Crystal arthritis: Is HLAB genotyping the future of gout pharmacogenomics?

Nat Rev Rheumatol. 2013 Apr;9(4):200-2. doi: 10.1038/nrrheum.2013.20. Epub 2013 Feb 12.

Abstract

Advances in pharmacogenomics have improved understanding of allopurinol hypersensitivity syndrome (AHS), and new research suggests HLA-B*5801 is a strong risk factor for this condition; in some populations, almost all patients who develop AHS carry this allele. This discovery could influence the treatment of gout, in particular, how allopurinol is used.

Publication types

  • News
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Allopurinol / adverse effects*
  • Allopurinol / therapeutic use
  • Arthritis, Gouty / drug therapy
  • Arthritis, Gouty / genetics*
  • Drug Eruptions / etiology
  • Drug Eruptions / genetics*
  • Female
  • Forecasting
  • Gene Expression Regulation
  • Genotype
  • HLA-B Antigens / genetics*
  • HLA-B Antigens / metabolism
  • Humans
  • Male
  • Molecular Targeted Therapy / methods
  • Molecular Targeted Therapy / trends
  • Pharmacogenetics
  • Risk Assessment
  • Treatment Outcome

Substances

  • HLA-B Antigens
  • Allopurinol