What is the clinical significance of having the HLA (Human Leukocyte Antigen) B*38:01 allele?

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Last updated: June 12, 2025View editorial policy

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From the Research

The HLA-B38:01 allele is associated with increased risk for certain autoimmune conditions and adverse drug reactions, but its clinical significance is not as well-established as other HLA alleles, and there are no specific medication restrictions or routine screening recommendations for HLA-B38:01 carriers in clinical practice. This specific HLA allele has been linked to a higher susceptibility to certain diseases, and it may also be associated with adverse drug reactions to certain medications, though these associations are less well-established than for other HLA alleles like B57:01 (abacavir hypersensitivity) or B15:02 (carbamazepine reactions) 1, 2. The clinical significance of HLA-B*38:01 stems from its role in immune system function, as HLA molecules present antigens to T cells, influencing how your immune system recognizes and responds to various substances 3, 4. While having this allele doesn't guarantee development of associated conditions, it represents one genetic factor that may contribute to individual disease risk and treatment responses.

Some key points to consider:

  • HLA-B*38:01 is associated with increased risk for certain autoimmune conditions and adverse drug reactions
  • There are no specific medication restrictions or routine screening recommendations for HLA-B*38:01 carriers in clinical practice
  • The clinical significance of HLA-B*38:01 is not as well-established as other HLA alleles
  • HLA molecules play a crucial role in immune system function, presenting antigens to T cells and influencing how the immune system recognizes and responds to various substances 5

In terms of clinical implications, informing your healthcare provider about your HLA status may be helpful for diagnostic purposes if you have this allele and develop unusual inflammatory symptoms or unexpected drug reactions. However, the current evidence does not support routine screening or specific medication restrictions for HLA-B*38:01 carriers. Further research is needed to fully understand the clinical significance of this allele and its potential implications for patient care.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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