PMID- 31753244 OWN - NLM STAT- MEDLINE DCOM- 20210726 LR - 20210726 IS - 1557-8224 (Electronic) IS - 1089-3261 (Linking) VI - 24 IP - 1 DP - 2020 Feb TI - Genetic Predisposition to Drug-Induced Liver Injury. PG - 11-23 LID - S1089-3261(19)30053-4 [pii] LID - 10.1016/j.cld.2019.08.003 [doi] AB - Identification of genetic predisposition to drug-induced liver injury (DILI) is of paramount importance. Early candidate gene studies have identified various polymorphisms in drug-metabolizing genes that infer increased DILI susceptibility. Few of these have been confirmed in more recent genome-wide association studies, which have identified several specific human leukocyte antigen (HLA) alleles. The low incidence rate of DILI, however, leads to a low positive predictive value for currently identified genetic variations, making them unsuitable for pre-prescription screening. HLA screening incorporated into clinical practice can aid the diagnostic process resulting in enhanced diagnostic accuracy and confidence. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Stephens, Camilla AU - Stephens C AD - Unidad de Gestion Clinica de Aparato Digestivo, Instituto de Investigacion Biomedica de Malaga-IBIMA, Hospital Universitario Virgen de la Victoria, Universidad de Malaga, Boulevard Louis Pasteur 32, Malaga, 29071 Spain; Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas (CIBERehd), Spain. FAU - Andrade, Raul J AU - Andrade RJ AD - Unidad de Gestion Clinica de Aparato Digestivo, Instituto de Investigacion Biomedica de Malaga-IBIMA, Hospital Universitario Virgen de la Victoria, Universidad de Malaga, Boulevard Louis Pasteur 32, Malaga, 29071 Spain; Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas (CIBERehd), Spain. Electronic address: andrade@uma.es. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20191031 PL - United States TA - Clin Liver Dis JT - Clinics in liver disease JID - 9710002 RN - 0 (HLA Antigens) SB - IM MH - *Chemical and Drug Induced Liver Injury/epidemiology/genetics MH - Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - HLA Antigens/*genetics MH - Humans MH - Pharmacogenomic Testing/*methods MH - *Pharmacogenomic Variants MH - Predictive Value of Tests OTO - NOTNLM OT - Candidate gene studies OT - Drug metabolism OT - Genome-wide association studies OT - Human leukocyte antigen OT - Pharmacogenetics OT - Pharmacogenomics EDAT- 2019/11/23 06:00 MHDA- 2021/07/27 06:00 CRDT- 2019/11/23 06:00 PHST- 2019/11/23 06:00 [entrez] PHST- 2019/11/23 06:00 [pubmed] PHST- 2021/07/27 06:00 [medline] AID - S1089-3261(19)30053-4 [pii] AID - 10.1016/j.cld.2019.08.003 [doi] PST - ppublish SO - Clin Liver Dis. 2020 Feb;24(1):11-23. doi: 10.1016/j.cld.2019.08.003. Epub 2019 Oct 31.