An association study of HLA with levofloxacin-induced severe cutaneous adverse drug reactions in Han Chinese

被引:2
|
作者
Jiang, Menglin [1 ,2 ]
Yang, Jin [3 ,4 ]
Yang, Linlin [5 ]
Wang, Lina [5 ]
Wang, Ting [1 ,2 ]
Han, Shengna [5 ]
Cheng, Ye [1 ,2 ]
Chen, Zihua [3 ,4 ]
Su, Yu [1 ,2 ]
Zhang, Lirong [5 ]
Yang, Fanping [3 ,4 ]
Chen, Sheng-an [3 ,4 ]
Zhang, Jin [1 ,2 ]
Xiong, Hao [3 ,4 ]
Wang, Lanting [3 ,4 ]
Zhang, Zhen [3 ,4 ]
Ma, Li [3 ,4 ]
Luo, Xiaoqun [3 ,4 ]
Xing, Qinghe [1 ,2 ]
机构
[1] Fudan Univ, Childrens Hosp, Shanghai 200032, Peoples R China
[2] Fudan Univ, Inst Biomed Sci, Shanghai 200032, Peoples R China
[3] Fudan Univ, Huashan Hosp, Dept Allergy & Immunol, Shanghai 200040, Peoples R China
[4] Fudan Univ, Huashan Hosp, Dept Dermatol, Shanghai 200040, Peoples R China
[5] Zhengzhou Univ, Sch Basic Med Sci, Dept Pharmacol, Zhengzhou 450001, Peoples R China
基金
中国国家自然科学基金;
关键词
TOXIC EPIDERMAL NECROLYSIS; STEVENS-JOHNSON SYNDROME; HYPERSENSITIVITY REACTIONS; SYSTEMIC SYMPTOMS; RISK; HLA-B-ASTERISK-1301; EOSINOPHILIA; ALLOPURINOL; PEPTIDES; ALLELE;
D O I
10.1016/j.isci.2023.107391
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Levofloxacin-induced severe cutaneous adverse drug reactions (LEV-SCARs) remain unexplored. An association study of human leukocyte antigen (HLA) alleles with LEV-SCARs among 12 patients, 806 healthy subjects, and 100 levofloxacin-tolerant individuals was performed. The carrier frequencies of HLA-B*13:01 (odds ratio [OR]: 4.50; 95% confidence interval [CI]: 1.15-17.65; p = 0.043), HLA-B*13:02 (OR: 6.14; 95% CI: 1.73-21.76; p = 0.0072), and serotype B13 (OR: 17.73; 95% CI: 3.61-86.95; p = 4.85 x 10(-5)) in patients with LEV-SCARs were significantly higher than those of levofloxacin-tolerant individuals. Molecular docking analysis suggested that levofloxacin formed more stable binding models with HLA-B*13:01 and HLA-B*13:02 than with non-risk HLA-B*46:01. Mass spectrometry revealed that nonapeptides bound to HLA-B*13:02 shifted at several positions after exposure to levofloxacin. Prospective screening for serotype B13 (sensitivity: 83%, specificity: 78%) and alternative drug treatment for carriers may significantly decrease the incidence of LEV-SCARs.
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页数:14
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