PMID- 36584134 OWN - NLM STAT- MEDLINE DCOM- 20230103 LR - 20230112 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 17 IP - 12 DP - 2022 TI - Publication bias in pharmacogenetics of adverse reaction to antiseizure drugs: An umbrella review and a meta-epidemiological study. PG - e0278839 LID - 10.1371/journal.pone.0278839 [doi] LID - e0278839 AB - Publication bias may lead to a misestimation in the association between pharmacogenetic biomarkers (PGx) and antiseizure drug's adverse effects (AEs). We aimed to assess its prevalence in this field. We searched for systematic reviews assessing PGx of antiseizure drug's AEs. For each unique association between a PGx, a drug and its AE, we used the available odds ratio (ORs) to generate corresponding funnel plots. We estimated the prevalence of publication bias using visual inspections and asymmetry tests. We explored the impact of publication bias using ORs adjusted for potential publication bias. Twenty-two associations were available. Our visual analysis suggested a publication bias in five out twenty-two funnel plots (23% [95%CI: 8; 45]). The Egger's test showed a significant publication bias in one (HLA-B*15:02 and phenytoin-induced Stevens-Johnson syndrome or toxic epidermal necrolysis, p = 0.03) out of nine (11% [95%CI: 0; 48]) and the Begg's test in one (HLA-B*15:02 and carbamazepine-induced serious cutaneous reactions, p = 0.02) out of ten (10% [95%CI: 0; 45]) assessable funnel plots. Adjusting for publication bias may reduce by half the ORs of the pharmacogenetics associations. Publication bias in the pharmacogenetic of antiseizure drug's AEs is not uncommon and may affect the estimation of the effect of such biomarkers. When conducting pharmacogenetic studies, it is critical to publish also the negative one. CI - Copyright: (c) 2022 Bally et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. FAU - Bally, S AU - Bally S AD - Laboratoire de Biometrie et Biologie Evolutive UMR5558, Universite Lyon 1, CNRS, Villeurbanne, France. FAU - Cottin, J AU - Cottin J AD - Service Hospitalo-Universitaire de Pharmacotoxicologie, Pole de Sante Publique, Hospices Civils de Lyon, Lyon, France. FAU - Gagnieu, M C AU - Gagnieu MC AD - Laboratoire de Pharmacologie, Groupement Hospitalier Sud, Hospices Civils De Lyon, Lyon, France. FAU - Lega, J C AU - Lega JC AD - Laboratoire de Biometrie et Biologie Evolutive UMR5558, Universite Lyon 1, CNRS, Villeurbanne, France. AD - Service de Medecine Interne et Vasculaire, Hopital Lyon Sud, Hospices Civils de Lyon, Lyon, France. FAU - Verstuyft, C AU - Verstuyft C AD - CESP, MOODS Team, INSERM, Faculte de Medecine, Universite Paris-Saclay, Le Kremlin Bicetre, France. AD - Service de Genetique Moleculaire, Pharmacogenetique et Hormonologie de Bicetre, Hopitaux Universitaires Paris-Sud, Assistance Publique-Hopitaux de Paris, Hopital de Bicetre, Le Kremlin Bicetre, France. FAU - Rheims, S AU - Rheims S AD - Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon 1 University, Lyon, France. FAU - Lesca, G AU - Lesca G AD - Service de Genetique, Groupement Hospitalier Est, Hospices Civils De Lyon, Universite Lyon 1, Lyon, France. FAU - Cucherat, M AU - Cucherat M AUID- ORCID: 0000-0003-2150-5932 AD - Laboratoire de Biometrie et Biologie Evolutive UMR5558, Universite Lyon 1, CNRS, Villeurbanne, France. AD - Service Hospitalo-Universitaire de Pharmacotoxicologie, Pole de Sante Publique, Hospices Civils de Lyon, Lyon, France. FAU - Grenet, Guillaume AU - Grenet G AUID- ORCID: 0000-0002-5237-2581 AD - Service Hospitalo-Universitaire de Pharmacotoxicologie, Pole de Sante Publique, Hospices Civils de Lyon, Lyon, France. LA - eng PT - Journal Article DEP - 20221230 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (HLA-B Antigens) SB - IM MH - Humans MH - Publication Bias MH - *Pharmacogenetics MH - Systematic Reviews as Topic MH - HLA-B Antigens MH - Epidemiologic Studies MH - *Stevens-Johnson Syndrome PMC - PMC9803138 COIS- I have read the journal's policy and the authors of this manuscript have the following competing interests: SB, JC, MGC, GG declare that they have no competing interest. JCL has received speaker fees and honoraria from Roche. CV has received consulting fees from Genzyme, Novartis and speaker honoraria from Galapagos. SR received speaker and/or consulting fees from UCB Pharma, EISAI, GW Pharma, Idorsia, LivaNova, and Arvelle Therapeutics. GL has received speaker honoraria from GWpharma, Eisai and Biomarin. MC has received consulting fees from Boehringer Ingelheim, SANOFI, AstraZeneca, EISAI and speaker honoraria from SANOFI. This does not alter our adherence to PLOS ONE policies on sharing data and materials. EDAT- 2022/12/31 06:00 MHDA- 2023/01/04 06:00 PMCR- 2022/12/30 CRDT- 2022/12/30 13:54 PHST- 2021/06/22 00:00 [received] PHST- 2022/11/23 00:00 [accepted] PHST- 2022/12/30 13:54 [entrez] PHST- 2022/12/31 06:00 [pubmed] PHST- 2023/01/04 06:00 [medline] PHST- 2022/12/30 00:00 [pmc-release] AID - PONE-D-21-20495 [pii] AID - 10.1371/journal.pone.0278839 [doi] PST - epublish SO - PLoS One. 2022 Dec 30;17(12):e0278839. doi: 10.1371/journal.pone.0278839. eCollection 2022.