Evidence map›Paper›PMID 26667829›Full record

ArticleThe pharmacogenomics journal2017

Impact of GSTM1, GSTT1 and GSTP1 gene polymorphism and risk of ARV-associated hepatotoxicity in HIV-infected individuals and its modulation.

H O Singh, S Lata, M Angadi, S Bapat, J Pawar, V Nema, M V Ghate, S Sahay, R R Gangakhedkar

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Article in The pharmacogenomics journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

H O SinghDepartment of Molecular Biology, National AIDS Research Institute, Pune, India.
S LataDepartment of Molecular Biology, National AIDS Research Institute, Pune, India.
M AngadiDepartment of Clinical Sciences, National AIDS Research Institute, Pune, India.
S BapatDepartment of Clinical Sciences, National AIDS Research Institute, Pune, India.
J PawarDepartment of Clinical Sciences, National AIDS Research Institute, Pune, India.
V NemaDepartment of Molecular Biology, National AIDS Research Institute, Pune, India.
M V GhateDepartment of Clinical Sciences, National AIDS Research Institute, Pune, India.
S SahayDepartment of Clinical Sciences, National AIDS Research Institute, Pune, India.
R R GangakhedkarDepartment of Clinical Sciences, National AIDS Research Institute, Pune, India.
National AIDS Research Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glutathione S-transferase (GST) family is involved in a two-stage detoxification process of a wide range of environmental toxins, carcinogen and antiretroviral (ARV) therapy (ART) drugs. The aim of this study is to describe the impact of genetic polymorphisms of GSTM1, GSTT1 and GSTP1-313A/G in the risk of ARV-associated hepatotoxicity in HIV-infected individuals and its modulation in hepatotoxic patients. We enrolled a total of 34 patients with hepatotoxicity, 131 HIV-infected individuals without hepatotoxicity under non-nucleoside reverse transcriptase inhibitor containing ART and 153 unrelated healthy individuals. With a case-control design, polymorphisms of GSTM1, GSTT1 and GSTP1-313A/G gene were genotyped by PCR and restriction enzyme-length polymorphism. Genotypes of GSTT1 null were significantly higher in HIV-infected individuals as compared with healthy controls (P=0.01, odds ratio (OR)=1.54). HIV-infected individuals with GSTM1-null genotype showed higher risk (P=0.09, OR=1.37) for hepatotoxicity, but risk was not significant. On evaluating gene-gene interaction models, GSTM1 null and GSTT1 null showed significant association with the risk of hepatotoxicity in HIV-infected individuals (P=0.004, OR=2.67) owing to synergistic effect of these genes. Individuals with GSTT1-null and GSTM1-null genotypes showed higher risk of hepatotoxicity with advanced stage of (CD4<200) of HIV infection (P=0.18, OR=1.39; P=0.63, OR=1.13). In case-only analysis, GSTT1-null genotype among alcohol users showed elevated risk of hepatotoxicity in HIV-infected individuals (P=0.12, OR=1.36, 95% confidence interval (CI): 0.94-1.97) as compared with GSTT1 genotypes. The carriers GSTM1-null+GSTT1-null genotype among nevirapine user showed prominent risk of hepatotoxicity in HIV-infected individuals (P=0.12, OR=4.21, 95% CI: 0.60-29.54). Hence, we can conclude that GSTT1-null and GSTM1-null genotypes alone and in combination may predict the acquisition of hepatotoxicity.

Indexed as

Pharmacogenomic VariantsPolymorphism, Single NucleotideAdultAlcohol DrinkingAnti-HIV AgentsCase-Control StudiesChemical and Drug Induced Liver InjuryChi-Square DistributionEpistasis, GeneticFemaleGene-Environment InteractionGenetic Predisposition to DiseaseGlutathione S-Transferase piGlutathione TransferaseHIV InfectionsHumansAnti-HIV AgentsGlutathione S-Transferase piglutathione S-transferase T1Glutathione TransferaseGSTP1 protein, human

Identifiers

PMID26667829
OpenAlexW2415093555

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.