Should HLA-B*5701 screening be performed in every ethnic group before starting abacavir?

Clin Infect Dis. 2009 Feb 1;48(3):365-7. doi: 10.1086/595890.

Abstract

Human leukocyte antigen allele (HLA)-B*5701 is associated with abacavir hypersensitivity. However, the carriage rate of HLA-B*5701 has rarely been studied in Asians. In 534 Korean patients with human immunodeficiency virus infection, HLA-B*5701 status was determined by polymerase chain reaction with HLA-B*5701-specific primers. No patients had the HLA-B*5701 allele (95% confidence interval, 0%-0.7%). This explains the paucity of immunologically confirmed cases of abacavir hypersensitivity in Koreans.

MeSH terms

  • Adult
  • Dideoxynucleosides / adverse effects*
  • Dideoxynucleosides / therapeutic use*
  • Drug Hypersensitivity / genetics*
  • Ethnicity
  • Female
  • Genetic Testing
  • HIV Infections / drug therapy*
  • HLA-B Antigens / genetics*
  • Humans
  • Korea
  • Male
  • Middle Aged
  • Polymerase Chain Reaction / methods

Substances

  • Dideoxynucleosides
  • HLA-B Antigens
  • HLA-B*57:01 antigen
  • abacavir