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越南南部卡马西平诱发的皮肤药物不良反应的药物基因组学

The pharmacogenomics of carbamazepine-induced cutaneous adverse drug reaction in the South of Vietnam.

作者信息

Nguyen Ai-Hoc, Sukasem Chonlaphat, Nguyen Quy Ngoc, Pham Hong Tham

机构信息

Department of Pathology, Division of Pharmacogenomics and Personalized Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Laboratory for Pharmacogenomics, Somdech Phra Debaratana Medical Center (SDMC), Ramathibodi Hospital, Bangkok, Thailand.

出版信息

Front Pharmacol. 2023 Jul 13;14:1217516. doi: 10.3389/fphar.2023.1217516. eCollection 2023.

Abstract

The relationship between and Severe Cutaneous Adverse Reactions was rigorously examined in Japanese, Han Chinese, Thais, and Caucasians. However, the number of studies about this topic in Vietnamese population is still limited and mostly focuses on the North of Vietnam. This study aims to clarify the genetic culprit of SCARs in Vietnamese population, particularly in the South of Vietnam, and to validate our result by a meta-analysis about this topic in Vietnamese. A retrospective case-control study with 37 patients treated with carbamazepine monotherapy. Statistical calculation and meta-analysis were performed by R software. increases the risk of SJS 12.5 times higher in CBZ-treated patients (-value = 0.017). However, this allele has no impact on MCARs (Mild Cutaneous Adverse Reactions) of CBZ. The number needed to test and the number needed to genotype is two and nine patients respectively. This study recommends more investigations about the cost-effectiveness of this test to accelerate the protection of Southern Vietnamese from SCARs.

摘要

在日本、汉族中国人、泰国人和高加索人中,对[具体基因或因素]与严重皮肤不良反应之间的关系进行了严格研究。然而,越南人群中关于这一主题的研究数量仍然有限,且大多集中在越南北部。本研究旨在阐明越南人群,特别是越南南部人群中严重皮肤不良反应的遗传元凶,并通过对越南人群中该主题的荟萃分析来验证我们的结果。对37例接受卡马西平单一疗法治疗的患者进行了一项回顾性病例对照研究。使用R软件进行统计计算和荟萃分析。[具体基因或因素]使接受卡马西平治疗的患者发生中毒性表皮坏死松解症的风险增加12.5倍(P值 = 0.017)。然而,该等位基因对卡马西平的轻度皮肤不良反应没有影响。分别需要检测2例患者和对9例患者进行基因分型。本研究建议对该检测的成本效益进行更多调查,以加快对越南南部人群严重皮肤不良反应的预防。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33ab/10374328/79630b0fa61b/fphar-14-1217516-g001.jpg

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