Evidence map›Paper›PMID 32024945›Full record

ArticleThe pharmacogenomics journal2020

HLA associations with infliximab-induced liver injury.

Christopher D Bruno, Brandon Fremd, Rachel J Church, Ann K Daly, Guruprasad P Aithal, Einar S Björnsson, Dominique Larrey, Paul B Watkins, Christina R Chow

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in The pharmacogenomics journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Response to Letter to the Editor.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  4. Common Causes of Drug-Induced Liver Injury in 2025.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Review
  5. Liver Injury From Medications Used for Treating Inflammatory Bowel Disease: The Drug-Induced Liver Injury Network Experience.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  6. Article
  7. Review
  8. Genomic Impacts of Biological Exposures.Journal of developmental biology · 2026
    Review
  9. Human Leukocyte Antigen (International journal of molecular sciences · 2026
    Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Genetic and Genomic Approaches to the Study of Drug-Induced Liver Injury.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  16. Pharmacogenomics of TNF inhibitors.Frontiers in immunology · 2025
    Review
  17. Review
  18. [Genetic susceptibility to drug-induced liver injury].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2023
    Article
  19. Review
  20. Human Leukocyte Antigen (HLA) Testing in Pharmacogenomics.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 4 countries.

Christopher D BrunoEmerald Lake Safety, Newport Beach, CA, USA.
Brandon FremdEmerald Lake Safety, Newport Beach, CA, USA.
Rachel J ChurchEshelman School of Pharmacy, University of North Carolina Institute for Drug Safety Sciences, Chapel Hill, NC, USA.
Ann K DalyTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Guruprasad P AithalNational Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham, UK.
Einar S BjörnssonDepartment of Internal Medicine, Landspitali University Hospital, Reykjavik, Iceland.
Dominique LarreyLiver Unit, CHU St Eloi Hospital, Montpellier, France.
Paul B WatkinsEshelman School of Pharmacy, University of North Carolina Institute for Drug Safety Sciences, Chapel Hill, NC, USA.
Christina R ChowEmerald Lake Safety, Newport Beach, CA, USA. christina@elsafety.com.ORCID http://orcid.org/0000-0003-3944-4234
University of North Carolina at Chapel Hill · USHôpital Saint Eloi · FRNewcastle University · GBNottingham University Hospitals NHS Trust · GBReykjavík University · IS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biomarkers that are able to identify patients at risk of drug-induced liver injury (DILI) after treatment with infliximab could be important in increasing the safety of infliximab use. We performed a genetic analysis to identify possible human leukocyte antigen (HLA) associations with DILI in European Caucasian users of infliximab in a retrospective study of 16 infliximab-DILI patients and 60 matched controls. In infliximab-associated liver injury, multiple potentially causal individual HLA associations were observed, as well as possible haplotypes. The strongest associated HLA allele was HLA-B*39:01 (P = 0.001; odds ratio [OR] 43.6; 95% confidence interval [CI] 2.8-infinity), which always appeared with another associated allele C*12:03 (P = 0.032; OR 6.1; 95% CI 0.9-47.4). Other associations were observed with HLAs DQB1*02:01 (P = 0.007; OR 5.7; 95% CI 1.4-24.8), DRB1*03:01 (P = 0.012; OR 4.9; 95% CI 1.2-20.5), and B*08:01 (P = 0.048; OR 3.4; 95% CI 0.9-13.2), which also appeared together whenever present in cases. Additional associations were found with HLA-DPB1*10:01 (P = 0.042; OR 20.9; 95% CI 0.7-infinity) and HLA-DRB1*04:04 (P = 0.042; OR 20.9; 95% CI 0.7-infinity). A strong association with HLA-B*39:01 was identified as a potentially causal risk factor for infliximab-induced DILI. Future work should aim to validate this finding and explore possible mechanisms through which the biologic interacts with this particular allele.

Indexed as

Pharmacogenomic VariantsPolymorphism, Single NucleotideAdolescentAdultAnti-Inflammatory AgentsChemical and Drug Induced Liver InjuryChildFemaleGenome-Wide Association StudyHLA AntigensHLA-B39 AntigenHLA-B8 AntigenHLA-DQ beta-ChainsHLA-DRB1 ChainsHumansInfliximabAnti-Inflammatory AgentsHLA AntigensHLA-B*08:01 antigenHLA-B39 AntigenHLA-B8 AntigenHLA-DQB1 antigenHLA-DQ beta-ChainsHLA-DRB1*03:01 antigenHLA-DRB1 ChainsInfliximab

Identifiers

PMID32024945
OpenAlexW3005166825

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.