The HCP5 single-nucleotide polymorphism:: A simple screening tool for prediction of hypersensitivity reaction to abacavir

被引:75
作者
Colombo, Sara [1 ,2 ]
Rauch, Andri [3 ,4 ]
Rotger, Margalida [1 ,2 ]
Fellay, Jacques [7 ]
Martinez, Raquel [1 ,2 ]
Fux, Christoph [3 ,4 ]
Thurnheer, Christine [3 ,4 ]
Guenthard, Huldrych F. [5 ,6 ]
Goldstein, David B. [7 ]
Furrer, Hansjakob [3 ,4 ]
Telenti, Amalio [1 ,2 ]
机构
[1] Univ Hosp Ctr, Inst Microbiol, Lausanne, Switzerland
[2] Univ Lausanne, Lausanne, Switzerland
[3] Univ Hosp Bern, Div Infect Dis, CH-3010 Bern, Switzerland
[4] Univ Bern, Bern, Switzerland
[5] Univ Zurich Hosp, Div Infect Dis, CH-8091 Zurich, Switzerland
[6] Univ Zurich Hosp, Hosp Epidemiol, CH-8091 Zurich, Switzerland
[7] Duke Univ, Duke Inst Genome Sci & Policy, Ctr Populat Genom & Pharmacogenet, Durham, NC USA
来源
JOURNAL OF INFECTIOUS DISEASES | 2008年 / 198卷 / 06期
关键词
D O I
10.1086/591184
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The HLA-B* 5701 allele is predictive of hypersensitivity reaction to abacavir, a response herein termed " ABC-HSR." This study of 1103 individuals infected with human immunodeficiency virus assessed the usefulness of genotyping a HCP5 single-nucleotide polymorphism ( SNP), rs2395029, in relation to ABC-HSR. In populations with European ancestry, rs2395029 is in linkage disequilibrium with HLA-B* 5701. The HCP5SNPwas present in all 98 HLA-B* 5701 -positive individuals and was absent in 999 of 1005 HLA-B* 5701 -negative individuals. rs2395029 was overrepresented in 25 individuals with clinically likely ABC-HSR, compared with its frequency in 175 ABC-tolerant individuals (80% vs. 2%, respectively; P<. 0001). Therefore, HCP5 genotyping could serve as a simple screening tool for ABC-HSR, particularly in settings where sequence-based HLA typing is not available.
引用
收藏
页码:864 / 867
页数:4
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