Abstract
Unusual drug accumulation is a common mechanism underlying serious drug-induced liver injury. Polymorphisms in three drug transporter genes (ABCB1, SLCO1B1 and ABCC2) may be risk markers for hepatitis induced by the unusual accumulation of anti-tuberculosis drugs (ATDs). We therefore investigated whether polymorphisms and haplotypes of these genes are associated with ATD-induced hepatitis by comparing the frequencies and distributions of single nucleotide polymorphisms and haplotypes of these three drug transporter genes among 67 patients with ATD-induced hepatitis and 159 patients tolerant to ATDs using a multivariate logistic regression analysis. We found that the frequencies of polymorphisms and haplotypes of ABCB1, SLCO1B1 and ABCC2 were similar in patients with ATD-induced hepatitis and ATD-tolerant controls. The present results suggest that these drug transporters do not play important roles in the pathogenesis of ATD-induced hepatitis in Korean patients.
Copyright © 2011 Elsevier Ltd. All rights reserved.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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ATP Binding Cassette Transporter, Subfamily B
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ATP Binding Cassette Transporter, Subfamily B, Member 1 / genetics*
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Adolescent
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Adult
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Aged
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Aged, 80 and over
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Antitubercular Agents / administration & dosage
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Antitubercular Agents / adverse effects*
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Asian People / genetics
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Chemical and Drug Induced Liver Injury / epidemiology
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Chemical and Drug Induced Liver Injury / genetics*
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Female
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Humans
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Liver-Specific Organic Anion Transporter 1
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Male
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Middle Aged
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Multidrug Resistance-Associated Protein 2
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Multidrug Resistance-Associated Proteins / genetics*
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Organic Anion Transporters / genetics*
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Polymorphism, Single Nucleotide*
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Republic of Korea / epidemiology
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Risk Factors
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Tuberculosis, Pulmonary / drug therapy*
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Tuberculosis, Pulmonary / epidemiology
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Tuberculosis, Pulmonary / genetics
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Young Adult
Substances
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ABCB1 protein, human
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ABCC2 protein, human
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ATP Binding Cassette Transporter, Subfamily B
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ATP Binding Cassette Transporter, Subfamily B, Member 1
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Antitubercular Agents
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Liver-Specific Organic Anion Transporter 1
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Multidrug Resistance-Associated Protein 2
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Multidrug Resistance-Associated Proteins
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Organic Anion Transporters
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SLCO1B1 protein, human