Genetic polymorphisms and anti-tuberculosis drug-induced liver injury: an umbrella review of the evidence.

Genetic polymorphisms and anti-tuberculosis drug-induced liver injury: an umbrella review of the evidence.

Publication date: Feb 15, 2025

Anti-tuberculosis drug-induced liver injury (ATLI) is a significant adverse drug reaction with genetic susceptibility implications. This study aimed to integrate findings from systematic reviews and meta-analyses on genetic polymorphisms associated with ATLI risk, enhance evidence synthesis, and identify susceptibility gene polymorphisms linked to ATLI occurrence. The protocol was registered in PROSPERO (CRD42024517311). Systematic searches of PubMed, EMBASE, Web of Science, and Cochrane Library databases were conducted to identify eligible studies from inception to February 21, 2024. Two authors independently reviewed eligibility, extracted data, and assessed quality. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to evaluate associations between genetic polymorphisms and ATLI susceptibility. A total of 25 meta-analyses were included, including 57 single nucleotide polymorphisms (SNPs) in 15 candidate genes. Significant associations were found for the glutathione S-transferase M1 (GSTM1) null genotype (OR = 1. 43, 95% CI: 1. 18-1. 73, P 

Concepts Keywords
Crd42024517311 Genetic polymorphisms
Genetic NAT2
Library Umbrella review
Liver
Tuberculosis

Semantics

Type Source Name
disease MESH adverse drug reaction
disease IDO susceptibility
disease IDO quality

Original Article

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