PMID- 27999707 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2090-9918 (Print) IS - 2090-7818 (Electronic) IS - 2090-9918 (Linking) VI - 2016 DP - 2016 TI - Novel Concepts for Drug Hypersensitivity Based on the Use of Long-Time Scale Molecular Dynamic Simulation. PG - 9520361 LID - 10.1155/2016/9520361 [doi] LID - 9520361 AB - The discovery that several drug hypersensitivity reactions (DHRs) are associated with specific human leukocyte antigen (HLA) alleles has attracted increasing research interest. However, the underlying mechanisms of these HLA-induced DHRs remain unclear, especially for drug-induced immediate activation of T-cell clones (TCCs). Recently, a novel hypothesis involving partial detachment between self-peptide(s) and the HLA molecule (altered peptide-HLA (pHLA) model) has been proposed to explain these phenomena. In order to clarify this hypothesis, we performed long-timescale molecular dynamics (MD) simulations. We focused on HLA-B⁎57:01-restricted abacavir hypersensitivity reactions (AHRs), one of the most famous DHRs. One of the simulation results showed that this altered-pHLA model might be driven by an increase in the distance not only between HLA and self-peptides but also between the alpha(1) and alpha(2) helices of HLA. Our findings provide novel insights into abacavir-induced immediate activation of TCCs and these findings might also be applied to other DHRs, such as HLA-B⁎58:01-restricted allopurinol hypersensitivity reactions. FAU - Murai, Takahiro AU - Murai T AD - Graduate School of Pharmaceutical Sciences, Osaka University, 1-6 Yamadaoka, Suita, Osaka 565-0871, Japan. FAU - Kawashita, Norihito AU - Kawashita N AD - Graduate School of Pharmaceutical Sciences, Osaka University, 1-6 Yamadaoka, Suita, Osaka 565-0871, Japan; Research Institute for Microbial Diseases, Osaka University, 3-1 Yamadaoka, Suita, Osaka 565-0871, Japan. FAU - Tian, Yu-Shi AU - Tian YS AUID- ORCID: 0000-0002-8988-9453 AD - Graduate School of Information Science and Technology, Osaka University, 1-5 Yamadaoka, Suita, Osaka 565-0871, Japan. FAU - Takagi, Tatsuya AU - Takagi T AUID- ORCID: 0000-0002-0044-0722 AD - Graduate School of Pharmaceutical Sciences, Osaka University, 1-6 Yamadaoka, Suita, Osaka 565-0871, Japan; Research Institute for Microbial Diseases, Osaka University, 3-1 Yamadaoka, Suita, Osaka 565-0871, Japan. LA - eng PT - Journal Article DEP - 20161123 PL - Egypt TA - J Pharm (Cairo) JT - Journal of pharmaceutics JID - 101655539 PMC - PMC5141551 COIS- The authors declare that there is no conflict of interests regarding the publication of this paper. EDAT- 2016/12/22 06:00 MHDA- 2016/12/22 06:01 PMCR- 2016/11/23 CRDT- 2016/12/22 06:00 PHST- 2016/07/04 00:00 [received] PHST- 2016/11/03 00:00 [accepted] PHST- 2016/12/22 06:00 [entrez] PHST- 2016/12/22 06:00 [pubmed] PHST- 2016/12/22 06:01 [medline] PHST- 2016/11/23 00:00 [pmc-release] AID - 10.1155/2016/9520361 [doi] PST - ppublish SO - J Pharm (Cairo). 2016;2016:9520361. doi: 10.1155/2016/9520361. Epub 2016 Nov 23.