PMID- 22017685 OWN - NLM STAT- MEDLINE DCOM- 20120503 LR - 20131121 IS - 1545-4304 (Electronic) IS - 0362-1642 (Linking) VI - 52 DP - 2012 TI - Drug hypersensitivity and human leukocyte antigens of the major histocompatibility complex. PG - 401-31 LID - 10.1146/annurev-pharmtox-010611-134701 [doi] AB - The human leukocyte antigen (HLA) genes are the most polymorphic in the human genome and are critical in regulating specific immunity, hence their historical discovery as "immune response" genes. HLA allotypes are also implicated in unwanted immune reactions, including drug hypersensitivity syndrome, in which small therapeutic drugs interact with antigenic peptides to drive T cell responses restricted by host HLA. Abacavir, allo-purinol, and carbamazepine are three commonly used drugs that cause a T cell-mediated hypersensitivity that is HLA linked, with each drug exhibiting striking specificity for presentation by defined HLA allotypes. Recent findings have begun to unearth the mechanistic basis for these HLA associations, and here we review recent advances in the field of HLA-associated drug hypersensitivities. FAU - Bharadwaj, Mandvi AU - Bharadwaj M AD - Department of Microbiology and Immunology, The University of Melbourne, Parkville, Victoria 3010, Australia. mandvi@unimelb.edu.au FAU - Illing, Patricia AU - Illing P FAU - Theodossis, Alex AU - Theodossis A FAU - Purcell, Anthony W AU - Purcell AW FAU - Rossjohn, Jamie AU - Rossjohn J FAU - McCluskey, James AU - McCluskey J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20111017 PL - United States TA - Annu Rev Pharmacol Toxicol JT - Annual review of pharmacology and toxicology JID - 7607088 RN - 0 (Dideoxynucleosides) RN - 0 (HLA Antigens) RN - 33CM23913M (Carbamazepine) RN - 63CZ7GJN5I (Allopurinol) RN - WR2TIP26VS (abacavir) SB - IM MH - Alleles MH - Allopurinol/adverse effects MH - Carbamazepine/adverse effects MH - Dideoxynucleosides/adverse effects MH - Drug Hypersensitivity/*genetics/*immunology MH - HLA Antigens/*genetics/immunology MH - Humans MH - Major Histocompatibility Complex/immunology MH - Pharmacogenetics MH - Polymorphism, Genetic MH - T-Lymphocytes/immunology/metabolism EDAT- 2011/10/25 06:00 MHDA- 2012/05/04 06:00 CRDT- 2011/10/25 06:00 PHST- 2011/10/25 06:00 [entrez] PHST- 2011/10/25 06:00 [pubmed] PHST- 2012/05/04 06:00 [medline] AID - 10.1146/annurev-pharmtox-010611-134701 [doi] PST - ppublish SO - Annu Rev Pharmacol Toxicol. 2012;52:401-31. doi: 10.1146/annurev-pharmtox-010611-134701. Epub 2011 Oct 17.