Skip to main content
. 2019 May;197:122–152. doi: 10.1016/j.pharmthera.2019.01.002

Table 2.

Overview of genetic variations in the major histocompatibility complex associated with hypersensitivity to antiretrovirals and antibiotics. SJS = Stevens-Johnson syndrome, TEN = toxic epidermal necrolysis, DRESS = drug rash with eosinophilia and systemic symptoms, SCAR = severe cutaneous adverse reaction, DILI = drug-induced liver injury, ABC-HSS = abacavir hypersensitivity syndrome.

Allele Ethnicity Odds ratio Adverse reaction Cases Controls Study
Abacavir
HLA-B*5701 Australian 960 ABC-HSS 18 230 tolerant controls (Martin et al., 2004)
117 ABC-HSS 18 167 tolerant controls (Mallal et al., 2002)
White 55.7 ABC-HSS 202 486 tolerant controls CTR Summary for MDC - GSK Clinical Study Register (2007)
30.4 ABC-HSS 61 657 tolerant controls (Mallal et al., 2008)
Spanish 44.3 ABC-HSS 22 70 tolerant controls CTR Summary for MDC - GSK Clinical Study Register (2007)
19.1 ABC-HSS 26 27 tolerant controls (Rodríguez-Nóvoa et al., 2007)
Caucasian 7.9 ABC-HSS 13 51 tolerant controls (Hughes et al., 2004)
Self-identified white 1945 ABC-HSS 42 202 tolerant controls (Saag et al., 2008)
Black 8.4 ABC-HSS 21 67 tolerant controls CTR Summary for MDC - GSK Clinical Study Register (2007)
Self-identified black 900 ABC-HSS 5 206 tolerant controls (Saag et al., 2008)
Thai 263.6 ABC-HSS 7 102 tolerant controls CTR Summary for MDC - GSK Clinical Study Register (2007)
Multiethnic group 23.6 ABC-HSS 84 113 tolerant controls (Hetherington et al., 2002)
6.9 ABC-HSS 9 41 tolerant controls (Stekler et al., 2006)



Nevirapine
HLA-B*1402 Sardinian 14.6 DRESS 13 36 tolerant controls (Littera et al., 2006)
HLA-B*35 Asian 3.5 SCAR 71 227 tolerant controls (Yuan et al., 2011)
Thai 5.7 SCAR 52 173 tolerant controls (Yuan et al., 2011)
HLA-B*3505 Thai 19 CAR 143 181 tolerant controls (Chantarangsu et al., 2009)
HLA-B*5801 South African 3.15 DILI 53 106 tolerant controls (Phillips et al., 2013)
HLA-C*0401 Sub-Saharan African 4.8 SJS/TEN 267 250 tolerant controls (Carr et al., 2017)
Malawian 17.5 SJS/TEN 36 155 tolerant controls (Carr et al., 2013)
HLA-DRB1*0101 Australian 17.7 DRESS 14 221 tolerant controls (Martin et al., 2005)
HLA-DRB1*0102 South African 4.3 DILI 54 103 tolerant controls (Phillips et al., 2013)
HLA-DRB1*01 French 70 CAR 6 15 tolerant controls (Vitezica et al., 2008)
White 3 DILI 57 277 tolerant controls (Yuan et al., 2011)
HLA-Cw*04 Thai 3.2 CAR 78 120 tolerant controls (Likanonsakul et al., 2009)
2.4 SCAR 52 179 tolerant controls (Yuan et al., 2011)
Asian 2.6 SCAR 71 233 tolerant controls (Yuan et al., 2011)
Black 5.2 SCAR 27 77 tolerant controls (Yuan et al., 2011)
White 1.9 SCAR 77 277 tolerant controls (Yuan et al., 2011)
HLA-Cw*08 Japanese 6.2 DRESS 12 29 tolerant controls (Gatanaga et al., 2007)



Sulfamethoxazole
HLA-A30 Turkey 3.9 Fixed drug eruption 67 2378 general population (Ozkaya-Bayazit & Akar, 2001)
HLA-B*1502 Thai 3.9 SJS/TEN 43 91 tolerant controls (Kongpan et al., 2015)
HLA-B*3801 European 4.3 SJS/TEN 25 1822 general population (Lonjou et al., 2008)
HLA-B*3802 European 76 SJS/TEN 25 1822 general population (Lonjou et al., 2008)
HLA-C*0602 Thai 11.8 SJS/TEN 43 91 tolerant controls (Kongpan et al., 2015)
HLA-C*0801 Thai 3.4 SJS/TEN 43 91 tolerant controls (Kongpan et al., 2015)



Dapsone
HLA-B*1301 Thai 60.8 DRESS 11 29 tolerant controls (Tempark et al., 2017)
40.5 SJS/TEN 4 29 tolerant controls (Tempark et al., 2017)
Chinese 122.1 DRESS 20 102 tolerant controls (Wang et al., 2013)
49.6 DRESS 7 677 general population (Chen et al., 2018)
20.5 DRESS 76 1034 general population (Zhang et al., 2013)
HLA-B*1502 Thai 28 SJS/TEN 4 29 tolerant controls (Tempark et al., 2017)



Amoxicillin-clavulanate
HLA-DRB1*07 British 0.18 DILI 61 40 tolerant controls (Donaldson et al., 2010)
HLA-DRB1*1501 Scottish 9.3 DILI 20 134 tolerant controls (O'Donohue et al., 2000)
Belgian 7.6 DILI 35 60 general population (Hautekeete et al., 1999)
HLA-DQB1*0602 Belgian 12 DILI 35 60 general population (Hautekeete et al., 1999)
European 4.2 DILI 177 219 general population (Lucena et al., 2011)



Flucloxacillin
HLA-B*5701 European 80.6 DILI 51 64 tolerant controls (Daly et al., 2009)



Minocycline
HLA-B*3502 Caucasian 29.6 DILI 25 6835 general population (Urban et al., 2017)



Erythromycin
HLA-A*3301 European 10.2 DILI 10 10,588 general population (Nicoletti et al., 2017)



Terbinafine
HLA-A*3301 European 40.5 DILI 14 10,588 general population (Nicoletti et al., 2017)