PMID- 36916721 OWN - NLM STAT- MEDLINE DCOM- 20230330 LR - 20230625 IS - 1096-9071 (Electronic) IS - 0146-6615 (Linking) VI - 95 IP - 3 DP - 2023 Mar TI - Association of antiviral drugs and their possible mechanisms with DRESS syndrome using data mining algorithms. PG - e28671 LID - 10.1002/jmv.28671 [doi] AB - Antiviral drugs are not known for drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome. The current study aims is to find out the association of antiviral drugs and their possible mechanism with DRESS. Data mining algorithms such as proportional reporting ratio that is, PRR (>/=2) with associated chi(2) value (>4), reporting odds ratio that is, ROR (>/=2) with 95% confidence interval and case count (>/=3) were calculated to identify a possible signal. Further, molecular docking studies were conducted to check the interaction of selected antiviral drugs with possible targets. The potential signal of DRESS was found to be associated with abacavir, acyclovir, ganciclovir, lamivudine, lopinavir, nevirapine, ribavirin, ritonavir, and zidovudine among all selected antiviral drugs. Further, subgroup analysis has also shown a potential signal in different age groups and gender. The sensitivity analysis results have shown a decrease in the strength of the signal, however, there was no significant impact on the outcome except for acyclovir. The docking results have indicated the possible involvement of human leukocyte antigen (HLA)*B1502 and HLA*B5801. The positive signal of DRESS was found with selected antiviral drugs except for acyclovir. CI - (c) 2023 Wiley Periodicals LLC. FAU - Sharma, Akash AU - Sharma A AD - Department of Clinical Research, Delhi Pharmaceutical Sciences and Research University (DPSRU), New Delhi, India. FAU - Roy, Sweta AU - Roy S AD - Department of Pharmacology, Delhi Pharmaceutical Sciences and Research University (DPSRU), New Delhi, India. FAU - Sharma, Ruchika AU - Sharma R AD - Centre for Precision Medicine and Pharmacy, Delhi Pharmaceutical Sciences and Research University (DPSRU), New Delhi, India. FAU - Kumar, Anoop AU - Kumar A AD - Department of Clinical Research, Delhi Pharmaceutical Sciences and Research University (DPSRU), New Delhi, India. AD - Department of Pharmacology, Delhi Pharmaceutical Sciences and Research University (DPSRU), New Delhi, India. LA - eng PT - Journal Article PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (Antiviral Agents) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (HLA Antigens) RN - X4HES1O11F (Acyclovir) SB - IM CIN - J Med Virol. 2023 Jun;95(6):e28839. PMID: 37247393 MH - Humans MH - *Antiviral Agents/adverse effects MH - *Drug Hypersensitivity Syndrome/etiology MH - Molecular Docking Simulation MH - Histocompatibility Antigens Class I MH - HLA Antigens MH - Acyclovir MH - Algorithms MH - Data Mining OTO - NOTNLM OT - DRESS OT - antiviral drugs OT - data mining algorithms OT - docking study EDAT- 2023/03/15 06:00 MHDA- 2023/03/30 06:11 CRDT- 2023/03/14 08:23 PHST- 2023/02/22 00:00 [revised] PHST- 2022/11/09 00:00 [received] PHST- 2023/03/11 00:00 [accepted] PHST- 2023/03/30 06:11 [medline] PHST- 2023/03/15 06:00 [pubmed] PHST- 2023/03/14 08:23 [entrez] AID - 10.1002/jmv.28671 [doi] PST - ppublish SO - J Med Virol. 2023 Mar;95(3):e28671. doi: 10.1002/jmv.28671.