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Allergy Asthma Immunol Res. Nov 2012; 4(6): 362–366.
Published online May 24, 2012. doi:  10.4168/aair.2012.4.6.362
PMCID: PMC3479231
ABCC2 Haplotype is Associated With Antituberculosis Drug-Induced Maculopapular Eruption
Sang-Heon Kim,1 Young-Koo Jee,2 Jae-Hyung Lee,3 Byoung-Hoon Lee,3 Youn-Seup Kim,2 Jae-Seuk Park,2 and Sang-Hoon Kimcorresponding author3,4
1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
2Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
3Department of Internal Medicine, Eulji University College of Medicine, Seoul, Korea.
4Eulji Medi-Bio Research Institute, Seoul, Korea.
corresponding authorCorresponding author.
Correspondence to: Sang-Hoon Kim, MD, PhD, Department of Internal Medicine, Eulji University College of Medicine, 14 Hangeulbiseok-gil, Nowon-gu, Seoul 139-711, Korea. Tel: +82-2-970-8365; Fax: +82-2-970-8621; ksh1134/at/eulji.ac.kr
Received October 12, 2011; Revised March 22, 2012; Accepted April 12, 2012.
Abstract
Genetic variants in ATP-binding cassette (ABC) transporter genes are associated with increased susceptibility to adverse drug reactions. We hypothesized that genetic variant ABC transporters (ABCB1 and ABCC2) may be candidate markers for predicting maculopapular eruption (MPE) induced by antituberculosis therapy. We compared the genotype distributions of single nucleotide polymorphisms and haplotypes in the ABCB1 and ABCC2 genes between 62 antituberculosis drug (ATD)-induced MPE cases and 159 ATD-tolerant controls using multivariate logistic regression analysis. There was no significant association between genetic polymorphisms in ABCB1 and ATD-induced MPE (P>0.05). Among seven selected SNPs of ABCC2, IVS3-49C>T in intron and I1324I were associated with ATD-induced MPE (P=0.029 and 0.036, respectively). In an analysis of the ABCC2 haplotypes (ht; -1549G>A_-24C>T_IVS3-49C>T_V417I), ht1[G-C-C-G] was significantly associated with ATD-induced MPE (P=0.032, OR=0.35, 95% CI: 0.16-0.95). No significant association between the other haplotypes and ATD-induced MPE was observed. An ABCC2 haplotype is associated with the presence of ATD-induced MPE in patients with tuberculosis and may be a genetic risk factor for the development of MPE induced by ATD.
Keywords: Adverse drug reaction, anti-tuberculosis drugs, ATP-binding cassette C2, eruption, polymorphism
Articles from Allergy, Asthma & Immunology Research are provided here courtesy of
Korean Academy of Asthma, Allergy and Clinical Immunology and Korean Academy of Pediatric Allergy and Respiratory Disease