Impact of glutathione S-transferase M1 and T1 on anti-tuberculosis drug-induced hepatotoxicity in Chinese pediatric patients.

<h4>Background</h4>Anti-tuberculosis drug induced hepatotoxicity (ATDH) is a major adverse drug reaction associated for anti-tuberculosis therapy. The glutathione S-transferases (GST) plays a crucial role in the detoxification of hepatotoxic metabolites of anti-tuberculosis drugs.An asso...

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Main Authors: Fang Liu, An-xia Jiao, Xi-rong Wu, Wei Zhao, Qing-qin Yin, Hui Qi, Wei-wei Jiao, Jing Xiao, Lin Sun, Chen Shen, Jian-ling Tian, Dan Shen, Evelyne Jacqz-Aigrain, A-dong Shen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0115410&type=printable
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author Fang Liu
An-xia Jiao
Xi-rong Wu
Wei Zhao
Qing-qin Yin
Hui Qi
Wei-wei Jiao
Jing Xiao
Lin Sun
Chen Shen
Jian-ling Tian
Dan Shen
Evelyne Jacqz-Aigrain
A-dong Shen
author_facet Fang Liu
An-xia Jiao
Xi-rong Wu
Wei Zhao
Qing-qin Yin
Hui Qi
Wei-wei Jiao
Jing Xiao
Lin Sun
Chen Shen
Jian-ling Tian
Dan Shen
Evelyne Jacqz-Aigrain
A-dong Shen
author_sort Fang Liu
collection DOAJ
description <h4>Background</h4>Anti-tuberculosis drug induced hepatotoxicity (ATDH) is a major adverse drug reaction associated for anti-tuberculosis therapy. The glutathione S-transferases (GST) plays a crucial role in the detoxification of hepatotoxic metabolites of anti-tuberculosis drugs.An association between GSTM1/GSTT1 null mutations and increased risk of ATDH has been demonstrated in adults. Given the ethnic differences and developmental changes, our study aims to investigate the potential impacts of GSTM1/GSTT1 genotypes on the development of ATDH in Han Chinese children treated with anti-tuberculosis therapy.<h4>Methods</h4>Children receiving anti-tuberculosis therapy with or without evidence of ATDH were considered as the cases or controls, respectively. The GSTM1 and GSTT1 genotyping were performed using the polymerase chain reaction.<h4>Results</h4>One hundred sixty-three children (20 cases and 143 controls) with a mean age of 4.7 years (range: 2 months-14.1 years) were included. For the GSTM1, 14 (70.0%) cases and 96 (67.1%) controls had homozygous null mutations. For the GSTT1, 13 (65.0%) cases and 97 (67.8%) controls had homozygous null mutations. Neither the GSTM1, nor the GSTT1 polymorphism was significantly correlated with the occurrence of ATHD.<h4>Conclusion</h4>Our results did not support the GSTM1 and GSTT1 polymorphisms as the predictors of ADTH in Chinese Han children treated with anti-tuberculosis drugs. An age-related association between pharmacogenetics and ATHD need to be confirmed in the further study.
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spelling doaj-art-36f0380247914b29b97ef30f6634fa712025-08-20T03:01:28ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11541010.1371/journal.pone.0115410Impact of glutathione S-transferase M1 and T1 on anti-tuberculosis drug-induced hepatotoxicity in Chinese pediatric patients.Fang LiuAn-xia JiaoXi-rong WuWei ZhaoQing-qin YinHui QiWei-wei JiaoJing XiaoLin SunChen ShenJian-ling TianDan ShenEvelyne Jacqz-AigrainA-dong Shen<h4>Background</h4>Anti-tuberculosis drug induced hepatotoxicity (ATDH) is a major adverse drug reaction associated for anti-tuberculosis therapy. The glutathione S-transferases (GST) plays a crucial role in the detoxification of hepatotoxic metabolites of anti-tuberculosis drugs.An association between GSTM1/GSTT1 null mutations and increased risk of ATDH has been demonstrated in adults. Given the ethnic differences and developmental changes, our study aims to investigate the potential impacts of GSTM1/GSTT1 genotypes on the development of ATDH in Han Chinese children treated with anti-tuberculosis therapy.<h4>Methods</h4>Children receiving anti-tuberculosis therapy with or without evidence of ATDH were considered as the cases or controls, respectively. The GSTM1 and GSTT1 genotyping were performed using the polymerase chain reaction.<h4>Results</h4>One hundred sixty-three children (20 cases and 143 controls) with a mean age of 4.7 years (range: 2 months-14.1 years) were included. For the GSTM1, 14 (70.0%) cases and 96 (67.1%) controls had homozygous null mutations. For the GSTT1, 13 (65.0%) cases and 97 (67.8%) controls had homozygous null mutations. Neither the GSTM1, nor the GSTT1 polymorphism was significantly correlated with the occurrence of ATHD.<h4>Conclusion</h4>Our results did not support the GSTM1 and GSTT1 polymorphisms as the predictors of ADTH in Chinese Han children treated with anti-tuberculosis drugs. An age-related association between pharmacogenetics and ATHD need to be confirmed in the further study.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0115410&type=printable
spellingShingle Fang Liu
An-xia Jiao
Xi-rong Wu
Wei Zhao
Qing-qin Yin
Hui Qi
Wei-wei Jiao
Jing Xiao
Lin Sun
Chen Shen
Jian-ling Tian
Dan Shen
Evelyne Jacqz-Aigrain
A-dong Shen
Impact of glutathione S-transferase M1 and T1 on anti-tuberculosis drug-induced hepatotoxicity in Chinese pediatric patients.
PLoS ONE
title Impact of glutathione S-transferase M1 and T1 on anti-tuberculosis drug-induced hepatotoxicity in Chinese pediatric patients.
title_full Impact of glutathione S-transferase M1 and T1 on anti-tuberculosis drug-induced hepatotoxicity in Chinese pediatric patients.
title_fullStr Impact of glutathione S-transferase M1 and T1 on anti-tuberculosis drug-induced hepatotoxicity in Chinese pediatric patients.
title_full_unstemmed Impact of glutathione S-transferase M1 and T1 on anti-tuberculosis drug-induced hepatotoxicity in Chinese pediatric patients.
title_short Impact of glutathione S-transferase M1 and T1 on anti-tuberculosis drug-induced hepatotoxicity in Chinese pediatric patients.
title_sort impact of glutathione s transferase m1 and t1 on anti tuberculosis drug induced hepatotoxicity in chinese pediatric patients
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0115410&type=printable
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