Genetic Diversity of HLA Class I and Class II Alleles in Thai Populations: Contribution to Genotype-Guided Therapeutics

Human leukocyte antigen (HLA) class I and II are known to have association with severe cutaneous adverse reactions (SCARs) when exposing to certain drug treatment. Due to genetic differences at population level, drug hypersensitivity reactions are varied, and thus common pharmacogenetics markers for...

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Main Authors: Patompong Satapornpong, Pimonpan Jinda, Thawinee Jantararoungtong, Napatrupron Koomdee, Chonlawat Chaichan, Jirawat Pratoomwun, Chalitpon Na Nakorn, Wichai Aekplakorn, Alisa Wilantho, Chumpol Ngamphiw, Sissades Tongsima, Chonlaphat Sukasem
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-02-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphar.2020.00078/full
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author Patompong Satapornpong
Patompong Satapornpong
Patompong Satapornpong
Pimonpan Jinda
Pimonpan Jinda
Thawinee Jantararoungtong
Thawinee Jantararoungtong
Napatrupron Koomdee
Napatrupron Koomdee
Chonlawat Chaichan
Chonlawat Chaichan
Jirawat Pratoomwun
Jirawat Pratoomwun
Chalitpon Na Nakorn
Wichai Aekplakorn
Alisa Wilantho
Alisa Wilantho
Chumpol Ngamphiw
Chumpol Ngamphiw
Sissades Tongsima
Sissades Tongsima
Chonlaphat Sukasem
Chonlaphat Sukasem
Chonlaphat Sukasem
author_facet Patompong Satapornpong
Patompong Satapornpong
Patompong Satapornpong
Pimonpan Jinda
Pimonpan Jinda
Thawinee Jantararoungtong
Thawinee Jantararoungtong
Napatrupron Koomdee
Napatrupron Koomdee
Chonlawat Chaichan
Chonlawat Chaichan
Jirawat Pratoomwun
Jirawat Pratoomwun
Chalitpon Na Nakorn
Wichai Aekplakorn
Alisa Wilantho
Alisa Wilantho
Chumpol Ngamphiw
Chumpol Ngamphiw
Sissades Tongsima
Sissades Tongsima
Chonlaphat Sukasem
Chonlaphat Sukasem
Chonlaphat Sukasem
author_sort Patompong Satapornpong
collection DOAJ
description Human leukocyte antigen (HLA) class I and II are known to have association with severe cutaneous adverse reactions (SCARs) when exposing to certain drug treatment. Due to genetic differences at population level, drug hypersensitivity reactions are varied, and thus common pharmacogenetics markers for one country might be different from another country, for instance, HLA-A*31:01 is associated with carbamazepine (CBZ)-induced SCARs in European and Japanese while HLA-B*15:02 is associated with CBZ-induced Stevens–Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) among Taiwanese and Southeast Asian. Such differences pose a major challenge to prevent drug hypersensitivity when pharmacogenetics cannot be ubiquitously and efficiently translated into clinic. Therefore, a population-wide study of the distribution of HLA-pharmacogenetics markers is needed. This work presents a study of Thai HLA alleles on both HLA class I and II genes from 470 unrelated Thai individuals by means of polymerase chain reaction sequence-specific oligonucleotide (PCR-SSO) in which oligonucleotide probes along the stretches of HLA-A, -B, -C, -DRB1, -DQA1, and -DQB1 genes were genotyped. These 470 individuals were selected according to their regional locations, which were from North, Northeast, South, Central, and a capital city, Bangkok. Top ranked HLA alleles in Thai population include HLA-A*11:01 (26.06%), -B*46:01 (14.04%), -C* 01:02 (17.13%), -DRB1*12:02 (15.32%), -DQA1*01:01 (24.89%), and -DQB1*05:02 (21.28%). The results revealed that the distribution of HLA-pharmacogenetics alleles from the South had more HLA-B75 family that a typical HLA-B*15:02 pharmacogenetics test for SJS/TEN screening would not cover. Besides the view across the nation, when compared HLA alleles from Thai population with HLA alleles from both European and Asian countries, the distribution landscape of HLA-associated drug hypersensitivity across many countries could be observed. Consequently, this pharmacogenetics database offers a comprehensive view of pharmacogenetics marker distribution in Thailand that could be used as a reference for other Southeast Asian countries to validate the feasibility of their future pharmacogenetics deployment.
