UGT1A1 polymorphisms associated with risk of induced liver disorders by anti-tuberculosis medications

被引:27
作者
Chang, J-C. [2 ]
Liu, E. H. [3 ,4 ]
Lee, C-N. [5 ]
Lin, Y-C. [6 ]
Yu, M-C. [3 ]
Bai, K-J [3 ]
Chen, H-Y. [1 ,2 ]
机构
[1] Taipei Med Univ, Sch Pharm, Taipei 116, Taiwan
[2] Taipei Med Univ, Dept Pharm, Wan Fang Hosp, Taipei 116, Taiwan
[3] Taipei Med Univ, Dept Internal Med, Wan Fang Hosp, Taipei 116, Taiwan
[4] Taipei Med Univ, Grad Inst Clin Med, Taipei 116, Taiwan
[5] Taipei Med Univ, Dept Internal Med, Shuang Ho Hosp, Taipei 116, Taiwan
[6] Kaohsiung Med Univ, Sch Pharm, Kaohsiung, Taiwan
关键词
UGT1A1; NAT2; ATDH; anti-tuberculosis drug-induced hepatotoxicity; UDP-GLUCURONOSYLTRANSFERASE; GILBERTS-SYNDROME; BILIRUBIN; GENE; TAIWANESE;
D O I
10.5588/ijtld.11.0404
中图分类号
R51 [传染病];
学科分类号
100201 [内科学];
摘要
First-line drug treatment for tuberculosis (TB) is frequently associated with liver toxicity. The goal of this study was to examine the association between UDP-glucuronosyl-transferase 1A1 (UGT1A1) genetic variations and anti-tuberculosis drug-induced hepatotoxicity (ATDH). A total of 98 patients, including 17 patients with ATDH, were enrolled; compound UGT1A1*27 and UGT1A1*28 were associated with an increased risk for developing ATDH after adjusting for age (OR 13.859; 95%CI 1.085-177.056). These findings require confirmation. However, screening for genetic variations prior to TB treatment may reduce the incidence of ATDH and improve treatment adherence.
引用
收藏
页码:376 / 378
页数:3
相关论文
共 12 条
[1]
Ando Y, 2000, CANCER RES, V60, P6921
[2]
BENICHOU C, 1990, J HEPATOL, V11, P272
[3]
Inherited disorders of bilirubin metabolism [J].
Bosma, PJ .
JOURNAL OF HEPATOLOGY, 2003, 38 (01) :107-117
[4]
A COMPARISON OF LINKAGE DISEQUILIBRIUM MEASURES FOR FINE-SCALE MAPPING [J].
DEVLIN, B ;
RISCH, N .
GENOMICS, 1995, 29 (02) :311-322
[5]
Huang Ching-Shan, 2005, Pharmacogenet Genomics, V15, P43, DOI 10.1097/01213011-200501000-00007
[6]
Variations of the bilirubin uridine-diphosyphoglucuronosyl transferase 1A1 gene in healthy Taiwanese [J].
Huang, CS ;
Luo, GA ;
Huang, MJ ;
Yu, SC ;
Yang, SS .
PHARMACOGENETICS, 2000, 10 (06) :539-544
[7]
Polymorphism of the N-acetyltransferase 2 gene as a susceptibility risk factor for antituberculosis drug-induced hepatitis [J].
Huang, YS ;
Chern, HD ;
Su, WJ ;
Wu, JC ;
Lai, SL ;
Yang, SY ;
Chang, FY ;
Lee, SD .
HEPATOLOGY, 2002, 35 (04) :883-889
[8]
GILBERTS-SYNDROME IS CAUSED BY A HETEROZYGOUS MISSENSE MUTATION IN THE GENE FOR BILIRUBIN UDP-GLUCURONOSYLTRANSFERASE [J].
KOIWAI, O ;
NISHIZAWA, M ;
HASADA, K ;
AONO, S ;
ADACHI, Y ;
MAMIYA, N ;
SATO, H .
HUMAN MOLECULAR GENETICS, 1995, 4 (07) :1183-1186
[9]
NAT2*7 allele is a potential risk factor for adult brain tumors in Taiwanese population [J].
Liu, H. Eugene ;
Hsiao, Pei-Yu ;
Lee, Ching-Chen ;
Lee, Jen-Ai ;
Chen, Hsiang-Yin .
CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, 2008, 17 (03) :661-665
[10]
UGT1A1 haplotypes associated with reduced glucuronidation and increased serum bilirubin in irinotecan-administered Japanese patients with cancer [J].
Sai, K ;
Saeki, M ;
Saito, Y ;
Ozawa, S ;
Katori, N ;
Jinno, H ;
Hasegawa, R ;
Kaniwa, N ;
Sawada, J ;
Komamura, K ;
Ueno, K ;
Kamakura, S ;
Kitakaze, M ;
Kitamura, Y ;
Kamatani, N ;
Minami, H ;
Ohtsu, A ;
Shirao, K ;
Yoshida, T ;
Saijo, N .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2004, 75 (06) :501-515