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HLA-B*5701 genotype is a major determinant of drug-induced liver injury due to flucloxacillin
Abstract
Drug-induced liver injury (DILI) is an important cause of serious liver disease. The antimicrobial agent flucloxacillin is a common cause of DILI, but the genetic basis for susceptibility remains unclear. We conducted a genome-wide association (GWA) study using 866,399 markers in 51 cases of flucloxacillin DILI and 282 controls matched for sex and ancestry. The GWA showed an association peak in the major histocompatibility complex (MHC) region with the strongest association (P = 8.7 x 10(-33)) seen for rs2395029[G], a marker in complete linkage disequilibrium (LD) with HLA-B*5701. Further MHC genotyping, which included 64 flucloxacillin-tolerant controls, confirmed the association with HLA-B*5701 (OR = 80.6, P = 9.0 x 10(-19)). The association was replicated in a second cohort of 23 cases. In HLA-B*5701 carrier cases, rs10937275 in ST6GAL1 on chromosome 3 also showed genome-wide significance (OR = 4.1, P = 1.4 x 10(-8)). These findings provide new insights into the mechanism of flucloxacillin DILI and have the potential to substantially improve diagnosis of this serious disease.
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“Therefore, pretreatment HLA testing will likely not prove useful in most circumstances to prevent DILI, but HLA testing may be helpful in DILI diagnosis and causality assessment [29-32].”
From Drug-induced liver injury. Part I: Classification, diagnosis and treatment (2025) · cites this paper as [29]
In the citing paper
“For example, the HLA‐B*5701 genotype increases the risk of flucloxacillin‐induced DILI by 80‐fold, but it is estimated that only one in every 500 carriers of the genetic variant will develop liver injury after exposure to this antibiotic.”
From Methods for causality assessment of idiosyncratic drug‐induced liver injury (2025) · cites this paper as [64]
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Metadata
- Authors
- study, F. T. D., Daly, A. K., International SAE Consortium, Donaldson, P. T., Bhatnagar, P., Shen, Y., Pe'er, I., Floratos, A., Daly, M. J., Goldstein, D. B., John, S., Nelson, M. R., Graham, J., Park, B. K., Dillon, J. F., Bernal, W., Cordell, H. J., Pirmohamed, M., Aithal, G. P., & Day, C. P.
- Venue
- Nature Genetics
- Published
- 2009-05-31
- Volume
- 41
- Issue
- 7
- Pages
- 816-819
- ISSN
- 1061-4036
- 1546-1718
- Cited by
- 944
- References
- 6
- Language
- en
- Licence
- www.springer.com/tdm (tdm)
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