HLA-A02:01 allele is associated with tanshinone-induced cutaneous drug reactions in Chinese population

Tanshinone, a widely used Chinese patent medicine, has been confirmed to have various kinds of pharmacological effects although frequently causing cutaneous adverse drug reactions (cADRs). We aim to identify whether human leukocyte antigen (HLA) class I alleles are associated with tanshinone-induced...

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Veröffentlicht in:The pharmacogenomics journal 2020-06, Vol.20 (3), p.408-414
Hauptverfasser: Zhu, Qinyuan, Zhang, Yanzhou, Xuan, Jiekun, Yang, Fanping, Du, Binbin, Chen, Sheng-an, Yan, Sijia, Jiang, Menglin, Zhu, Huizhong, Xiong, Hao, Luo, Xiaoqun, Xing, Qinghe
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container_title The pharmacogenomics journal
container_volume 20
creator Zhu, Qinyuan
Zhang, Yanzhou
Xuan, Jiekun
Yang, Fanping
Du, Binbin
Chen, Sheng-an
Yan, Sijia
Jiang, Menglin
Zhu, Huizhong
Xiong, Hao
Luo, Xiaoqun
Xing, Qinghe
description Tanshinone, a widely used Chinese patent medicine, has been confirmed to have various kinds of pharmacological effects although frequently causing cutaneous adverse drug reactions (cADRs). We aim to identify whether human leukocyte antigen (HLA) class I alleles are associated with tanshinone-induced cADRs in Han Chinese. The association study including 18 patients with tanshinone-induced cADRs, 67 tanshinone-tolerant volunteers, and two general population databases consisted of 10,689 and 169,995 healthy subjects was performed. The frequency of tanshinone-induced cADRs patients carrying HLA-A*02:01 was significantly higher when compared with the general control groups (OR = 6.25, Pc = 7.20 × 10 −5 ; OR = 7.14, Pc = 8.00 × 10 −6 ), and with the tolerant group (OR = 5.09, Pc = 0.024). The molecular docking assay confirmed high affinity of the ingredients of tanshinone towards HLA-A*02:01 (≤−7.5 kcal/mol). The result suggested HLA-A*02:01 may work as a promisingly predictive marker for tanshinone personalized therapy in Han Chinese.
doi_str_mv 10.1038/s41397-019-0121-1
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We aim to identify whether human leukocyte antigen (HLA) class I alleles are associated with tanshinone-induced cADRs in Han Chinese. The association study including 18 patients with tanshinone-induced cADRs, 67 tanshinone-tolerant volunteers, and two general population databases consisted of 10,689 and 169,995 healthy subjects was performed. The frequency of tanshinone-induced cADRs patients carrying HLA-A*02:01 was significantly higher when compared with the general control groups (OR = 6.25, Pc = 7.20 × 10 −5 ; OR = 7.14, Pc = 8.00 × 10 −6 ), and with the tolerant group (OR = 5.09, Pc = 0.024). The molecular docking assay confirmed high affinity of the ingredients of tanshinone towards HLA-A*02:01 (≤−7.5 kcal/mol). The result suggested HLA-A*02:01 may work as a promisingly predictive marker for tanshinone personalized therapy in Han Chinese.</description><identifier>ISSN: 1470-269X</identifier><identifier>EISSN: 1473-1150</identifier><identifier>DOI: 10.1038/s41397-019-0121-1</identifier><identifier>PMID: 31792370</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>45/23 ; 45/77 ; 631/154/1438 ; 631/208/205 ; Abietanes - adverse effects ; Acne ; Adolescent ; Adult ; Adverse and side effects ; Aged ; Alleles ; Angina pectoris ; Anti-Infective Agents - adverse effects ; Antigens ; Asian Continental Ancestry Group - genetics ; Biomedical and Life Sciences ; Biomedicine ; Causes of ; Chinese medicine ; Complications and side effects ; Dermatology ; Drug Eruptions - diagnosis ; Drug Eruptions - genetics ; Drugs ; Female ; Gene Expression ; Genetic aspects ; Genetic Association Studies - methods ; Health aspects ; Histocompatibility antigen HLA ; Histocompatibility antigens ; HLA histocompatibility antigens ; HLA-A2 Antigen - genetics ; Hospitals ; Human Genetics ; Humans ; Ingredients ; Ligands ; Male ; Middle Aged ; Molecular Docking Simulation - methods ; Oncology ; Pharmacogenetics ; Pharmacology, Experimental ; Pharmacotherapy ; Population ; Population genetics ; Population Surveillance - methods ; Psychopharmacology ; Skin diseases ; Software ; Staphylococcus infections ; Tanshinones ; Young Adult</subject><ispartof>The pharmacogenomics journal, 2020-06, Vol.20 (3), p.408-414</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2019</rights><rights>COPYRIGHT 2020 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c419t-d40493640c0cc20e75d6359f0fd3ae3866244851a14e50ef5ab7ba5ce504bb2a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31792370$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Qinyuan</creatorcontrib><creatorcontrib>Zhang, Yanzhou</creatorcontrib><creatorcontrib>Xuan, Jiekun</creatorcontrib><creatorcontrib>Yang, Fanping</creatorcontrib><creatorcontrib>Du, Binbin</creatorcontrib><creatorcontrib>Chen, Sheng-an</creatorcontrib><creatorcontrib>Yan, Sijia</creatorcontrib><creatorcontrib>Jiang, Menglin</creatorcontrib><creatorcontrib>Zhu, Huizhong</creatorcontrib><creatorcontrib>Xiong, Hao</creatorcontrib><creatorcontrib>Luo, Xiaoqun</creatorcontrib><creatorcontrib>Xing, Qinghe</creatorcontrib><title>HLA-A02:01 allele is associated with tanshinone-induced cutaneous drug reactions in Chinese population</title><title>The pharmacogenomics journal</title><addtitle>Pharmacogenomics J</addtitle><addtitle>Pharmacogenomics J</addtitle><description>Tanshinone, a widely used Chinese patent medicine, has been confirmed to have various kinds of pharmacological effects although frequently causing cutaneous adverse drug reactions (cADRs). 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The result suggested HLA-A*02:01 may work as a promisingly predictive marker for tanshinone personalized therapy in Han Chinese.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>31792370</pmid><doi>10.1038/s41397-019-0121-1</doi><tpages>7</tpages></addata></record>
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631/154/1438
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Abietanes - adverse effects
Acne
Adolescent
Adult
Adverse and side effects
Aged
Alleles
Angina pectoris
Anti-Infective Agents - adverse effects
Antigens
Asian Continental Ancestry Group - genetics
Biomedical and Life Sciences
Biomedicine
Causes of
Chinese medicine
Complications and side effects
Dermatology
Drug Eruptions - diagnosis
Drug Eruptions - genetics
Drugs
Female
Gene Expression
Genetic aspects
Genetic Association Studies - methods
Health aspects
Histocompatibility antigen HLA
Histocompatibility antigens
HLA histocompatibility antigens
HLA-A2 Antigen - genetics
Hospitals
Human Genetics
Humans
Ingredients
Ligands
Male
Middle Aged
Molecular Docking Simulation - methods
Oncology
Pharmacogenetics
Pharmacology, Experimental
Pharmacotherapy
Population
Population genetics
Population Surveillance - methods
Psychopharmacology
Skin diseases
Software
Staphylococcus infections
Tanshinones
Young Adult
title HLA-A02:01 allele is associated with tanshinone-induced cutaneous drug reactions in Chinese population
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