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SCARs induced by allopurinol include StevensJohnson syndrome (SJS), toxic epidermal necrolysis (TEN), drug reaction with eosinophilia and systemic symptoms (DRESS), and the systemic manifestations of allopurinol hypersensitivity syndrome (AHS) ( Prior studies demonstrate the human leukocyte antigen (HLA) genetic predisposition to allopurinol-induced SCARs ( HLA-B*58:01 and allopurinol-associated SJS/TEN has been discovered in different ethnic groups including Asian ( HLA-B*58:01 and allopurinol-induced SJS/TEN is, however, stronger in the Asian population, which is indicated by a positivity rate of 100% in the Asian population compared to 60% in Caucasian origins ( In Indonesia, SCARs account for around one third of the overall adverse cutaneous drug reactions (ACDR) with a mortality rate of around 5% of all cases ( HLA-B*58:01 is a strong risk factor for allergy due to nevirapine among individuals with HIV/AIDS in Indonesia ( HLA-B*58:01 and allopurinol-induced SJS/TEN in the Indonesian population has not been established despite the relatively high frequency of this allele among Javanese ethnics ( HLA-B*58:01 allele

Thus, while the role of FOXO in mediating transcriptional regulation by IIS shows some evolutionary conservation, the IIS-regulated target genes of FOXO may be conserved only at the level of the gene families and the biological processes that they control - not at the level of orthology

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J Immunol Methods 65:5563