The Association Between HLA-A*03:01 and HLA-B*07:02 Alleles and Oxcarbazepine-induced Maculopapular Eruption in the Uighur Chinese Population

Seizure. 2020 Oct:81:43-46. doi: 10.1016/j.seizure.2020.05.006. Epub 2020 May 23.

Abstract

Purpose: To determine genetic associations between oxcarbazepine (OXC)-induced maculopapular eruption (MPE) and human leukocyte antigen (HLA) variants in the Uighur Chinese population.

Methods: A total of 208 patients were enrolled in this study, including 20 subjects with OXC-induced MPE (case group) and 188 OXC-tolerant patients (control group). We detected the whole sequence of the HLA alleles in the 208 Uighur patients using next-generation sequencing (NGS).

Results: The carried rate of HLA-A*03:01 was significantly different between the OXC-induced MPE group and the tolerant group (7/20, 35% versus 4/188, 2.13%; P = 0.000, odds ratio [OR] = 24.77, 95% confidence interval [CI] = 6.41-95.65). Additionally, the carried rate of HLA-B*07:02 was significantly different between the OXC-induced MPE group and the tolerant group (3/20, 15% versus 2/188, 0.011%; P = 0.000, odds ratio [OR] = 16.41, 95% confidence interval (CI) = 2.56-105.09).

Conclusions: HLA-A*03:01 and HLA-B*07:02 may be the risk alleles for MPE in the Uighur Chinese population.

Keywords: HLA-A*03:01; HLA-B*07:02; Maculopapule; Oxcarbazepine.

MeSH terms

  • Alleles
  • Anticonvulsants* / adverse effects
  • Asian People / genetics
  • Carbamazepine* / adverse effects
  • China
  • Genetic Predisposition to Disease
  • Genotype
  • HLA-A Antigens / genetics
  • HLA-B Antigens / genetics
  • HLA-B7 Antigen
  • Humans
  • Oxcarbazepine

Substances

  • Anticonvulsants
  • HLA-A Antigens
  • HLA-B Antigens
  • HLA-B*07 antigen
  • HLA-B7 Antigen
  • Carbamazepine
  • Oxcarbazepine