PMID- 35169303 OWN - NLM STAT- MEDLINE DCOM- 20220405 LR - 20240214 IS - 1473-1150 (Electronic) IS - 1470-269X (Print) IS - 1470-269X (Linking) VI - 22 IP - 2 DP - 2022 Mar TI - HLA-B*07:02 and HLA-C*07:02 are associated with trimethoprim-sulfamethoxazole respiratory failure. PG - 124-129 LID - 10.1038/s41397-022-00266-8 [doi] AB - We have identified an underrecognized severe adverse drug reaction (ADR) of trimethoprim-sulfamethoxazole (TMP-SMX) associated respiratory failure in previously healthy children and young adults. We investigated potential genetic risk factors associated with TMP-SMX induced respiratory failure in a cohort of seven patients. We explored whole genome sequence among seven patients representing nearly half of all reported cases worldwide and 63 unrelated control individuals in two stages: (1) human leukocyte antigen (HLA) locus variation as several other ADRs have been associated HLA genetic variants and (2) coding variation to catalog and explore potential rare variants contributing to this devastating reaction. All cases were either heterozygous (carriers) or homozygous for the common HLA-B*07:02-HLA-C*07:02 haplotype. Despite the small sample size, this observation is statistically significant both in conservative comparison to maximum reported population frequencies (binomial P = 0.00017 for HLA-B and P = 0.00028 for HLA-C) and to our control population assessed by same HLA genotyping approach (binomial P = 0.000001 for HLA-B and P = 0.000018 for HLA-C). No gene elsewhere in the genome harnessed shared rare case enriched coding variation. Our results suggests that HLA-B*07:02 and HLA-C*07:02 are necessary for a patient to develop respiratory failure due to TMP-SMX. CI - (c) 2022. The Author(s), under exclusive licence to Springer Nature Limited. FAU - Goldman, Jennifer L AU - Goldman JL AUID- ORCID: 0000-0001-6628-8949 AD - Department of Pediatrics, Children's Mercy Hospital, University of Missouri-Kansas City, Kansas City, MO, USA. jlgoldman@cmh.edu. FAU - Miller, Jenna O AU - Miller JO AD - Department of Pediatrics, Children's Mercy Hospital, University of Missouri-Kansas City, Kansas City, MO, USA. FAU - Miller, Neil AU - Miller N AUID- ORCID: 0000-0002-6151-4780 AD - Center for Pediatric Genomic Medicine, Children's Mercy Hospital, University of Missouri-Kansas City, Kansas City, MO, USA. FAU - Eveleigh, Robert AU - Eveleigh R AD - Canadian Center for Computational Genomics, McGill University and Genome Quebec Innovation Center, Montreal, QC, Canada. FAU - Gibson, Andrew AU - Gibson A AD - Institute for Immunology and Infectious Diseases, Murdoch University, Murdoch, WA, Australia. FAU - Phillips, Elizabeth J AU - Phillips EJ AD - Institute for Immunology and Infectious Diseases, Murdoch University, Murdoch, WA, Australia. AD - Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Pastinen, Tomi AU - Pastinen T AD - Center for Pediatric Genomic Medicine, Children's Mercy Hospital, University of Missouri-Kansas City, Kansas City, MO, USA. LA - eng GR - R01 HG010863/HG/NHGRI NIH HHS/United States GR - R01 AI152183/AI/NIAID NIH HHS/United States GR - U01 AI154659/AI/NIAID NIH HHS/United States GR - R21 AI139021/AI/NIAID NIH HHS/United States GR - R01 GM129783/GM/NIGMS NIH HHS/United States GR - P50 GM115305/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20220216 PL - United States TA - Pharmacogenomics J JT - The pharmacogenomics journal JID - 101083949 RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*07 antigen) RN - 0 (HLA-B7 Antigen) RN - 0 (HLA-C Antigens) RN - 8064-90-2 (Trimethoprim, Sulfamethoxazole Drug Combination) SB - IM MH - Child MH - HLA-B Antigens/genetics MH - HLA-B7 Antigen MH - HLA-C Antigens/genetics MH - Humans MH - *Respiratory Insufficiency/chemically induced/genetics MH - *Trimethoprim, Sulfamethoxazole Drug Combination/adverse effects PMC - PMC9125581 MID - NIHMS1804604 EDAT- 2022/02/17 06:00 MHDA- 2022/04/06 06:00 PMCR- 2022/05/23 CRDT- 2022/02/16 05:48 PHST- 2021/07/23 00:00 [received] PHST- 2022/01/11 00:00 [accepted] PHST- 2021/12/17 00:00 [revised] PHST- 2022/02/17 06:00 [pubmed] PHST- 2022/04/06 06:00 [medline] PHST- 2022/02/16 05:48 [entrez] PHST- 2022/05/23 00:00 [pmc-release] AID - 10.1038/s41397-022-00266-8 [pii] AID - 10.1038/s41397-022-00266-8 [doi] PST - ppublish SO - Pharmacogenomics J. 2022 Mar;22(2):124-129. doi: 10.1038/s41397-022-00266-8. Epub 2022 Feb 16.