Table 1.
Genetic variants in genes within the isoniazid pharmacokinetic pathway associated with anti-TB treatment drug-induced liver injury (ATT-DILI).
Gene | Genetic Variant | Pharmacogenetic Association | Referencesa |
---|---|---|---|
NAT2 | Slow acetylator genotype | NAT2 slow acetylator genotype is associated with an increased risk of ATT-DILI. | [35, 40, 62–81, 91]. |
NAT2 slow acetylator genotype is not associated with an increased risk of ATT-DILI. | [82–86]. | ||
GSTM1 | Nullb genotype | GSTM1 null genotype is associated with an increased risk of ATT-DILI. | [37, 102]. |
GSTM1 null genotype is not associated with an increased risk of ATT-DILI. | [35, 63, 65, 74, 92, 93, 104–106]. | ||
GSTT1 | Nullb genotype | GSTT1 null genotype is associated with an increased risk of ATT-DILI. | [106]. |
GSTT1 null genotype is not associated with an increased risk of ATT-DILI. | [35, 37, 63, 65, 74, 93, 102, 104, 105]. | ||
CYP2E1 | *1A, c1, D c1 is defined as the wildtype allele at rs2031920 (C) and rs3813867 (G), and D is defined as the presence of the DraI restriction site denoted by the wildtype allele at rs6413432 (T). |
CYP2E1*1A is associated with increased risk of ATT-DILI. | [85, 91, 92] |
CYP2E1*1A is not associated with increased risk of ATT-DILI. | [35, 62, 63, 65–68, 71, 74, 75, 77, 78, 86, 93, 94]. | ||
*6, C C is defined as the lack of the DraI restriction site denoted by the variant allele at rs6413432 (A). |
CYP2E1 *6 is associated with ATT-DILI. | [76, 84]. | |
CYP2E1 *6 is not associated with ATT-DILI. | [35, 63, 66, 78, 93]. | ||
rs2070672 NM_000773.3:c.-352A>G |
Presence of the G allele is not associated with ATT-DILI. | [75]. | |
rs2070673 NM_000773.3:c.-333A>T |
Presence of the T allele is not associated with ATT-DILI. | [75]. | |
HLA-DQA1 | *0102 | Lack of this allele is associated with ATT-DILI. | [109]. |
HLA-DQB1 | *0201 | The presence of this allele is not associated with ATT-DILI. | [109] – before the Bonferroni correction, this allele was associated with ATT-DILI. |
SOD2 | rs4880 NM_000636.2:c.47T>C |
Presence of the C allele is associated with increased risk of DILI when treated with an anti-TB drug regimen, as well as other drugs. | [102]. |
NOS2A | rs11080344 NM_000625.4:c.1281+1205A>G |
Genotype CC (positive strand) is associated with increased risk of ATT-DILI. | [108]. |
BACH1 | rs2070401 NM_001186.3:c.*331A>G |
Genotype GG is associated with increased risk of ATT-DILI. | [108]. |
MAFK | rs4720833 NM_002360.3:c.-45+3869A>G |
Presence of the A allele is associated with increased risk of ATT-DILI. | [108]. |
See www.pharmgkb.org for detailed annotations for individual studies.
Null genotype refers to the absence of the gene.