1. Human leukocyte antigen-associated drug hypersensitivity.
- Author
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Illing PT, Vivian JP, Purcell AW, Rossjohn J, and McCluskey J
- Subjects
- Animals, Anti-HIV Agents adverse effects, Anti-HIV Agents therapeutic use, Anticonvulsants adverse effects, Anticonvulsants therapeutic use, Antigen Presentation drug effects, Autoantigens metabolism, Carbamazepine adverse effects, Carbamazepine therapeutic use, Dideoxynucleosides adverse effects, Dideoxynucleosides therapeutic use, Drug Hypersensitivity genetics, HIV Infections complications, HLA Antigens immunology, Humans, Peptide Fragments metabolism, Protein Binding drug effects, Skin pathology, Drug Hypersensitivity immunology, HIV Infections drug therapy, HLA Antigens metabolism, Seizures drug therapy, Skin drug effects
- Abstract
A growing number of associations between adverse drug reactions and alleles of the human leukocyte antigen (HLA) genes are now known. Although several models have been proposed to explain these associations, an underlying molecular basis has only recently been described. The associations between HLA-B*57:01 and abacavir hypersensitivity syndrome, and HLA-B*15:02 and carbamazepine-induced bullous skin disease have provided new insights into the mechanism associated with hypersensitivity reactions to these drugs. Here we discuss recent evidence that small molecules can interact with specific HLA to distort self-peptide presentation leading to autoimmune-like drug hypersensitivities that potentially provide clues to the mechanisms underlying other immunopathologies., (Copyright © 2012 Elsevier Ltd. All rights reserved.)
- Published
- 2013
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