HLA-A3101 PCR Assay
The Viennalab HLA-A3101 RealFast Assay determines the presence or absence of the HLA-A*31:01 allele in a human genomic DNA extract by real-time PCR. The allele is associated with carbamazepine-induced hypersensitivity, including drug reaction with eosinophilia and systemic symptoms (DRESS) as well as Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). Carbamazepine is prescribed for epilepsy, bipolar disorder and neuropathic pain. HLA-A*31:01 is found across a wide range of populations, including European and Japanese, and covers a broader spectrum of hypersensitivity reactions than HLA-B*15:02. Testing before treatment is started identifies the patients for whom an alternative drug can be chosen.
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This kit in detail
- Detects the HLA-A*31: 01 allele
- Screening before carbamazepine treatment
- Qualitative result: allele present or absent
- Real-time PCR with allele-specific probes
- Whole peripheral blood, dried blood spots, buccal swabs or saliva
- 32 or 100 reactions per kit, REF 7-643 and REF 7-640
The Viennalab HLA-A3101 RealFast Assay discriminates the presence or absence of the HLA-A*31:01 allele in a human genomic DNA extract, as a risk assessment before carbamazepine is prescribed.
Clinical background
Carbamazepine is used for epilepsy, bipolar disorder and neuropathic pain. In a small proportion of patients it causes a severe cutaneous adverse reaction: drug reaction with eosinophilia and systemic symptoms (DRESS), Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN). HLA-A*31:01 is associated with a broader spectrum of these reactions than HLA-B*15:02, and the association has been described in European and Japanese populations as well as in others.
Application
The CPIC guideline for carbamazepine includes HLA-A*31:01 alongside HLA-B*15:02, and advises against starting the drug in carriers who have not been treated with it before. A separate RealFast assay covers HLA-B*15:02, the allele associated with SJS and TEN in South and Southeast Asian populations.
Method
The assay uses real-time PCR with the RealFast 2x Genotyping Mix and the HLA-A3101 Assay Mix. A positive and a negative control are supplied. DNA isolated from whole peripheral blood, dried blood spots, buccal swabs or saliva can be used, and DNA extraction reagents are not supplied with the kit; ViennaLab recommends the Spin Micro DNA Extraction Kit (REF 2-020), ordered separately.
- RealFast 2x Genotyping Mix (white cap, 1000 / 320 µl)
- HLA-A3101 Assay Mix (purple cap, 550 µl)
- HLA-A3101 Positive Control (green cap, 75 µl)
- HLA-A3101 Negative Control (red cap, 75 µl)
REF 7-640 (100 reactions) and REF 7-643 (32 reactions). DNA extraction reagents are not supplied with the kit. ViennaLab recommends the Spin Micro DNA Extraction Kit (REF 2-020), which is ordered separately.
Datasheets and regulatory documentation
Everything your quality team needs for evaluation and procurement.
Product Notes
Instructions for Use
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