范科米辛诱导的肝损伤,DRESS和HLA-A32:01
Bilal A Asif1, Christopher Koh1, Elizabeth J Phillips2
1Liver Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH), Bethesda, Md.
The journal of allergy and clinical immunology. In practice
|September 22, 2023
概括
范科米辛诱导的肝损伤,通常呈现为DRESS综合征,与HLA-A32:01等位基因密切相关. 早期HLA-A32:01测试可能有助于识别患有风险的患者,因为科米辛相关的肝损伤.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 药物基因组学 药物基因组学
- 免疫学 免疫学 免疫学
背景情况:
- 静脉注射万科米辛可以导致肝损伤和DRESS综合征.
- 了解香草素诱导的肝损伤 (VILI) 临床特征和HLA关联是至关重要的.
研究的目的:
- 确定VILI的临床特征.
- 为了确定HLA与VILI的关联.
主要方法:
- 在美国药物诱导肝损伤网络 (2004-2020) 中评估了VILI病例.
- 在患者的血液样本上进行了HLA等位基因测序.
主要成果:
- 确定了9例VILI (0.5%),主要呈现为DRESS综合征 (8/9名患者).
- 在78%的VILI病例中,HLA-A32:01等位基因被发现具有DRESS综合征,明显高于对照组.
- 与美国普通人口 (<0.04) 相比,VILI病例显示HLA-A32:01 (0.44) 的频率更高.
结论:
- 维利经常与DRESS综合征和HLA-A32:01等位基因相关.
- 考虑在长期接受万科米辛的患者中进行HLA-A32:01风险分层测试.
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