Pharmaceutical Care Research Group, Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.
European Center of Pharmaceutical Medicine, Faculty of Medicine, University of Basel, Basel, Switzerland.
Clin Transl Sci. 2021 Sep;14(5):1648-1658. doi: 10.1111/cts.13062. Epub 2021 Jun 9.
Alleles of the human leukocyte antigen (HLA) system have been associated with the occurrence of idiosyncratic adverse drug reactions (ADRs). Accordingly, it is assumed that pre-emptive testing for the presence of certain HLA alleles (HLA-typing) could prevent these ADRs in carriers. In order to perceive the current evidence for HLA-associated ADRs, we conducted a scoping review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The literature search on PubMed and on Embase was carried out on the July 8 and 9, 2020, respectively. To be included in the scoping review, the studies had to investigate an association of any HLA-associated ADR with any small molecule approved and available on the Swiss market. We considered English and German primary literature published since 2002. A total of 149 studies were included, whereof most were retrospective, whereas one was a prospective randomized controlled trial. The majority of the studies (n = 33) described the association of HLA-B*15:02 with carbamazepine. It was not possible to directly compare the studies, as they were too heterogeneous in terms of the ADR definition, the HLA alleles, the number of participants, and the study types. Therefore, we summarized the results in a descriptive manner. Even if an interpretation of the outcomes remains open, the descriptive overview revealed the prevailing complexity and uncertainty in the field. For the future, consistent definitions on the different phenotypes need to be established and applied and the reporting of association studies should follow a harmonized structure.
人类白细胞抗原 (HLA) 系统的等位基因与特发性药物不良反应 (ADR) 的发生有关。因此,人们认为预先检测某些 HLA 等位基因(HLA 分型)可以防止携带者发生这些 ADR。为了了解与 HLA 相关的 ADR 的现有证据,我们根据系统评价和荟萃分析的首选报告项目 (PRISMA) 进行了范围界定审查。分别于 2020 年 7 月 8 日和 9 日在 PubMed 和 Embase 上进行了文献检索。为了被纳入范围界定审查,研究必须调查任何与小分子相关的 HLA 相关 ADR 与任何在瑞士市场上获得批准和使用的小分子之间的关联。我们考虑了自 2002 年以来发表的英文和德文原始文献。共有 149 项研究被纳入,其中大部分为回顾性研究,而一项为前瞻性随机对照试验。大多数研究(n=33)描述了 HLA-B*15:02 与卡马西平的关联。由于 ADR 定义、HLA 等位基因、参与者数量和研究类型等方面的差异,无法直接比较这些研究,因此我们以描述性方式总结了结果。即使对结果的解释仍然存在,但描述性概述揭示了该领域的普遍复杂性和不确定性。未来,需要建立和应用关于不同表型的一致定义,并按照协调的结构报告关联研究。
Clin Transl Sci. 2021-9
Drug Metab Pers Ther. 2017-5-24
J Immunol Res. 2017-11-23
Drug Metab Pharmacokinet. 2017-2
Expert Opin Drug Metab Toxicol. 2025-5
J Oral Facial Pain Headache. 2025-3
Int J Mol Sci. 2025-1-26
Transl Psychiatry. 2024-8-6
Pharmaceuticals (Basel). 2023-11-13
Int J Mol Sci. 2022-11-3
Pharmacogenomics J. 2021-8
Pharmacoepidemiol Drug Saf. 2020-5
Clin Transl Sci. 2020-9
Transl Psychiatry. 2020-1-27