RGD Reference Report - A genome-wide study identifies HLA alleles associated with lumiracoxib-related liver injury. - Rat Genome Database

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A genome-wide study identifies HLA alleles associated with lumiracoxib-related liver injury.

Authors: Singer, Jonathan B  Lewitzky, Steve  Leroy, Elisabeth  Yang, Fan  Zhao, Xiaojun  Klickstein, Lloyd  Wright, Timothy M  Meyer, Joanne  Paulding, Charles A 
Citation: Singer JB, etal., Nat Genet. 2010 Aug;42(8):711-4. doi: 10.1038/ng.632. Epub 2010 Jul 18.
RGD ID: 14398844
Pubmed: PMID:20639878   (View Abstract at PubMed)
DOI: DOI:10.1038/ng.632   (Journal Full-text)

Lumiracoxib is a selective cyclooxygenase-2 inhibitor developed for the symptomatic treatment of osteoarthritis and acute pain. Concerns over hepatotoxicity have contributed to the withdrawal or non-approval of lumiracoxib in most major drug markets worldwide. We performed a case-control genome-wide association study on 41 lumiracoxib-treated patients with liver injury (cases) and 176 matched lumiracoxib-treated patients without liver injury (controls). Several SNPs from the MHC class II region showed strong evidence of association (the top SNP was rs9270986 with P = 2.8 x 10(-10)). These findings were replicated in an independent set of 98 lumiracoxib-treated cases and 405 matched lumiracoxib-treated controls (top SNP rs3129900, P = 4.4 x 10(-12)). Fine mapping identified a strong association to a common HLA haplotype (HLA-DRB1*1501-HLA-DQB1*0602-HLA-DRB5*0101-HLA-DQA1*0102, most significant allele P = 6.8 x 10(-25), allelic odds ratio = 5.0, 95% CI 3.6-7.0). These results offer the potential to improve the safety profile of lumiracoxib by identifying individuals at elevated risk for liver injury and excluding them from lumiracoxib treatment.



RGD Manual Disease Annotations    Click to see Annotation Detail View

  
Object SymbolSpeciesTermQualifierEvidenceWithNotesSourceOriginal Reference(s)
H2-AaMouseChemical and Drug Induced Liver Injury susceptibilityISOHLA-DQA1 (Homo sapiens)DNA:polymorphism: :HLA-DQA1*0102(human)RGD 
HLA-DQA1HumanChemical and Drug Induced Liver Injury susceptibilityIAGP DNA:polymorphism: :HLA-DQA1*0102(human)RGD 
RT1-BaRatChemical and Drug Induced Liver Injury susceptibilityISOHLA-DQA1 (Homo sapiens)DNA:polymorphism: :HLA-DQA1*0102(human)RGD 

Objects Annotated

Genes (Rattus norvegicus)
RT1-Ba  (RT1 class II, locus Ba)

Genes (Mus musculus)
H2-Aa  (histocompatibility 2, class II antigen A, alpha)

Genes (Homo sapiens)
HLA-DQA1  (major histocompatibility complex, class II, DQ alpha 1)


Additional Information