PMID- 23984511 OWN - NLM STAT- MEDLINE DCOM- 20160125 LR - 20181202 IS - 0513-4870 (Print) IS - 0513-4870 (Linking) VI - 48 IP - 6 DP - 2013 Jun TI - [The associations between idiosyncratic adverse drug reactions and HLA alleles and their underlying mechanism]. PG - 799-808 AB - With the advent of Twenty-First century, more and more genome-wide association studies (GWAS) showed that idiosyncratic adverse drug reactions (ADRs) were closely related with human leukocyte antigen (HLA) alleles, such as the associations of abacavir-HLA-B*5701, allopurinol-HLA-B*5801, and carbamazepine-HLA-B*1502, etc. To explore the mechanisms of these idiosyncratic drug reactions, hapten hypothesis, danger signal hypothesis, pharmacological interaction (P-I) concept and autoimmune mechanism are proposed. In this paper, recent GWAS studies on the HLA-mediated adverse drug reactions and underlying mechanism are reviewed in detail. FAU - Wang, Qing AU - Wang Q AD - College of Bioengineering, Chongqing University, Chongqing 400044, China. FAU - Mei, Hu AU - Mei H FAU - Zhang, Ya-Lan AU - Zhang YL FAU - Pan, Xian-Chao AU - Pan XC FAU - Tan, Wen AU - Tan W FAU - Chao, Li AU - Chao L LA - chi PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - China TA - Yao Xue Xue Bao JT - Yao xue xue bao = Acta pharmaceutica Sinica JID - 21710340R RN - 0 (Anti-HIV Agents) RN - 0 (Anticonvulsants) RN - 0 (Dideoxynucleosides) RN - 0 (Enzyme Inhibitors) RN - 0 (HLA Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*15:02 antigen) RN - 0 (HLA-B*57:01 antigen) RN - 0 (HLA-B*58:01 antigen) RN - 0 (HLA-B15 Antigen) RN - 33CM23913M (Carbamazepine) RN - 63CZ7GJN5I (Allopurinol) RN - WR2TIP26VS (abacavir) SB - IM MH - Alleles MH - Allopurinol/adverse effects MH - Anti-HIV Agents/adverse effects MH - Anticonvulsants/adverse effects MH - Carbamazepine/adverse effects MH - Dideoxynucleosides/adverse effects MH - Drug Hypersensitivity Syndrome/etiology/immunology MH - Drug-Related Side Effects and Adverse Reactions/*genetics/immunology MH - Enzyme Inhibitors/adverse effects MH - *Genome-Wide Association Study MH - HLA Antigens/*genetics MH - HLA-B Antigens/immunology MH - HLA-B15 Antigen/immunology MH - Humans MH - Stevens-Johnson Syndrome/etiology/immunology EDAT- 2013/08/30 06:00 MHDA- 2016/01/26 06:00 CRDT- 2013/08/30 06:00 PHST- 2013/08/30 06:00 [entrez] PHST- 2013/08/30 06:00 [pubmed] PHST- 2016/01/26 06:00 [medline] PST - ppublish SO - Yao Xue Xue Bao. 2013 Jun;48(6):799-808.