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spelling doaj.art-7a83c26e4d7b423cb7ffc68d2746528f2022-12-21T19:04:55ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122020-02-011110.3389/fphar.2020.00078480312Genetic Diversity of HLA Class I and Class II Alleles in Thai Populations: Contribution to Genotype-Guided TherapeuticsPatompong Satapornpong0Patompong Satapornpong1Patompong Satapornpong2Pimonpan Jinda3Pimonpan Jinda4Thawinee Jantararoungtong5Thawinee Jantararoungtong6Napatrupron Koomdee7Napatrupron Koomdee8Chonlawat Chaichan9Chonlawat Chaichan10Jirawat Pratoomwun11Jirawat Pratoomwun12Chalitpon Na Nakorn13Wichai Aekplakorn14Alisa Wilantho15Alisa Wilantho16Chumpol Ngamphiw17Chumpol Ngamphiw18Sissades Tongsima19Sissades Tongsima20Chonlaphat Sukasem21Chonlaphat Sukasem22Chonlaphat Sukasem23Division of Pharmacogenomics and Personalized Medicine, Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandLaboratory for Pharmacogenomics, Somdech Phra Debaratana Medical Center (SDMC), Ramathibodi Hospital, Bangkok, ThailandDivision of General Pharmacy Practice, Department of Pharmaceutical Care, College of Pharmacy, Rangsit University, Pathum Thani, ThailandDivision of Pharmacogenomics and Personalized Medicine, Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandLaboratory for Pharmacogenomics, Somdech Phra Debaratana Medical Center (SDMC), Ramathibodi Hospital, Bangkok, ThailandDivision of Pharmacogenomics and Personalized Medicine, Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandLaboratory for Pharmacogenomics, Somdech Phra Debaratana Medical Center (SDMC), Ramathibodi Hospital, Bangkok, ThailandDivision of Pharmacogenomics and Personalized Medicine, Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandLaboratory for Pharmacogenomics, Somdech Phra Debaratana Medical Center (SDMC), Ramathibodi Hospital, Bangkok, ThailandDivision of Pharmacogenomics and Personalized Medicine, Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandLaboratory for Pharmacogenomics, Somdech Phra Debaratana Medical Center (SDMC), Ramathibodi Hospital, Bangkok, ThailandDivision of Pharmacogenomics and Personalized Medicine, Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandLaboratory for Pharmacogenomics, Somdech Phra Debaratana Medical Center (SDMC), Ramathibodi Hospital, Bangkok, ThailandGraduate Program in Translational Medicine, Research Center, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandDepartment of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandNational Biobank of Thailand, National Science and Technology Development Agency, Pathum Thani, ThailandNational Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency, Pathum Thani, ThailandNational Biobank of Thailand, National Science and Technology Development Agency, Pathum Thani, ThailandNational Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency, Pathum Thani, ThailandNational Biobank of Thailand, National Science and Technology Development Agency, Pathum Thani, ThailandNational Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency, Pathum Thani, ThailandDivision of Pharmacogenomics and Personalized Medicine, Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, ThailandLaboratory for Pharmacogenomics, Somdech Phra Debaratana Medical Center (SDMC), Ramathibodi Hospital, Bangkok, ThailandThe Thai Severe Cutaneous Adverse Drug Reaction (THAI-SCAR) Research Group, Bangkok, ThailandHuman leukocyte antigen (HLA) class I and II are known to have association with severe cutaneous adverse reactions (SCARs) when exposing to certain drug treatment. Due to genetic differences at population level, drug hypersensitivity reactions are varied, and thus common pharmacogenetics markers for one country might be different from