PMID- 32700588 OWN - NLM STAT- MEDLINE DCOM- 20210204 LR - 20221207 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 19 IP - 10 DP - 2020 Oct TI - The HLA-B*13:01 and the dapsone hypersensitivity syndrome in Korean and Asian populations: genotype- and meta-analyses. PG - 1349-1356 LID - 10.1080/14740338.2020.1796965 [doi] AB - BACKGROUND: The human leukocyte antigen (HLA)-B*13:01 was reported as an important risk factor for dapsone hypersensitivity syndrome (DHS) in Chinese and Thai populations. RESEARCH DESIGN AND METHODS: From the Korean nationwide registry, seven subjects with previous DHS were included. Their HLA allele/phenotype frequencies were compared with 8 dapsone-tolerant subjects recruited from a single institution, and general population (n = 485) in Korea. The authors also performed a meta-analysis with these data using previous Chinese and Thai studies. RESULTS: Among the seven DHS subjects, 85.7% presented with the HLA-B*13:01 allele. The HLA-C*03:04, HLA-DRB1*12:02 (both in linkage disequilibrium with HLA-B*13:01), and HLA-A*02:01 alleles were also presented in 85.7%, 71.4%, and 71.4%, respectively. Subjects with HLA-B*13:01 were susceptible to developing DHS compared to dapsone-tolerant controls (odds ratio [OR]: 73.667) and the Korean general population (OR: 139.500). HLA-C*03:04 (OR: 40.935), HLA-DRB*12:02 (OR: 36.613), and HLA-A*02:01 (OR: 5.862) showed similar results. In meta-analysis, HLA-B*13:01 was associated with dapsone-induced hypersensitivity (overall OR: 42.692), and subgroup analyses according to the control types demonstrated similar results (OR:43.694 and 41.866, respectively). CONCLUSIONS: Similar to previous Asian population studies, HLA-B*13:01 is significantly associated with the risk of DHS in Korea. These associations may be useful for preventing DHS and improving drug safety. FAU - Park, Hye Jung AU - Park HJ AUID- ORCID: 0000-0002-1862-1003 AD - Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine , Seoul, Republic of Korea. FAU - Park, Jung-Won AU - Park JW AUID- ORCID: 0000-0003-0249-8749 AD - Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine , Seoul, Republic of Korea. FAU - Kim, Sae Hoon AU - Kim SH AUID- ORCID: 0000-0002-2572-5302 AD - Department of Internal Medicine, Seoul National University Bundang Hospital , Seongnam, Republic of Korea. FAU - Choi, So-Yun AU - Choi SY AD - Department of Pediatrics, Inje University Haeundae Paik Hospital , Busan, Republic of Korea. FAU - Kim, Hee-Kyoo AU - Kim HK AD - Department of Internal Medicine, Kosin University College of Medicine , Busan, Republic of Korea. FAU - Jung, Chang-Gyu AU - Jung CG AD - Department of Internal Medicine, Keimyung University Dongsan Medical Center , Daegu, Republic of Korea. FAU - Yang, Min-Suk AU - Yang MS AUID- ORCID: 0000-0002-9861-0530 AD - Department of Internal Medicine, SMG-SNU Boramae Medical Center , Seoul, Republic of Korea. FAU - Kang, Dong Yoon AU - Kang DY AUID- ORCID: 0000-0003-4283-2633 AD - Drug Safety Monitoring Center, Seoul National University Hospital , Seoul, Republic of Korea. FAU - Cho, Min-Kyoung AU - Cho MK AD - Drug Safety Monitoring Center, Seoul National University Hospital , Seoul, Republic of Korea. FAU - Kwon, Hyouk-Soo AU - Kwon HS AUID- ORCID: 0000-0001-7695-997X AD - Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine , Seoul, Republic of Korea. FAU - Kang, Hye-Ryun AU - Kang HR AUID- ORCID: 0000-0002-2317-4201 AD - Drug Safety Monitoring Center, Seoul National University Hospital , Seoul, Republic of Korea. AD - Department of Internal Medicine, Seoul National University Hospital , Seoul, Republic of Korea. FAU - Lee, Yong Won AU - Lee YW AUID- ORCID: 0000-0002-6174-3479 AD - Department of Internal Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine , Incheon, Republic of Korea. CN - Allergy Work Group of KAAACI LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20200818 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0 (HLA-B13 Antigen) RN - 0 (Leprostatic Agents) RN - 8W5C518302 (Dapsone) SB - IM MH - Adult MH - Aged MH - Asian People/genetics MH - Child MH - Dapsone/administration & dosage/*adverse effects MH - Drug Hypersensitivity Syndrome/*etiology/genetics MH - Female MH - Genotype MH - HLA-B13 Antigen/*genetics MH - Humans MH - Leprostatic Agents/administration & dosage/*adverse effects MH - Male MH - Middle Aged MH - Registries MH - Republic of Korea MH - Risk Factors OTO - NOTNLM OT - Dapsone OT - HLA-B*13:01 OT - human leukocyte antigen OT - hypersensitivity syndrome EDAT- 2020/07/24 06:00 MHDA- 2021/02/05 06:00 CRDT- 2020/07/24 06:00 PHST- 2020/07/24 06:00 [pubmed] PHST- 2021/02/05 06:00 [medline] PHST- 2020/07/24 06:00 [entrez] AID - 10.1080/14740338.2020.1796965 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2020 Oct;19(10):1349-1356. doi: 10.1080/14740338.2020.1796965. Epub 2020 Aug 18.