Research advances in the association of drug-induced liver injury with polymorphisms in human leukocyte antigen

Int Immunopharmacol. 2020 Apr:81:106037. doi: 10.1016/j.intimp.2019.106037. Epub 2019 Nov 26.

Abstract

Drug-induced liver injury is an important adverse drug reaction. Due to the lack of specificity in clinical symptoms and pathological features, there are still no reliable diagnostic biomarkers, so drug-induced liver injury is a diagnosis of exclusion. The article reviews the relevant advances in the association between novel human leukocyte antigen gene polymorphisms and drug-induced liver injury in order to identify potential biomarkers and provide a new method for the prediction and diagnosis of drug-induced liver injury. Henceforth, while studying the association between them, it will also need that the large sample and prospective studies to gain supporting evidence to implement translational application, so as to improve the safety and effectiveness of medication and achieve individualized treatment.

Keywords: Adverse drug reactions; Biomarkers; Genetic polymorphism; Hepatotoxicity; Pharmacogenomics.

Publication types

  • Review

MeSH terms

  • Alleles
  • Biomarkers
  • Chemical and Drug Induced Liver Injury / diagnosis
  • Chemical and Drug Induced Liver Injury / genetics*
  • Genetic Predisposition to Disease*
  • Genetic Testing
  • HLA Antigens / genetics*
  • HLA Antigens / metabolism
  • Humans
  • Polymorphism, Genetic
  • Prognosis

Substances

  • Biomarkers
  • HLA Antigens