Journal of the Medical Sciences (Berkala Ilmu Kedokteran)
Vol 48, No 4 (2016)

Association between HLA-B alleles and nevirapine-induced allergies among Indonesian HIV patients

Angela Satiti Retno Pudjiati (Department of Dermatology and Venerology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta)
Dyah Ayu Mira Oktarina (Department of Dermatology and Venerology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta)
Hardyanto Soebono (Department of Dermatology and Venerology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta)
Saihas Sauda (Laboratory of Molecular Biology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta)
Dewi Kartikawati Paramita (Laboratory of Molecular Biology, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta)
Iwan Dwiprahasto (Department of Pharmacology and Therapy, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta)
Zubairi Djoerban (Department of Internal Medicine Faculty of Medicine, University of Indonesia, Jakarta, Indonesia)



Article Info

Publish Date
26 Dec 2016

Abstract

This study aimed to investigate the association between human leukocyte antigen-B(HLA-B) alleles and nevirapine allergy in HIV patients in Indonesia. A case control studywas conducted involving 147 HIV patients comprising of 50 patients with and 97patients without nevirapine allergy as control. The HLA-B allele typing was conducted byusing polymerase chain reaction-sequence specific oligonucleotide probes (PCR-SSOP),followed by sequencing. Bivariate analysis using Chi-square (X2) test and multivariatelogistic regression with significance level at p<0.05 were applied to analysis the data.Among 147 subjects, 34 with HLA-B alleles were identified. Bivariable analysis showedthat HLA-B*58 allele was the most significant risk factor for the nevirapine allergy (OR= 3.67; 95% CI: 1.79 to 7.54), while HLA-B*35 allele was a protective factor (OR =0.18; 95% CI: 0.08 to 0.42). Multivariate logistic regression analysis showed that youngmen and HLA-B*58 allele were the significant risk factors of nevirapine allergy (OR: 4.63;95% CI: 2.02 to 10.61), while older women with the HLA-B*35 was able to reducethe risk of nevirapine allergy approximately 81% (OR: 0.19; 95% CI: 0.08 to 0.49). Inconclusion, young male with the HLA-B*58 allele are the high risk factor for nevirapineallergy in Indonesian HIV patients.

Copyrights © 2016






Journal Info

Abbrev

bik

Publisher

Subject

Immunology & microbiology Neuroscience

Description

Journal of the Medical Sciences (JMedSci) or Berkala Ilmu Kedokteran (BIK) is an international, open-access, and double-blind peer-reviewed journal, published by Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada Yogyakarta Indonesia. JMedSci aiming to communicate high-quality ...