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Vol. 14. Issue 5.
Pages 510-512 (September - October 2010)
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Vol. 14. Issue 5.
Pages 510-512 (September - October 2010)
Brief communication
Open Access
HLA-B*5701 frequency n Chilean HIV-infected patients and in general population
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Helena Poggi1,
Corresponding author
hpoggi@med.puc.cl

Correspondence to: Laboratorio Biología, Molecular, Vicuña Mackenna 4686, Santiago de Chile, Chile.
, Alejandra Vera1, Marcela Lagos1, Sandra Solari2, Luis Rodríguez P3, Carlos M. Pérez4
1 Molecular Biology Laboratory, Department of Clinical Laboratories, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
2 Toxicology Laboratory, Department of Clinical Laboratories, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
3 Department of Clinical Laboratories, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
4 Department of Internal Medicine and Program of Infectious Diseases, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
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Abstract

It has been demonstrated that HLA-B*5701 screening reduces the risk for hypersensitivity reaction to abacavir in HIV-infected patients. Since B*5701 prevalence varies among different populations, it is important to determine the carrier frequency prior to its use for the screening of HIV-infected patients. The aim of this study was to determine HLA-B*5701 carrier frequency in Chilean general population and HIV-infected patients referred for B*5701 typing. For that purpose 300 blood bank donors and 492 abacavir-naïve HIV-infected patients from Chile were screened for B*5701 by a sequence specific primer PCR. We detected 14/300 (4.7%) B*57-positive individuals in the Chilean general population, 11 (3.7%) were B*5701 positive, and 3 (1%) had another subtype. All were heterozygous, thus a B*5701 allele frequency of 2% was determined. Eleven of 492 (2.2%) HIV-patients carried a B*5701 allele. The difference between these frequencies is probably due to slow progression of HIV infection in HLA-B*5701 carriers, thus less patients would require antiretroviral therapy and B*5701 typing. Considering the usefulness of B*5701 screening, its prevalence in the Chilean general population, and the availability of a validated method, we conclude that HLA-B*5701 typing in Chilean HIV-infected patients about to initiate abacavir treatment is strongly recommended.

Keywords:
HLA-B*5701
HIV
abacavir
Chile
pharmacogenetics
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