PMID- 31621657 OWN - NLM STAT- MEDLINE DCOM- 20191112 LR - 20240328 IS - 1117-1936 (Print) VI - 26 IP - 4 DP - 2019 Oct-Dec TI - Absence of human leukocyte antigen-B*57:01 amongst patients on antiretroviral therapy in Nigeria: Implications for use of abacavir. PG - 195-198 LID - 10.4103/npmj.npmj_75_19 [doi] AB - BACKGROUND: The presence of human leukocyte antigen (HLA) B*57:01 allele predicts hypersensitivity reaction (HSR) to abacavir (ABC), a nucleoside reverse-transcriptase inhibitor used for human immunodeficiency virus (HIV) treatment. However, the prevalence of this allele amongst Nigerians with HIV is yet to be established. We aimed to determine the prevalence of HLA-B*57:01 allele amongst Nigerians with HIV infection. METHODS: We conducted a multicentre cross-sectional epidemiologic survey. Between April 2016 and April 2017, patients were enrolled across five HIV treatment facilities in Nigeria. Participants' demographic information and their history of ABC exposure were obtained, and venous blood was obtained for HLA typing. RESULTS: One thousand five hundred and four (1504) adults were enrolled, with a mean age of 44.6 +/- 10.7 years, 1078 (71.7%) were female. 1463 (97.3%) were on antiretroviral therapy. ABC use was reported by 12 (0.8%) participants and none reported HSR. Of 1500 blood samples that were processed, 1458 (97.2%) were successfully typed. Of these, 132 (9.1%) were HLA-B*57 positive using non-specific low-resolution HLA-B*5701 primer mix. On further analysis, none of the 132 samples (0%) had the HLA-B*5701 allele. CONCLUSION: HLA-B*5701allele is rare amongst Nigerians. FAU - Agbaji, Oche O AU - Agbaji OO AD - Department of Medicine, University of Jos/Jos University Teaching Hospital; Department of AIDS Prevention Initiative in Nigeria (APIN)-Supported HIV Treatment Centre, Jos University Teaching Hospital, Jos, Nigeria. FAU - Akanbi, Maxwell O AU - Akanbi MO AD - Department of Medicine, University of Jos/Jos University Teaching Hospital; Department of AIDS Prevention Initiative in Nigeria (APIN)-Supported HIV Treatment Centre, Jos University Teaching Hospital, Jos, Nigeria; Health Sciences Integrated PhD Program, Center for Education in Health Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA. FAU - Otoh, Ihedinachi AU - Otoh I AD - Department of AIDS Prevention Initiative in Nigeria (APIN)-Supported HIV Treatment Centre, Jos University Teaching Hospital, Jos, Nigeria. FAU - Agaba, Patricia A AU - Agaba PA AD - Department of AIDS Prevention Initiative in Nigeria (APIN)-Supported HIV Treatment Centre, Jos University Teaching Hospital; Department of Family Medicine, University of Jos/Jos University Teaching Hospital, Jos, Nigeria. FAU - Akinsola, Rolake AU - Akinsola R AD - Department of Molecular Biology Research Laboratory, Lagos University Teaching Hospital, Lagos, Nigeria. FAU - Okolie, Victoria AU - Okolie V AD - Department of Molecular Biology Research Laboratory, Lagos University Teaching Hospital, Lagos, Nigeria. FAU - Ugoagwu, Placid O AU - Ugoagwu PO AD - Department of AIDS Prevention Initiative in Nigeria (APIN)-Supported HIV Treatment Centre, Jos University Teaching Hospital, Jos, Nigeria. FAU - Babadoko, Aliyu A AU - Babadoko AA AD - Department of Hematology, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. FAU - Adediran, Adewumi AU - Adediran A AD - Department of Hematology, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, Nigeria. FAU - Finomo, Finomo O AU - Finomo FO AD - Department of Medicine, Federal Medical Centre, Yenagoa, Nigeria. FAU - Abah, Jonah O AU - Abah JO AD - Department of Family Medicine, Federal Medical Centre, Makurdi, Nigeria. FAU - Muktar, Haruna M AU - Muktar HM AD - Department of Hematology, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. FAU - Akanmu, Alani S AU - Akanmu AS AD - Department of Hematology, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, Nigeria. LA - eng GR - D43 TW009575/TW/FIC NIH HHS/United States PT - Journal Article PL - Nigeria TA - Niger Postgrad Med J JT - The Nigerian postgraduate medical journal JID - 9613595 RN - 0 (Anti-HIV Agents) RN - 0 (Dideoxynucleosides) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B57 antigen) RN - 0 (Reverse Transcriptase Inhibitors) RN - WR2TIP26VS (abacavir) SB - IM MH - Adult MH - Aged MH - Anti-HIV Agents/*therapeutic use MH - Black People/genetics MH - Cross-Sectional Studies MH - Dideoxynucleosides/adverse effects/*therapeutic use MH - Drug Hypersensitivity/epidemiology/genetics/*immunology MH - Female MH - HIV Infections/*drug therapy/epidemiology/genetics/*immunology MH - HLA-B Antigens/blood/*genetics/immunology MH - Humans MH - Male MH - Middle Aged MH - Nigeria/epidemiology MH - Prevalence MH - Reverse Transcriptase Inhibitors/adverse effects/*therapeutic use PMC - PMC7024598 MID - NIHMS1554904 OTO - NOTNLM OT - Abacavir OT - Africa OT - antiretroviral therapy OT - epidemiology OT - human immunodeficiency virus OT - hypersensitivity COIS- None EDAT- 2019/10/18 06:00 MHDA- 2019/11/13 06:00 PMCR- 2020/02/16 CRDT- 2019/10/18 06:00 PHST- 2019/10/18 06:00 [entrez] PHST- 2019/10/18 06:00 [pubmed] PHST- 2019/11/13 06:00 [medline] PHST- 2020/02/16 00:00 [pmc-release] AID - NigerPostgradMedJ_2019_26_4_195_268597 [pii] AID - 10.4103/npmj.npmj_75_19 [doi] PST - ppublish SO - Niger Postgrad Med J. 2019 Oct-Dec;26(4):195-198. doi: 10.4103/npmj.npmj_75_19.