HLA-C*12:02 is strongly associated with Xuesaitong-induced cutaneous adverse drug reactions

Pharmacogenomics J. 2019 Jun;19(3):277-285. doi: 10.1038/s41397-018-0051-3. Epub 2018 Sep 20.

Abstract

Xuesaitong (XST) is mainly used to treat cardiovascular and cerebrovascular diseases, sometimes causing cutaneous adverse drug reactions (cADRs) with unknown mechanisms of pathogenicity or risk factors. We aimed to verify whether human leukocyte antigen (HLA) alleles are associated with XST-related cADRs in Han Chinese population. We carried out an association study including 12 subjects with XST-induced cADRs, 283 controls, and 28 XST-tolerant subjects. Five out of 12 patients with XST-induced cADRs carried HLA-C*12:02, and all of them received XST via intravenous drip. The carrier frequency of HLA-C*12:02 was significantly high compare to that of the control population (Pc = 4.4 × 10-4, odds ratio (OR) = 21.75, 95% CI = 5.78-81.88). Compared with that of the XST-tolerant group, the patients who received XST through intravenous drip presented a higher OR of cADRs (Pc = 0.011, OR = 27.00, 95% CI = 2.58-282.98). The results suggest that HLA-C*12:02 is a potentially predictive marker of XST-induced cADRs in Han Chinese, especially when XST is administered via intravenous drip.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Alleles
  • Asian People / genetics
  • Drug Eruptions / genetics*
  • Drug-Related Side Effects and Adverse Reactions / genetics*
  • Drugs, Chinese Herbal / adverse effects*
  • Female
  • Gene Frequency / genetics
  • Genetic Predisposition to Disease / genetics*
  • Genotype
  • HLA-C Antigens / genetics*
  • Humans
  • Male
  • Middle Aged
  • Saponins / adverse effects*
  • Young Adult

Substances

  • Drugs, Chinese Herbal
  • HLA-C Antigens
  • Saponins
  • xuesetong