - 2019 Jul TI - Drug-Induced Liver Injury due to Flucloxacillin: Relevance of Multiple Human Leukocyte Antigen Alleles. PG - 245-253 LID - 10.1002/cpt.1375 [doi] AB - Some patients prescribed flucloxacillin (~ 0.01%) develop drug-induced liver injury (DILI). HLA-B*57:01 is an established genetic risk factor for flucloxacillin DILI. To consolidate this finding, identify additional genetic factors, and assess relevance of risk factors for flucloxacillin DILI in relation to DILI due to other penicillins, we performed a genomewide association study involving 197 flucloxacillin DILI cases and 6,835 controls. We imputed single-nucleotide polymorphism and human leukocyte antigen (HLA) genotypes. HLA-B*57:01 was the major risk factor (allelic odds ratio (OR) = 36.62; P = 2.67 x 10(-97) ). HLA-B*57:03 also showed an association (OR = 79.21; P = 1.2 x 10(-6) ). Within the HLA-B protein sequence, imputation showed valine(97) , common to HLA-B*57:01 and HLA-B*57:03, had the largest effect (OR = 38.1; P = 9.7 x 10(-97) ). We found no HLA-B*57 association with DILI due to other isoxazolyl penicillins (n = 6) or amoxicillin (n = 15) and no significant non-HLA signals for any penicillin-related DILI. CI - (c) 2019 The Authors Clinical Pharmacology & Therapeutics (c) 2019 American Society for Clinical Pharmacology and Therapeutics. FAU - Nicoletti, Paola AU - Nicoletti P AD - Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA. AD - Sema4, a Mount Sinai Venture, Stamford, Connecticut, USA. FAU - Aithal, Guruprasad P AU - Aithal GP AD - National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospital NHS Trust and University of Nottingham, Nottingham, UK. FAU - Chamberlain, Thomas C AU - Chamberlain TC AD - Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK. AD - University of British Columbia, Vancouver, British Columbia, Canada. FAU - Coulthard, Sally AU - Coulthard S AD - Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK. FAU - Alshabeeb, Mohammad AU - Alshabeeb M AD - Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK. AD - Developmental Medicine Department, King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia. FAU - Grove, Jane I AU - Grove JI AD - National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospital NHS Trust and University of Nottingham, Nottingham, UK. AD - Nottingham Digestive Diseases Centre, School of Medicine, University of Nottingham, Nottingham, UK. FAU - Andrade, Raul J AU - Andrade RJ AD - UGC Digestivo y Servicio de Farmacologia Clinica, Instituto de Investigacion Biomedica de Malaga (IBIMA), Hospital Universitario Virgen de la Victoria, Universidad de Malaga, Malaga, Spain. AD - Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas (CIBERehd), Madrid, Spain. FAU - Bjornsson, Einar AU - Bjornsson E AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, The National University Hospital of Iceland, Reykjavik, Iceland. FAU - Dillon, John F AU - Dillon JF AD - Medical Research Institute, University of Dundee, Ninewells Hospital, Dundee, UK. FAU - Hallberg, Par AU - Hallberg P AD - Department of Medical Sciences and Science for Life Laboratory, Uppsala University, Uppsala, Sweden. FAU - Lucena, M Isabel AU - Lucena MI AD - UGC Digestivo y Servicio de Farmacologia Clinica, Instituto de Investigacion Biomedica de Malaga (IBIMA), Hospital Universitario Virgen de la Victoria, Universidad de Malaga, Malaga, Spain. AD - Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas (CIBERehd), Madrid, Spain. FAU - Maitland-van der Zee, Anke H AU - Maitland-van der Zee AH AD - Department of Respiratory Medicine, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands. FAU - Martin, Jennifer H AU - Martin JH AD - School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia. FAU - Molokhia, Mariam AU - Molokhia M AD - School of Population Health and Environmental Sciences, Faculty of Life Sciences and Medicine, King's College, London, UK. FAU - Pirmohamed, Munir AU - Pirmohamed M AD - Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK. FAU - Wadelius, Mia AU - Wadelius M AD - Department of Medical Sciences and Science for Life Laboratory, Uppsala University, Uppsala, Sweden. FAU - Shen, Yufeng AU - Shen Y AD - The Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York, USA. AD - Department of Biomedical Informatics, Columbia University, New York, New York, USA. FAU - Nelson, Matthew R AU - Nelson MR AD - Target Sciences, GSK, King of Prussia, Pennsylvania, USA. FAU - Daly, Ann K AU - Daly AK AD - Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK. CN - International Drug-Induced Liver Injury Consortium (iDILIC) LA - eng GR - BRC-1215-20003/DH_/Department of Health/United Kingdom GR - MR/L006758/1/MRC_/Medical Research Council/United Kingdom GR - BB_/Biotechnology and Biological Sciences Research Council/United Kingdom GR - MR/N005953/1/MRC_/Medical Research Council/United Kingdom GR - WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190319 PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 RN - 0 (Anti-Bacterial Agents) RN - 0 (HLA-B Antigens) RN - 0 (Penicillins) RN - 43B2M34G2V (Floxacillin) SB - IM MH - Aged MH - Anti-Bacterial Agents/*adverse effects MH - Chemical and Drug Induced Liver Injury/*genetics MH - Female MH - Floxacillin/*adverse effects MH - Genome-Wide Association Study MH - Genotype MH - HLA-B Antigens/*genetics MH - Humans MH - Male MH - Middle Aged MH - Penicillins/adverse effects MH - Polymorphism, Single Nucleotide EDAT- 2019/01/21 06:00 MHDA- 2020/03/31 06:00 CRDT- 2019/01/21 06:00 PHST- 2018/08/23 00:00 [received] PHST- 2018/12/13 00:00 [accepted] PHST- 2019/01/21 06:00 [pubmed] PHST- 2020/03/31 06:00 [medline] PHST- 2019/01/21 06:00 [entrez] AID - 10.1002/cpt.1375 [doi] PST - ppublish SO - Clin Pharmacol Ther. 2019 Jul;106(1):245-253. doi: 10.1002/cpt.1375. Epub 2019 Mar 19.