another country, for instance, HLA-A*31:01 is associated with carbamazepine (CBZ)-induced SCARs in European and Japanese while HLA-B*15:02 is associated with CBZ-induced Stevens–Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) among Taiwanese and Southeast Asian. Such differences pose a major challenge to prevent drug hypersensitivity when pharmacogenetics cannot be ubiquitously and efficiently translated into clinic. Therefore, a population-wide study of the distribution of HLA-pharmacogenetics markers is needed. This work presents a study of Thai HLA alleles on both HLA class I and II genes from 470 unrelated Thai individuals by means of polymerase chain reaction sequence-specific oligonucleotide (PCR-SSO) in which oligonucleotide probes along the stretches of HLA-A, -B, -C, -DRB1, -DQA1, and -DQB1 genes were genotyped. These 470 individuals were selected according to their regional locations, which were from North, Northeast, South, Central, and a capital city, Bangkok. Top ranked HLA alleles in Thai population include HLA-A*11:01 (26.06%), -B*46:01 (14.04%), -C* 01:02 (17.13%), -DRB1*12:02 (15.32%), -DQA1*01:01 (24.89%), and -DQB1*05:02 (21.28%). The results revealed that the distribution of HLA-pharmacogenetics alleles from the South had more HLA-B75 family that a typical HLA-B*15:02 pharmacogenetics test for SJS/TEN screening would not cover. Besides the view across the nation, when compared HLA alleles from Thai population with HLA alleles from both European and Asian countries, the distribution landscape of HLA-associated drug hypersensitivity across many countries could be observed. Consequently, this pharmacogenetics database offers a comprehensive view of pharmacogenetics marker distribution in Thailand that could be used as a reference for other Southeast Asian countries to validate the feasibility of their future pharmacogenetics deployment.https://www.frontiersin.org/article/10.3389/fphar.2020.00078/fullhuman leukocyte antigenHLA class IHLA class IIThai populationpharmacogenetic marker
spellingShingle Patompong Satapornpong
Patompong Satapornpong
Patompong Satapornpong
Pimonpan Jinda
Pimonpan Jinda
Thawinee Jantararoungtong
Thawinee Jantararoungtong
Napatrupron Koomdee
Napatrupron Koomdee
Chonlawat Chaichan
Chonlawat Chaichan
Jirawat Pratoomwun
Jirawat Pratoomwun
Chalitpon Na Nakorn
Wichai Aekplakorn
Alisa Wilantho
Alisa Wilantho
Chumpol Ngamphiw
Chumpol Ngamphiw
Sissades Tongsima
Sissades Tongsima
Chonlaphat Sukasem
Chonlaphat Sukasem
Chonlaphat Sukasem
Genetic Diversity of HLA Class I and Class II Alleles in Thai Populations: Contribution to Genotype-Guided Therapeutics
Frontiers in Pharmacology
human leukocyte antigen
HLA class I
HLA class II
Thai population
pharmacogenetic marker
title Genetic Diversity of HLA Class I and Class II Alleles in Thai Populations: Contribution to Genotype-Guided Therapeutics
title_full Genetic Diversity of HLA Class I and Class II Alleles in Thai Populations: Contribution to Genotype-Guided Therapeutics
title_fullStr Genetic Diversity of HLA Class I and Class II Alleles in Thai Populations: Contribution to Genotype-Guided Therapeutics
title_full_unstemmed Genetic Diversity of HLA Class I and Class II Alleles in Thai Populations: Contribution to Genotype-Guided Therapeutics
title_short Genetic Diversity of HLA Class I and Class II Alleles in Thai Populations: Contribution to Genotype-Guided Therapeutics
title_sort genetic diversity of hla class i and class ii alleles in thai populations contribution to genotype guided therapeutics
topic human leukocyte antigen
HLA class I
HLA class II
Thai population
pharmacogenetic marker
url https://www.frontiersin.org/article/10.3389/fphar.2020.00078/full
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