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Cover Page

The handle

http://hdl.handle.net/1887/136914

holds various files of this Leiden University

dissertation.

Author: Dávila Fajardo, C.L.

Title: Genetic variants contribute to differences in response and toxicity to drugs used in

autoimmune diseases: Rheumatoid arthritis and systemic lupus erythematosus

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Genetic variants contribute to differences in response and

toxicity to drugs used in autoimmune diseases:

Rheumatoid arthritis and Systemic lupus erythematosus

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The research presented in this thesis was performed at the department of Pharmacy of Hospital Universitario San Cecilio, Granada, Spain, and the department of Clinical Pharmacy and Toxicology of Leiden University Medical Center, Leiden, The Netherlands. Financial support for publication of this thesis was provided by departmental funds from the department of Clinical Pharmacy & Toxicology of the Leiden University Medical Center, Leiden, the Netherlands.

Cover Cristina Lucía Dávila Fajardo

Cover image Shutterstock, 1409838749 Layout Renate Siebes | Proefschrift.nu

Printed by Ridderprint, Alblasserdam

ISBN 978-94-92026-16-3

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Genetic variants contribute to differences in response and

toxicity to drugs used in autoimmune diseases:

Rheumatoid arthritis and Systemic lupus erythematosus

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. C.J.J.M. Stolker,

volgens besluit van het College voor Promoties te verdedigen op dinsdag 29 september 2020

klokke 10.00 uur door

Cristina Lucía Dávila Fajardo

geboren te Granada, Spanje

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Promotor Prof. dr. H.-J. Guchelaar

Copromotor Dr. J.J. Swen

Leden promotiecommissie Prof. dr. A.H.M. van der Helm-van Mil Prof. dr. J. Burggraaf

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Chapter 1 General introduction and outline of the thesis 7 Chapter 2 Genetic risk factors for drug-induced liver injury

in rheumatoid arthritis patients using low-dose methotrexate

17

Chapter 3 Lack of validation of genetic variants associated with anti-tumor necrosis factor therapy response in rheumatoid arthritis: a genome-wide association study replication and meta-analysis

39

Chapter 4 Confirmation of -174G/C interleukin-6 gene promoter polymorphism as a genetic marker predicting anti-TNF treatment outcome

57

Chapter 5 FcGR genetic polymorphisms and the response to

adalimumab in patients with rheumatoid arthritis 71

Chapter 6 Association between -174 Interleukin-6 gene

polymorphism and biological response to rituximab in several systemic autoimmune diseases

91

Chapter 7 Association of the FCGR3A-158F/V gene polymorphism with the response to rituximab treatment in Spanish systemic autoimmune disease patients

103

Chapter 8 IL2/IL21 region polymorphism influences response to

rituximab in systemic lupus erythematosus patients 117

Chapter 9 Summary 131

Chapter 10 Samenvatting 137

Chapter 11 General discussion and future perspectives 143 Appendix List of publications

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