TB Research

Relevance of <i>NAT2</i> Genotype and Clinical Factors to Risk for Antituberculosis Drug-Induced Liver Injury

Fang Cheng, Chaochao Qiu, Xiangao Jiang, Te Wu, Qiang Zhang, Xin Chen, Shi-Lin Zheng, Saiduo Liu, et al. (10 authors)

Pharmacogenomics · 2023-12

Abstract

The study analyzes the risk factors associated with antituberculosis drug-induced liver injury (ATB-DILI), and the relationship between ATB-DILI and NAT2 gene polymorphisms. Out of the 324 included patients, 57 (17.59%) developed ATB-DILI. Age, history of liver disease, alcohol consumption and timing of antituberculosis (ATB) treatment were independent risk factors for ATB-DILI in the patients with tuberculosis (TB; p < 0.05). There was a significant difference in the distribution of NAT2 metabolic phenotypes between the study group and the control group (p < 0.05). The ATB drug treatment for pulmonary TB can cause a high incidence of ATB-DILI. Age, history of liver disease, alcohol consumption and timing of ATB treatment are independent risk factors for ATB-DILI in patients with TB.

MeSH terms

  • Medicine
  • Internal medicine
  • Liver injury
  • Incidence (geometry)
  • Drug
  • Genotype
  • Disease
  • Risk factor
  • Tuberculosis
  • Liver disease
  • Alcohol consumption
  • Gastroenterology