PMID- 26098642 OWN - NLM STAT- MEDLINE DCOM- 20160321 LR - 20181203 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 6 DP - 2015 TI - The Possible Mechanism of Idiosyncratic Lapatinib-Induced Liver Injury in Patients Carrying Human Leukocyte Antigen-DRB1*07:01. PG - e0130928 LID - 10.1371/journal.pone.0130928 [doi] LID - e0130928 AB - Idiosyncratic lapatinib-induced liver injury has been reported to be associated with human leukocyte antigen (HLA)-DRB1*07:01. In order to investigate its mechanism, interaction of lapatinib with HLA-DRB1*07:01 and its ligand peptide derived from tetanus toxoid, has been evaluated in vitro. Here we show that lapatinib enhances binding of the ligand peptide to HLA-DRB1*07:01. Furthermore in silico molecular dynamics analysis revealed that lapatinib could change the beta chain helix in the HLA-DRB1*07:01 specifically to form a tightly closed binding groove structure and modify a large part of the binding groove. These results indicate that lapatinib affects the ligand binding to HLA-DRB1*07:01 and idiosyncratic lapatinib-induced liver injury might be triggered by this mechanism. This is the first report showing that the clinically available drug can enhance the binding of ligand peptide to HLA class II molecules in vitro and in silico. FAU - Hirasawa, Makoto AU - Hirasawa M AD - Drug Metabolism & Pharmacokinetics Research Laboratories, Daiichi Sankyo Co., Ltd., Tokyo, Japan. FAU - Hagihara, Katsunobu AU - Hagihara K AD - Drug Metabolism & Pharmacokinetics Research Laboratories, Daiichi Sankyo Co., Ltd., Tokyo, Japan. FAU - Okudaira, Noriko AU - Okudaira N AD - Drug Metabolism & Pharmacokinetics Research Laboratories, Daiichi Sankyo Co., Ltd., Tokyo, Japan. FAU - Izumi, Takashi AU - Izumi T AD - Drug Metabolism & Pharmacokinetics Research Laboratories, Daiichi Sankyo Co., Ltd., Tokyo, Japan. LA - eng PT - Journal Article DEP - 20150622 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA-DRB1*07:01:01 antigen) RN - 0 (Quinazolines) RN - 0 (Tetanus Toxoid) RN - 0VUA21238F (Lapatinib) SB - IM MH - Chemical and Drug Induced Liver Injury/metabolism/*physiopathology MH - HLA-DRB1 Chains/chemistry/*metabolism MH - Humans MH - Lapatinib MH - *Models, Molecular MH - Molecular Dynamics Simulation MH - Quinazolines/*adverse effects MH - Tetanus Toxoid/metabolism PMC - PMC4476721 COIS- Competing Interests: All authors are employed by Daiichi Sankyo Co., Ltd., but this does not alter the authors' adherence to PLOS ONE policies on sharing data and materials. EDAT- 2015/06/23 06:00 MHDA- 2016/03/22 06:00 PMCR- 2015/06/22 CRDT- 2015/06/23 06:00 PHST- 2015/03/10 00:00 [received] PHST- 2015/05/27 00:00 [accepted] PHST- 2015/06/23 06:00 [entrez] PHST- 2015/06/23 06:00 [pubmed] PHST- 2016/03/22 06:00 [medline] PHST- 2015/06/22 00:00 [pmc-release] AID - PONE-D-15-10473 [pii] AID - 10.1371/journal.pone.0130928 [doi] PST - epublish SO - PLoS One. 2015 Jun 22;10(6):e0130928. doi: 10.1371/journal.pone.0130928. eCollection 2015.