医学
人类白细胞抗原
药品
不利影响
基因分型
药物不良反应
药物反应
药理学
免疫学
基因
生物信息学
重症监护医学
基因型
抗原
遗传学
生物
作者
Natasha Petry,Kennedy Forest,Russell A. Wilke
标识
DOI:10.1016/j.amjms.2023.10.004
摘要
Adverse drug reactions can be either dose-dependent (Type A) or idiosyncratic (Type B). Type B adverse drug reactions tend to be extremely rare and difficult to predict. They are usually immune-mediated. Examples include severe skin reactions and drug-induced liver injury. For many commonly prescribed drugs (such as antibiotics), the risk of developing an idiosyncratic adverse drug reaction is influenced by variability in the human leukocyte antigen (HLA) genes. Because these HLA-mediated adverse drug reactions can be lethal, there is growing interest in defining which specific drug-gene relationships might benefit from pre-emptive HLA genotyping and automated clinical decision support. This review summarizes the literature for HLA-mediated adverse reactions linked to common drugs.
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