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Association of genetic polymorphisms of CYP2E1, NAT2, GST and SLCO1B1 with the risk of anti-tuberculosis drug-induced liver injury: a systematic review and meta-analysis.


ABSTRACT: OBJECTIVES:The objective of this study was to investigate the association between genetic polymorphisms of N-acetyltransferase 2 (NAT2), cytochrome P450 2E1 (CYP2E1), glutathione S-transferase (GST) and solute carrier organic anion transporter family member 1B1 (SLCO1B1) and the risk of anti-tuberculosis drug-induced liver injury (ATDILI). DESIGN:Systematic review and meta-analysis. DATA SOURCES:PubMed, Embase, Web of Science and Cochrane Reviews databases were searched through April 2019. ELIGIBILITY CRITERIA:We included case-control or cohort studies investigating an association between NAT2, CYP2E1, GST or SLCO1B1 polymorphisms and the ATDILI risk in patients with tuberculosis. DATA EXTRACTION AND SYNTHESIS:Three authors screened articles, extracted data and assessed study quality. The strength of association was evaluated for each gene using the pooled OR with a 95% CI based on the fixed-effects or random-effects model. Sensitivity analysis was performed to confirm the reliability and robustness of the results. RESULTS:Fifty-four studies were included in this analysis (n=26 for CYP2E1, n=35 for NAT2, n=19 for GST, n=4 for SLCO1B1). The risk of ATDILI was significantly increased with the following genotypes: CYP2E1 RsaI/PstI c1/c1 (OR=1.39, 95%?CI 1.06 to 1.83), NAT2 slow acetylator (OR=3.30, 95%?CI 2.65 to 4.11) and GSTM1 null (OR=1.30, 95%?CI 1.12 to 1.52). No significant association with ATDILI was found for the genetic polymorphisms of CYP2E1 DraI, GSTT1, GSTM1/GSTT1, SLCO1B1 388A>G and SLCO1B1 521T>C (p>0.05). CONCLUSIONS:ATDILI is more likely to occur in patients with NAT2 slow acetylator genotype, CYP2E1 RsaI/PstI c1/c1 genotype and GSTM1 null genotype. Close monitoring may be warranted for patients with these genotypes.

SUBMITTER: Yang S 

PROVIDER: S-EPMC6688699 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Association of genetic polymorphisms of <i>CYP2E1, NAT2, GST</i> and <i>SLCO1B1</i> with the risk of anti-tuberculosis drug-induced liver injury: a systematic review and meta-analysis.

Yang Seungwon S   Hwang Se Jung SJ   Park Jung Yun JY   Chung Eun Kyoung EK   Lee Jangik I JI  

BMJ open 20190801 8


<h4>Objectives</h4>The objective of this study was to investigate the association between genetic polymorphisms of N-acetyltransferase 2 (<i>NAT2)</i>, cytochrome P450 2E1 (<i>CYP2E1)</i>, glutathione S-transferase (<i>GST)</i> and solute carrier organic anion transporter family member 1B1 (<i>SLCO1B1)</i> and the risk of anti-tuberculosis drug-induced liver injury (ATDILI).<h4>Design</h4>Systematic review and meta-analysis.<h4>Data sources</h4>PubMed, Embase, Web of Science and Cochrane Reviews  ...[more]

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