PMID- 35534674 OWN - NLM STAT- MEDLINE DCOM- 20230228 LR - 20230228 IS - 1435-232X (Electronic) IS - 1434-5161 (Linking) VI - 68 IP - 3 DP - 2023 Mar TI - Avoidance of cutaneous adverse drug reactions induced by antiepileptic drugs based on pharmacogenomics. PG - 227-230 LID - 10.1038/s10038-022-01040-1 [doi] AB - Pharmacogenomics (PGx) is a research area aimed at identifying genetic factors that are associated with drug responses, including drug efficacy, adverse drug reactions, and the appropriate drug dosage on a case-to-case basis. To promote the clinical implementation of PGx testing, which is currently of limited use in clinical practice, recent research has focused on providing reliable evidence for its clinical utility. In neurology, psychiatry, and neurosurgery, several human leukocyte antigen (HLA) alleles have been reportedly associated with cutaneous adverse drug reactions (cADRs) induced by antiepileptic drugs, which significantly carry the risk of developing cADRs. Prior to using antiepileptic drugs such as carbamazepine and lamotrigine, which are prone to cause severe cADRs, preemptive HLA genetic testing and therapeutic interventions such as drug selection and dosage adjustment based on the results of the tests can reduce the incidence of cADRs in the population before the initiation of treatment. CI - (c) 2022. The Author(s), under exclusive licence to The Japan Society of Human Genetics. FAU - Mushiroda, Taisei AU - Mushiroda T AD - Laboratory for Pharmacogenomics, RIKEN Center for Integrative Medical Sciences, Yokohama, 230-0045, Japan. mushiroda@riken.jp. LA - eng GR - H26-nanchi(nan)-ippan-081/Ministry of Health, Labour and Welfare (Ministry of Health, Labour and Welfare, Japan)/ PT - Journal Article PT - Review DEP - 20220509 PL - England TA - J Hum Genet JT - Journal of human genetics JID - 9808008 RN - 0 (Anticonvulsants) RN - U3H27498KS (Lamotrigine) RN - 33CM23913M (Carbamazepine) SB - IM MH - Humans MH - *Anticonvulsants/adverse effects MH - Pharmacogenetics MH - Lamotrigine MH - Carbamazepine/adverse effects MH - *Drug-Related Side Effects and Adverse Reactions EDAT- 2022/05/10 06:00 MHDA- 2023/03/03 06:00 CRDT- 2022/05/09 23:26 PHST- 2022/03/05 00:00 [received] PHST- 2022/04/20 00:00 [accepted] PHST- 2022/04/07 00:00 [revised] PHST- 2022/05/10 06:00 [pubmed] PHST- 2023/03/03 06:00 [medline] PHST- 2022/05/09 23:26 [entrez] AID - 10.1038/s10038-022-01040-1 [pii] AID - 10.1038/s10038-022-01040-1 [doi] PST - ppublish SO - J Hum Genet. 2023 Mar;68(3):227-230. doi: 10.1038/s10038-022-01040-1. Epub 2022 May 9.