Literature DB >> 1503675

No direct clinical relevance of the human leucocyte antigen (HLA) system in clozapine-induced agranulocytosis.

F H Claas1, P A Abbott, M D Witvliet, J D'Amaro, P M Barnes, P Krupp.   

Abstract

The clinical use of clozapine in psychiatry is restricted by the associated risk of agranulocytosis. This risk is significantly higher than that associated with conventional antipsychotic medications. In order to identify a possible parameter to detect susceptible individuals before treatment, 103 patients with a history of clozapine-induced granulocytopenia or agranulocytosis and 95 matched control patients were typed for human leucocyte antigen (HLA)-A, -B, -C, -DR, -DQ and for a number of neutrophil-specific alloantigens. No significant association between certain HLA alleles or neutrophil antigens and susceptibility to clozapine-induced granulocytopenia or agranulocytosis was observed.

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Year:  1992        PMID: 1503675     DOI: 10.2165/00002018-199200071-00004

Source DB:  PubMed          Journal:  Drug Saf        ISSN: 0114-5916            Impact factor:   5.606


  9 in total

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Journal:  Ann Hum Genet       Date:  1955-06       Impact factor: 1.670

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Review 3.  Drug-induced agranulocytosis: review of possible mechanisms, and prospects for clozapine studies.

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Review 4.  Leponex--associated granulocytopenia: a review of the situation.

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9.  Genetic basis of rheumatoid disease: HLA antigens, disease manifestations, and toxic reactions to drugs.

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  9 in total
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6.  Mechanism of clozapine-induced agranulocytosis : current status of research and implications for drug development.

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10.  Late Onset Agranulocytosis with Clozapine Associated with HLA DR4 Responding to Treatment with Granulocyte Colony-stimulating Factor: A Case Report and Review of Literature.

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  10 in total

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