Source:http://linkedlifedata.com/resource/pubmed/id/18332899
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2008-11-14
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pubmed:abstractText |
The hypersensitivity (HSR) to abacavir (ABC) pharmacogenetics (PGx) program represents the progression from an exploratory discovery to a validated biomarker. Within the program, two retrospective PGx studies were conducted to identify HIV-1 patients at increased risk for ABC HSR, a treatment-limiting and potentially life-threatening adverse event. A strong statistical association between the major histocompatibility complex allele, HLA-B*5701, and clinically diagnosed ABC HSR was identified but varied between racial populations. Subsequently, ABC skin patch testing was introduced as a research tool to supplement clinical case ascertainment. In a randomized, prospective study evaluating the clinical utility of HLA-B*5701 screening, avoidance of ABC in HLA-B*5701-positive patients significantly reduced clinically diagnosed ABC HSR and eliminated patch test-positive ABC HSR. Finally, a retrospective PGx study supports the generalizability of the association across races. Prospective HLA-B*5701 screening should greatly reduce the incidence of ABC HSR by identifying patients at high risk for ABC HSR before they are treated.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
1473-1150
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pubmed:author |
pubmed-author:BrothersC HCH,
pubmed-author:BurnsD KDK,
pubmed-author:CowDD,
pubmed-author:DasM BMB,
pubmed-author:HetheringtonS VSV,
pubmed-author:HughesA RAR,
pubmed-author:HughesSS,
pubmed-author:MostellerMM,
pubmed-author:NelsenA JAJ,
pubmed-author:RosesA DAD,
pubmed-author:SpreenW RWR,
pubmed-author:StancilBB,
pubmed-author:ThorbornD EDE,
pubmed-author:WarnerP HPH
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pubmed:issnType |
Electronic
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
365-74
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pubmed:meshHeading |
pubmed-meshheading:18332899-Dideoxynucleosides,
pubmed-meshheading:18332899-Drug Hypersensitivity,
pubmed-meshheading:18332899-HLA-B Antigens,
pubmed-meshheading:18332899-Humans,
pubmed-meshheading:18332899-Patch Tests,
pubmed-meshheading:18332899-Pharmacogenetics,
pubmed-meshheading:18332899-Reverse Transcriptase Inhibitors
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pubmed:year |
2008
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pubmed:articleTitle |
Pharmacogenetics of hypersensitivity to abacavir: from PGx hypothesis to confirmation to clinical utility.
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pubmed:affiliation |
GlaxoSmithKline Pharmacogenetics, Research Triangle Park, NC 27709, USA. arlene.r.hughes@gsk.com
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pubmed:publicationType |
Journal Article,
Review
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