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The Diamine Oxidase Gene Is Associated with Hypersensitivity Response to Non-Steroidal Anti-Inflammatory Drugs

Overview of attention for article published in PLOS ONE, November 2012
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Title
The Diamine Oxidase Gene Is Associated with Hypersensitivity Response to Non-Steroidal Anti-Inflammatory Drugs
Published in
PLOS ONE, November 2012
DOI 10.1371/journal.pone.0047571
Pubmed ID
Authors

José A. G. Agúndez, Pedro Ayuso, José A. Cornejo-García, Miguel Blanca, María J. Torres, Inmaculada Doña, María Salas, Natalia Blanca-López, Gabriela Canto, Carmen Rondon, Paloma Campo, José J. Laguna, Javier Fernández, Carmen Martínez, Elena García-Martín

Abstract

Non-steroidal anti-inflammatory drugs (NSAIDs) are the drugs most frequently involved in hypersensitivity drug reactions. Histamine is released in the allergic response to NSAIDs and is responsible for some of the clinical symptoms. The aim of this study is to analyze clinical association of functional polymorphisms in the genes coding for enzymes involved in histamine homeostasis with hypersensitivity response to NSAIDs. We studied a cohort of 442 unrelated Caucasian patients with hypersensitivity to NSAIDs. Patients who experienced three or more episodes with two or more different NSAIDs were included. If this requirement was not met diagnosis was established by challenge. A total of 414 healthy unrelated controls ethnically matched with patients and from the same geographic area were recruited. Analyses of the SNPs rs17740607, rs2073440, rs1801105, rs2052129, rs10156191, rs1049742 and rs1049793 in the HDC, HNMT and DAO genes were carried out by means of TaqMan assays. The detrimental DAO 16 Met allele (rs10156191), which causes decreased metabolic capacity, is overrepresented among patients with crossed-hypersensitivity to NSAIDs with an OR  = 1.7 (95% CI  = 1.3-2.1; Pc  = 0.0003) with a gene-dose effect (P = 0.0001). The association was replicated in two populations from different geographic areas (Pc  = 0.008 and Pc  = 0.004, respectively).

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Geographical breakdown

Country Count As %
United Kingdom 1 1%
Spain 1 1%
Colombia 1 1%
Unknown 78 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 13 16%
Student > Master 10 12%
Student > Bachelor 9 11%
Other 6 7%
Student > Ph. D. Student 5 6%
Other 12 15%
Unknown 26 32%
Readers by discipline Count As %
Medicine and Dentistry 19 23%
Biochemistry, Genetics and Molecular Biology 9 11%
Agricultural and Biological Sciences 9 11%
Nursing and Health Professions 5 6%
Pharmacology, Toxicology and Pharmaceutical Science 2 2%
Other 6 7%
Unknown 31 38%