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rs9263726 is a specific genetic marker for allopurinol-induced severe cutaneous adverse reactions in Chinese patients

    Zhiyao Chen

    Department of Clinical Pharmacology Research Lab, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China

    ,
    Shichao Zhang

    Department of Clinical Pharmacology Research Lab, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China

    College of Pharmaceutical Sciences, Soochow University, Suzhou, 215006, China

    ,
    Jingjing Zhang

    Department of Clinical Pharmacology Research Lab, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China

    ,
    Yan Zhang

    Department of Clinical Pharmacology Research Lab, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China

    ,
    Ling Xue

    Department of Clinical Pharmacology Research Lab, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China

    &
    Liyan Miao

    *Author for correspondence:

    E-mail Address: miaolysuzhou@163.com

    Department of Clinical Pharmacology Research Lab, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China

    Published Online:https://doi.org/10.2217/pme.15.38

    Aim: Screening of an easily detectable biomarker to replace the HLA allele B variant (HLA-B*58:01) testing for predicting allopurinol-induced severe cutaneous adverse reactions (SCARs) in eastern Chinese patients. Methods: Six SNPs and the HLA-B*58:01 were analyzed in 17 patients with allopurinol-induced SCARs and in 151 control patients. SNPs were analyzed by pyrosequencing, and HLA-B*58:01 was evaluated by sequencing-based techniques. Consistency between sequencing-based HLA-B*58:01 testing and pyrosequencing-based rs9263726 testing was investigated in 262 individuals. Results: A significant association with allopurinol-induced SCARs was found at rs9263726 (odds ratio: 108.8) and HLA-B*58:01 (odds ratio: 108.8). The kappa values between sequencing-based HLA-B*58:01 testing and pyrosequencing-based rs9263726 testing were 0.96 (>0.75), demonstrating they were well coincident with each other. Conclusion: rs9263726 was a useful surrogate of HLA-B*58:01 testing for prescreening allopurinol-induced SCARs in eastern Chinese patients.

    Papers of special note have been highlighted as: •• of considerable interest

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