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The association between NAT2 acetylator status and adverse drug reactions of sulfasalazine: a systematic review and meta-analysis.


ABSTRACT: N-acetyltransferase 2 (NAT2) acetylator status can be classified into three groups depending on the number of rapid alleles (e.g., NAT2*4): rapid, intermediate, and slow acetylators. Such acetylator status may influence the occurrence of adverse drug reactions (ADRs) during sulfasalazine treatment. This systematic review and meta-analysis aimed to evaluate the association between NAT2 acetylator status and ADRs of sulfasalazine. We searched for qualified studies in PubMed, Web of Science, Embase, and the Cochrane Library. Odds ratio (OR) and 95% confidence intervals (CIs) were calculated to evaluate the strength of the association between NAT2 acetylator status and ADRs of sulfasalazine. Nine cohort studies involving 1,077 patients were included in the meta-analysis. NAT2 slow acetylators were associated with an increase in overall ADRs (OR 3.37, 95% CI: 1.43 to 7.93; p?=?0.005), discontinuation due to overall ADRs (OR 2.89, 95% CI: 1.72 to 4.86; p?

SUBMITTER: Yee J 

PROVIDER: S-EPMC7046788 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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The association between NAT2 acetylator status and adverse drug reactions of sulfasalazine: a systematic review and meta-analysis.

Yee Jeong J   Kim So Min SM   Han Ji Min JM   Lee Nari N   Yoon Ha Young HY   Gwak Hye Sun HS  

Scientific reports 20200227 1


N-acetyltransferase 2 (NAT2) acetylator status can be classified into three groups depending on the number of rapid alleles (e.g., NAT2*4): rapid, intermediate, and slow acetylators. Such acetylator status may influence the occurrence of adverse drug reactions (ADRs) during sulfasalazine treatment. This systematic review and meta-analysis aimed to evaluate the association between NAT2 acetylator status and ADRs of sulfasalazine. We searched for qualified studies in PubMed, Web of Science, Embase  ...[more]

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