PMID- 24901010 OWN - NLM STAT- MEDLINE DCOM- 20141203 LR - 20211021 IS - 2314-7156 (Electronic) IS - 2314-8861 (Print) IS - 2314-7156 (Linking) VI - 2014 DP - 2014 TI - HLA associations and clinical implications in T-cell mediated drug hypersensitivity reactions: an updated review. PG - 565320 LID - 10.1155/2014/565320 [doi] LID - 565320 AB - T-cell mediated drug hypersensitivity reactions may range from mild rash to severe fatal reactions. Among them, drug reaction with eosinophilia and systemic symptoms (DRESS) or drug-induced hypersensitivity syndrome (DIHS), Stevens-Johnson syndrome/ toxic epidermal necrolysis (SJS/TEN), are some of the most life-threatening severe cutaneous adverse reactions (SCARs). Recent advances in pharmacogenetic studies show strong genetic associations between human leukocyte antigen (HLA) alleles and susceptibility to drug hypersensitivity. This review summarizes the literature on recent progresses in pharmacogenetic studies and clinical application of pharmacogenetic screening based on associations between SCARs and specific HLA alleles to avoid serious conditions associated with drug hypersensitivity. FAU - Cheng, Chi-Yuan AU - Cheng CY AD - Department of Pharmacy Administration, Chang Gung Memorial Hospital, Linkou 33305, Taiwan. FAU - Su, Shih-Chi AU - Su SC AUID- ORCID: 0000-0002-4263-7654 AD - Department of Dermatology, Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospitals, Linkou 33305, Taiwan. FAU - Chen, Chi-Hua AU - Chen CH AD - Department of Pharmacy Administration, Chang Gung Memorial Hospital, Linkou 33305, Taiwan. FAU - Chen, Wei-Li AU - Chen WL AD - Department of Pharmacy Administration, Chang Gung Memorial Hospital, Linkou 33305, Taiwan. FAU - Deng, Shin-Tarng AU - Deng ST AD - Department of Pharmacy Administration, Chang Gung Memorial Hospital, Linkou 33305, Taiwan. FAU - Chung, Wen-Hung AU - Chung WH AD - Department of Dermatology, Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospitals, Linkou 33305, Taiwan ; College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan ; Department of Dermatology, Keelung Chang Gung Memorial Hospital, No. 222 Maijin Road, Anle District, Keelung City 20448, Taiwan. LA - eng PT - Journal Article PT - Review DEP - 20140508 PL - Egypt TA - J Immunol Res JT - Journal of immunology research JID - 101627166 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 Syndrome/etiology/*genetics/immunology/pathology MH - Gene Expression MH - *Genetic Predisposition to Disease MH - HLA Antigens/*genetics/immunology MH - Humans MH - Stevens-Johnson Syndrome/etiology/*genetics/immunology/pathology MH - T-Lymphocytes/drug effects/*immunology/pathology PMC - PMC4034438 EDAT- 2014/06/06 06:00 MHDA- 2014/12/15 06:00 PMCR- 2014/05/08 CRDT- 2014/06/06 06:00 PHST- 2014/02/13 00:00 [received] PHST- 2014/03/28 00:00 [accepted] PHST- 2014/06/06 06:00 [entrez] PHST- 2014/06/06 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] PHST- 2014/05/08 00:00 [pmc-release] AID - 10.1155/2014/565320 [doi] PST - ppublish SO - J Immunol Res. 2014;2014:565320. doi: 10.1155/2014/565320. Epub 2014 May 8.