Genetic determinants of antithyroid drug-induced agranulocytosis by human leukocyte antigen genotyping and genome-wide association study
PL Chen, SR Shih, PW Wang, YC Lin, CC Chu… - Nature …, 2015 - nature.com
Nature communications, 2015•nature.com
Graves' disease is the leading cause of hyperthyroidism affecting 1.0–1.6% of the
population. Antithyroid drugs are the treatment cornerstone, but may cause life-threatening
agranulocytosis. Here we conduct a two-stage association study on two separate subject
sets (in total 42 agranulocytosis cases and 1,208 Graves' disease controls), using direct
human leukocyte antigen genotyping and SNP-based genome-wide association study. We
demonstrate HLA-B* 38: 02 (Armitage trend P combined= 6.75× 10− 32) and HLA-DRB1 …
population. Antithyroid drugs are the treatment cornerstone, but may cause life-threatening
agranulocytosis. Here we conduct a two-stage association study on two separate subject
sets (in total 42 agranulocytosis cases and 1,208 Graves' disease controls), using direct
human leukocyte antigen genotyping and SNP-based genome-wide association study. We
demonstrate HLA-B* 38: 02 (Armitage trend P combined= 6.75× 10− 32) and HLA-DRB1 …
Abstract
Graves’ disease is the leading cause of hyperthyroidism affecting 1.0–1.6% of the population. Antithyroid drugs are the treatment cornerstone, but may cause life-threatening agranulocytosis. Here we conduct a two-stage association study on two separate subject sets (in total 42 agranulocytosis cases and 1,208 Graves’ disease controls), using direct human leukocyte antigen genotyping and SNP-based genome-wide association study. We demonstrate HLA-B*38:02 (Armitage trend Pcombined=6.75 × 10−32) and HLA-DRB1*08:03 (Pcombined=1.83 × 10−9) as independent susceptibility loci. The genome-wide association study identifies the same signals. Estimated odds ratios for these two loci comparing effective allele carriers to non-carriers are 21.48 (95% confidence interval=11.13–41.48) and 6.13 (95% confidence interval=3.28–11.46), respectively. Carrying both HLA-B*38:02 and HLA-DRB1*08:03 increases odds ratio to 48.41 (Pcombined=3.32 × 10−21, 95% confidence interval=21.66–108.22). Our results could be useful for antithyroid-induced agranulocytosis and potentially for agranulocytosis caused by other chemicals.
nature.com
以上显示的是最相近的搜索结果。 查看全部搜索结果