It has been demonstrated that HLA-B*5701 screening reduces the risk for hypersensitivity reaction to abacavir in HIV-infected patients. Since B*5701 prevalence varies among different populations, it is important to determine the carrier frequency prior to its use for the screening of HIV-infected patients. The aim of this study was to determine HLA-B*5701 carrier frequency in Chilean general population and HIV-infected patients referred for B*5701 typing. For that purpose 300 blood bank donors and 492 abacavir-naïve HIV-infected patients from Chile were screened for B*5701 by a sequence specific primer PCR. We detected 14/300 (4.7%) B*57-positive individuals in the Chilean general population, 11 (3.7%) were B*5701 positive, and 3 (1%) had another subtype. All were heterozygous, thus a B*5701 allele frequency of 2% was determined. Eleven of 492 (2.2%) HIV-patients carried a B*5701 allele. The difference between these frequencies is probably due to slow progression of HIV infection in HLA-B*5701 carriers, thus less patients would require antiretroviral therapy and B*5701 typing. Considering the usefulness of B*5701 screening, its prevalence in the Chilean general population, and the availability of a validated method, we conclude that HLA-B*5701 typing in Chilean HIV-infected patients about to initiate abacavir treatment is strongly recommended.
Journal Information
Vol. 14. Issue 5.
Pages 510-512 (September - October 2010)
Vol. 14. Issue 5.
Pages 510-512 (September - October 2010)
Brief communication
Open Access
HLA-B*5701 frequency n Chilean HIV-infected patients and in general population
Visits
2776
Helena Poggi1,
, Alejandra Vera1, Marcela Lagos1, Sandra Solari2, Luis Rodríguez P3, Carlos M. Pérez4
Corresponding author
hpoggi@med.puc.cl
Correspondence to: Laboratorio Biología, Molecular, Vicuña Mackenna 4686, Santiago de Chile, Chile.
Correspondence to: Laboratorio Biología, Molecular, Vicuña Mackenna 4686, Santiago de Chile, Chile.
1 Molecular Biology Laboratory, Department of Clinical Laboratories, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
2 Toxicology Laboratory, Department of Clinical Laboratories, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
3 Department of Clinical Laboratories, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
4 Department of Internal Medicine and Program of Infectious Diseases, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
This item has received
Article information
Abstract
Keywords:
HLA-B*5701
HIV
abacavir
Chile
pharmacogenetics
Full text is only aviable in PDF
References
[1.]
A. Lucas, D. Nolan, S. Mallal.
HLA-B*5701 screening for susceptibility to abacavir hypersensitivity.
J Antimicrob Chemother, 59 (2007), pp. 591-593
[2.]
A.R. Hughes, W.R. Spreen, M. Mosteller, et al.
Pharmacogenetics of hypersensibility to abacavir: from PGx hypothesis to confirmation to clinical utility.
Pharmacogenomics J, 8 (2008), pp. 365-374
[3.]
E.J. Phillips.
Genetic screening to prevent abacavir hypersensibility reaction: are we there yet?.
Clin Infect Dis, 43 (2006), pp. 103-105
[4.]
S. Mallal, C. Nolan, C. Witt, et al.
Association between presence of HLA-B*5701, HLA-DR7, and HLA-DQ3 and hypersensitivity to HIV-1 reverse-transcriptase inhibitor abacavir.
Lancet, 359 (2002), pp. 727-732
[5.]
S. Hetherington, A. Hughes, M. Mosteller, et al.
Genetic variations in HLA-B region and hypersensitivity reactions to abacavir.
Lancet, 359 (2002), pp. 1121-1122
[6.]
S. Mallal, E. Phillips, G. Carosi, et al.
HLA-B*5701 screening for hypersensibility to abacavir.
N Engl J Med, 358 (2008), pp. 568-579
[7.]
M. Saag, R. Balu, E. Phillips, et al.
High sensitivity of human leukocyte antigen-B*5701 as a marker for immunologically confirmed abacavir hypersensitivity in white and black patients.
Clin Infect Dis, 46 (2008), pp. 1111-1118
[8.]
A. Hughes, M. Mosteller, A. Bansal, et al.
Association of genetic variations in HLA-B region with hypersensitivity to abacavir in some, but not all, populations.
Pharmacogenomics, 5 (2004), pp. 203-211
[9.]
A. Martin, D. Nolan, S. Mallal.
HLA-B*5701 typing by sequencespecific amplification: validation and comparison with sequence-based typing.
Tissue Antigens, 65 (2005), pp. 571-574
[10.]
Minitab® Statistical Software: http://www.minitab.com (last accessed 01/09/09).
[11.]
New Allele Frequency Database: http://www.allelefrequencies.net. Middleton D., Menchaca L., Rood H., Komerofsky R. Tissue Antigens 2003; 61:403–407.
[12.]
F. Encina.
Historia de Chile. Capitulo III.
Sociedad editora Revista Ercilla, (1983),
[13.]
L. Cifuentes, R. Morales, D. Sepúlveda, et al.
DYS19 and DYS199 loci in a Chilean population of mixed ancestry.
Am J Phys Anthropol, 125 (2004), pp. 85-89
[14.]
S.A. Migueles, M.S. Sabbaghian, W.L. Shupert, et al.
HLA B*5701 is highly associated with restriction of virus replication in a subgroup of HIV-infected long term nonprogressors.
Proc Natl Acad Sci USA, 97 (2000), pp. 2709-2714
Copyright © 2010. Elsevier Editora Ltda.. All rights reserved