HLA-B38 and clozapine-induced agranulocytosis in Israeli Jewish schizophrenic patients

To further substantiate reports of an association between the major histocompatibility complex subtypes and clozapine‐induced agranulocytosis, HLA typing was performed in 61 Jewish Israeli schizophrenic patients, in 11 of whom agranulocytosis developed following clozapine treatment and in 50 (contro...

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Veröffentlicht in:European journal of immunogenetics 1998-02, Vol.25 (1), p.11-13
Hauptverfasser: Valevski, A., Klein, T., Gazit, E., Meged, S., Stein, D., Elizur, A., Narinsky, E.R., Kutzuk, D., Weizman, A.
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container_end_page 13
container_issue 1
container_start_page 11
container_title European journal of immunogenetics
container_volume 25
creator Valevski, A.
Klein, T.
Gazit, E.
Meged, S.
Stein, D.
Elizur, A.
Narinsky, E.R.
Kutzuk, D.
Weizman, A.
description To further substantiate reports of an association between the major histocompatibility complex subtypes and clozapine‐induced agranulocytosis, HLA typing was performed in 61 Jewish Israeli schizophrenic patients, in 11 of whom agranulocytosis developed following clozapine treatment and in 50 (controls) of whom it did not. Of the 11 agranulocytosis patients, seven (63%) were of Ashkenazi origin and four (37%) of Sephardi origin. There was no difference in ethnic origin between the agranulocytosis and non‐agranulocytosis groups (χ2 = 2.4, d.f. = 1, P = 0.11), although the agranulocytosis patients had a higher frequency of the HLA B38 antigen (8/11 or 72% vs. 6/50 or 12%; χ2 = 18.7, d.f. = 1, P < 0.001). These results suggest that major histocompatibility complex gene products could be involved in clozapine‐mediated haematological complications.
doi_str_mv 10.1046/j.1365-2370.1998.00091.x
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Of the 11 agranulocytosis patients, seven (63%) were of Ashkenazi origin and four (37%) of Sephardi origin. There was no difference in ethnic origin between the agranulocytosis and non‐agranulocytosis groups (χ2 = 2.4, d.f. = 1, P = 0.11), although the agranulocytosis patients had a higher frequency of the HLA B38 antigen (8/11 or 72% vs. 6/50 or 12%; χ2 = 18.7, d.f. = 1, P &lt; 0.001). 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subjects Adult
Adult and adolescent clinical studies
Agranulocytosis - chemically induced
Agranulocytosis - ethnology
Agranulocytosis - genetics
Antipsychotic Agents - adverse effects
Antipsychotic Agents - therapeutic use
Biological and medical sciences
Clozapine - adverse effects
Clozapine - therapeutic use
Female
Genes, MHC Class I - genetics
Genes, MHC Class II - genetics
Genetic Predisposition to Disease
Haplotypes
Histocompatibility Testing
HLA-B Antigens - genetics
HLA-B38 Antigen
Humans
Israel
Jews - genetics
Male
Medical sciences
Middle Aged
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Schizophrenia
Schizophrenia - drug therapy
Schizophrenia - ethnology
Schizophrenia - genetics
title HLA-B38 and clozapine-induced agranulocytosis in Israeli Jewish schizophrenic patients
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