N -Acetyltransferase 2 Genotypes among Zulu-Speaking South Africans and Isoniazid and N -Acetyl-Isoniazid Pharmacokinetics during Antituberculosis Treatment

Author:

Mthiyane Thuli1,Millard James234,Adamson John4,Balakrishna Yusentha5,Connolly Cathy5,Owen Andrew6,Rustomjee Roxana1,Dheda Keertan7,McIlleron Helen8,Pym Alexander S.14

Affiliation:

1. South African Medical Research Council, Durban, South Africa

2. Wellcome Trust Liverpool Glasgow Centre for Global Health Research, Liverpool, United Kingdom

3. Institute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom

4. Africa Health Research Institute, Durban, South Africa

5. South African Medical Research Council, Biostatistics Department, Durban, South Africa

6. Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, United Kingdom

7. Lung Infection and Immunity Unit, Division of Pulmonology, Department of Medicine, University of Cape Town, Cape Town, South Africa

8. Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa

Abstract

The distribution of N -acetyltransferase 2 gene ( NAT2 ) polymorphisms varies considerably among different ethnic groups. Information on NAT2 single-nucleotide polymorphisms in the South African population is limited. We investigated NAT2 polymorphisms and their effect on isoniazid pharmacokinetics (PK) in Zulu black HIV-infected South Africans in Durban, South Africa. HIV-infected participants with culture-confirmed pulmonary tuberculosis (TB) were enrolled from two unrelated studies.

Funder

United States Agency for International Development

Agence Nationale de la Recherche

European and Developing Countries Clinical Trials Partnership

Wellcome Trust

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference67 articles.

1. World Health Organization. 2019. Global tuberculosis report. World Health Organization, Geneva, Switzerland.

2. Isoniazid, Rifampin, Ethambutol, and Pyrazinamide Pharmacokinetics and Treatment Outcomes among a Predominantly HIV‐Infected Cohort of Adults with Tuberculosis from Botswana

3. Serum Drug Concentrations Predictive of Pulmonary Tuberculosis Outcomes

4. Pharmacokinetics of the toxic hydrazino metabolites formed from isoniazid in humans;Lauterburg BH;J Pharmacol Exp Ther,1985

5. Characterization of a major form of rat hepatic microsomal cytochrome P-450 induced by isoniazid.

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