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Genome-Wide Association Study of Metamizole-Induced Agranulocytosis in European Populations

Authors: Cismaru, Anca Liliana; Rudin, Deborah; Ibañez, Luisa; Liakoni, Evangelia; Bonadies, Nicolas; Kreutz, Reinhold; Carvajal, Alfonso; +12 Authors
APC: 1,358.13 EUR

Genome-Wide Association Study of Metamizole-Induced Agranulocytosis in European Populations

Abstract

Agranulocytosis is a rare yet severe idiosyncratic adverse drug reaction to metamizole, an analgesic widely used in countries such as Switzerland and Germany. Notably, an underlying mechanism has not yet been fully elucidated and no predictive factors are known to identify at-risk patients. With the aim to identify genetic susceptibility variants to metamizole-induced agranulocytosis (MIA) and neutropenia (MIN), we conducted a retrospective multi-center collaboration including cases and controls from three European populations. Association analyses were performed using genome-wide genotyping data from a Swiss cohort (45 cases, 191 controls) followed by replication in two independent European cohorts (41 cases, 273 controls) and a joint discovery meta-analysis. No genome-wide significant associations (p < 1 × 10−7) were observed in the Swiss cohort or in the joint meta-analysis, and no candidate genes suggesting an immune-mediated mechanism were identified. In the joint meta-analysis of MIA cases across all cohorts, two candidate loci on chromosome 9 were identified, rs55898176 (OR = 4.01, 95%CI: 2.41–6.68, p = 1.01 × 10−7) and rs4427239 (OR = 5.47, 95%CI: 2.81–10.65, p = 5.75 × 10−7), of which the latter is located in the SVEP1 gene previously implicated in hematopoiesis. This first genome-wide association study for MIA identified suggestive associations with biological plausibility that may be used as a stepping-stone for post-GWAS analyses to gain further insight into the mechanism underlying MIA.

Countries
Spain, Switzerland, Spain, United Kingdom, Sweden
Keywords

Male, Estudio de asociación del genoma completo, Dipyrone, Biomarkers, Pharmacological, Medical Genetics and Genomics, Germany, Hematopoyesis, pharmacogenetics, Aged, 80 and over, Predisposición genética a la enfermedad, Analgésicos, Middle Aged, Medicinsk genetik och genomik, Europe, Articulaciones, Female, Medical Genetics, Switzerland, Agranulocytosis, Adult, Genome-wide association study, Neutropenia, 610, 610 Medicine & health, Article, drug-induced agranulocytosis, metamizole, dipyrone, genome-wide association study, pharmacogenetics, Suiza, 616, Humans, dipyrone, Genetic Predisposition to Disease, Metaanálisis, Dipirona, metamizole, Genoma, Medicinsk genetik, Aged, Retrospective Studies, Metamizole, genome-wide association study, drug-induced agranulocytosis, Drug-induced agranulocytosis, Pharmacogenetics, Case-Control Studies, Agranulocitosis, Genome-Wide Association Study

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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