PMID- 31202168 OWN - NLM STAT- MEDLINE DCOM- 20200108 LR - 20200108 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 117 DP - 2019 Sep TI - Association of HLA-C*03:02 with methimazole-induced liver injury in Graves' disease patients. PG - 109095 LID - S0753-3322(19)32334-0 [pii] LID - 10.1016/j.biopha.2019.109095 [doi] AB - Methimazole (MMI) has been used for the treatment of Graves' Disease (GD) for more than half a century. The MMI treatment has been reported to be associated with hepatotoxicity. Previous studies have demonstrated that human leukocyte antigen (HLA) genetic polymorphisms were associated with many drugs-induced liver injuries. To investigate HLA genetic susceptibility to MMI-induced liver injury (MMI-DILI), we characterized both HLA class I and class Ⅱ in a well-characterized phenotypic cohort with 40 MMI-DILI cases and 118 MMI-tolerant controls. Among the 40 MMI-DILI cases, 57.5% were women and 50% were cholestatic liver damage with occurring time from days to months after MMI dosing. The frequency of HLA-C*03:02 was 6.7% (5/75) in the MMI-DILI case patients and 6.4% (4/62) in MMI-induced cholestatic/mixed liver damage, which were significantly different from the percentage of 0.4% (1/231) in the MMI-tolerant patients (odds ratio (OR) = 15.4, 95% confidence interval (CI) = 1.77-133.9, adjusted P = 0.0292; OR=14.9, 95% CI=2.38-182.9, adjusted P = 0.0323; respectively). HLA-A*02:01 was also found to be associated with MMI-induced cholestatic/mixed liver injury (OR = 3.13, 95%CI=1.45-6.91, adjusted P = 0.0464). The present study demonstrated that individuals carrying HLA-C*03:02 allele are at increased risk of developing MMI-induced DILI. These results may assist doctors to prevent the occurrence of hepatotoxicity in GD patients receiving MMI. CI - Copyright (c) 2019 The Authors. Published by Elsevier Masson SAS.. All rights reserved. FAU - Li, Xuesong AU - Li X AD - Department of Endocrinology and Metabolism, Minhang Hospital, Fudan University, Shanghai, 201199, PR China. FAU - Jin, Shasha AU - Jin S AD - Department of Clinical Pharmacy, School of Pharmacy, Fudan University, Shanghai, 201203, PR China. FAU - Fan, Yujuan AU - Fan Y AD - Department of Endocrinology and Metabolism, Minhang Hospital, Fudan University, Shanghai, 201199, PR China. FAU - Fan, Xiaofang AU - Fan X AD - Department of Endocrinology and Metabolism, Minhang Hospital, Fudan University, Shanghai, 201199, PR China. FAU - Tang, Zhijia AU - Tang Z AD - Department of Clinical Pharmacy, School of Pharmacy, Fudan University, Shanghai, 201203, PR China. FAU - Cai, Weimin AU - Cai W AD - Department of Clinical Pharmacy, School of Pharmacy, Fudan University, Shanghai, 201203, PR China. FAU - Yang, Jialin AU - Yang J AD - Department of Endocrinology and Metabolism, Minhang Hospital, Fudan University, Shanghai, 201199, PR China. Electronic address: Jialinyang2002@163.com. FAU - Xiang, Xiaoqiang AU - Xiang X AD - Department of Clinical Pharmacy, School of Pharmacy, Fudan University, Shanghai, 201203, PR China. Electronic address: xiangxq@fudan.edu.cn. LA - eng PT - Journal Article DEP - 20190612 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 RN - 0 (HLA-C Antigens) RN - 0 (HLA-C*03 antigen) RN - 554Z48XN5E (Methimazole) SB - IM MH - Adult MH - Alleles MH - Chemical and Drug Induced Liver Injury/*etiology/*genetics MH - Female MH - Genetic Predisposition to Disease/*genetics MH - Graves Disease/drug therapy/*genetics MH - HLA-C Antigens/*genetics MH - Humans MH - Liver/drug effects MH - Male MH - Methimazole/*adverse effects/therapeutic use MH - Polymorphism, Genetic/*genetics MH - Retrospective Studies OTO - NOTNLM OT - Drug-induced liver injury OT - Human leukocyte antigens OT - Methimazole OT - Molecular docking EDAT- 2019/06/16 06:00 MHDA- 2020/01/09 06:00 CRDT- 2019/06/16 06:00 PHST- 2019/05/21 00:00 [received] PHST- 2019/06/04 00:00 [revised] PHST- 2019/06/04 00:00 [accepted] PHST- 2019/06/16 06:00 [pubmed] PHST- 2020/01/09 06:00 [medline] PHST- 2019/06/16 06:00 [entrez] AID - S0753-3322(19)32334-0 [pii] AID - 10.1016/j.biopha.2019.109095 [doi] PST - ppublish SO - Biomed Pharmacother. 2019 Sep;117:109095. doi: 10.1016/j.biopha.2019.109095. Epub 2019 Jun 12.