Ann Lab Med.  2014 Sep;34(5):372-375. 10.3343/alm.2014.34.5.372.

Absence of HLA-B*1502 and HLA-A*3101 Alleles in 9 Korean Patients With Antiepileptic Drug-Induced Skin Rash: A Preliminary Study

Affiliations
  • 1Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. suddenbz@skku.edu
  • 2Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. daewon3.seo@samsung.com
  • 3Samsung Biomedical Research Institute, Samsung Medical Center, Seoul, Korea.
  • 4Department of Clinical Pharmacology and Therapeutics, Samsung Medical Center, Seoul, Korea.

Abstract

There have been a number of studies about correlations between HLA genotypes in various ethnic groups and occurrence of various cutaneous adverse drug reactions, ranging in intensity from mild to severe, caused by antiepileptic drugs (AEDs). This is the first report analyzing the HLA genotypes of 9 Korean patients with skin rashes induced by various AEDs. The AEDs that induced skin rash were lamotrigine (n=3), carbamazepine (n=3), oxcarbazepine (n=1), phenobarbital (n=1), and phenytoin (n=1). None of the patients' HLA genotypes was either HLA-B*1502 or HLA-A*3101. Based on these series of cases, AED-induced skin rash can occur independently of HLA-B*1502 or HLA-A*3101 genotypes in the Korean patients.

Keyword

Anticonvulsants; Skin rash; HLA; Genotype; Korean

MeSH Terms

Adolescent
Adult
Aged
Alleles
Anticonvulsants/*adverse effects
Asian Continental Ancestry Group/*genetics
Exanthema/*diagnosis/etiology
Female
Gene Frequency
Genotype
HLA-A Antigens/*genetics
HLA-B Antigens/*genetics
Humans
Male
Republic of Korea
Young Adult
Anticonvulsants
HLA-A Antigens
HLA-B Antigens

Cited by  2 articles

Desensitization to Oxcarbazepine: Long-Term Efficacy and Tolerability
Jiwon Lee, Eu Gene Park, Munhyang Lee, Jeehun Lee
J Clin Neurol. 2017;13(1):47-54.    doi: 10.3988/jcn.2017.13.1.47.

HLA-A24:02/B51:01 haplotype and lamotrigine-induced cutaneous adverse drug reactions in Koreans
Eun-Young Kim, Ki-Hwan Ji, Hye-Jin Kim, Hye-Eun Jung, Eun-Young Cha, Jae-Gook Shin
Transl Clin Pharmacol. 2016;24(3):143-146.    doi: 10.12793/tcp.2016.24.3.143.


Reference

1. Chung WH, Hung SI, Chen YT. Genetic predisposition of life-threatening antiepileptic-induced skin reactions. Expert Opin Drug Saf. 2010; 9:15–21. PMID: 20001755.
Article
2. Chong KW, Chan DW, Cheung YB, Ching LK, Hie SL, Thomas T, et al. Association of carbamazepine-induced severe cutaneous drug reactions and HLA-B*1502 allele status, and dose and treatment duration in paediatric neurology patients in Singapore. Arch Dis Child. 2014; 99:581–584. PMID: 24225276.
3. Kim SH, Lee KW, Song WJ, Kim SH, Jee YK, Lee SM, et al. Carbamazepine-induced severe cutaneous adverse reactions and HLA genotypes in Koreans. Epilepsy Res. 2011; 97:190–197. PMID: 21917426.
Article
4. Kaniwa N, Saito Y, Aihara M, Matsunaga K, Tohkin M, Kurose K, et al. HLA-B*1511 is a risk factor for carbamazepine-induced Stevens-Johnson syndrome and toxic epidermal necrolysis in Japanese patients. Epilepsia. 2010; 51:2461–2465. PMID: 21204807.
Article
5. McCormack M, Alfirevic A, Bourgeois S, Farrell JJ, Kasperavičiūtė D, Carrington M, et al. HLA-A*3101 and carbamazepine-induced hypersensitivity reactions in Europeans. N Engl J Med. 2011; 364:1134–1143.
Article
6. Ozeki T, Mushiroda T, Yowang A, Takahashi A, Kubo M, Shirakata Y, et al. Genome-wide association study identifies HLA-A*3101 allele as a genetic risk factor for carbamazepine-induced cutaneous adverse drug reactions in Japanese population. Hum Mol Genet. 2011; 20:1034–1041. PMID: 21149285.
Article
7. Wang XQ, Lang SY, Shi XB, Tian HJ, Wang RF, Yang F. Cross-reactivity of skin rashes with current antiepileptic drugs in Chinese population. Seizure. 2010; 19:562–566.
Article
8. Zaccara G, Franciotta D, Perucca E. Idiosyncratic adverse reactions to antiepileptic drugs. Epilepsia. 2007; 48:1223–1244.
Article
9. Hu FY, Wu XT, An DM, Yan B, Stefan H, Zhou D. Pilot association study of oxcarbazepine-induced mild cutaneous adverse reactions with HLA-B*1502 allele in Chinese Han population. Seizure. 2011; 20:160–162. PMID: 21169036.
Article
10. Shi YW, Min FL, Liu XR, Zan LX, Gao MM, Yu MJ, et al. Hla-B alleles and lamotrigine-induced cutaneous adverse drug reactions in the Han Chinese population. Basic Clin Pharmacol Toxicol. 2011; 109:42–46.
Article
11. Gogtay NJ, Bavdekar SB, Kshirsagar NA. Anticonvulsant hypersensitivity syndrome: a review. Expert Opin Drug Saf. 2005; 4:571–581.
Article
12. Lee KW, Park MH. [New HLA nomenclature (2010) and its clinical application in Koreans]. Korean J Lab Med. 2010; 30:203–217.
Article
13. Hung SI, Chung WH, Jee SH, Chen WC, Chang YT, Lee WR, et al. Genetic susceptibility to carbamazepine-induced cutaneous adverse drug reactions. Pharmacogenet Genomics. 2006; 16:297–306.
Article
14. Aihara M. Pharmacogenetics of cutaneous adverse drug reactions. J Dermatol. 2011; 38:246–254.
Article
15. Hung SI, Chung WH, Liu ZS, Chen CH, Hsih MS, Hui RC, et al. Common risk allele in aromatic antiepileptic-drug induced Stevens-Johnson syndrome and toxic epidermal necrolysis in Han Chinese. Pharmacogenomics. 2010; 11:349–356. PMID: 20235791.
Article
16. Lee KW, Oh DH, Lee C, Yang SY. Allelic and haplotypic diversity of HLA-A, -B, -C, -DRB1, and -DQB1 genes in the Korean population. Tissue Antigens. 2005; 65:437–447.
Article
17. Burtis C, Ashwood E, Bruns D, editors. Tietz Textbook of clinical chemistry and molecular diagnostics. 5th ed. St. Louis, MO: Elsevier;2012.
18. Lonjou C, Thomas L, Borot N, Ledger N, de Toma C, LeLouet H, et al. A marker for Stevens-Johnson syndrome...: ethnicity matters. Pharmacogenomics J. 2006; 6:265–268.
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