PMID- 28162244 OWN - NLM STAT- MEDLINE DCOM- 20170727 LR - 20170727 IS - 0040-5957 (Print) IS - 0040-5957 (Linking) VI - 72 IP - 2 DP - 2017 Apr TI - Pharmacogenetics of hypersensitivity drug reactions. PG - 231-243 LID - S0040-5957(16)31285-9 [pii] LID - 10.1016/j.therap.2016.12.009 [doi] AB - Adverse drug reactions are a significant cause of morbidity and mortality and represent a major burden on the healthcare system. Some of those reactions are immunologically mediated (hypersensitivity reactions) and can be clinically subdivided into two categories: immediate reactions (IgE-related) and delayed reactions (T-cell-mediated). Delayed hypersensitivity reactions include both systemic syndromes and organ-specific toxicities and can be triggered by a wide range of chemically diverse drugs. Recent studies have demonstrated a strong genetic association between human leukocyte antigen alleles and susceptibility to delayed drug hypersensitivity. Most notable examples include human leukocyte antigen (HLA)-B*57:01 allele and abacavir hypersensitivity syndrome or HLA-B*15:02 and HLA-B*58:01 alleles related to severe cutaneous reactions induced by carbamazepine and allopurinol, respectively. This review aims to explore our current understanding in the field of pharmacogenomics of HLA-associated drug hypersensitivities and its translation into clinical practice for predicting adverse drug reactions. CI - Copyright (c) 2017 Societe francaise de pharmacologie et de therapeutique. Published by Elsevier Masson SAS. All rights reserved. FAU - Negrini, Simone AU - Negrini S AD - Department of internal medicine, clinical immunology unit, centre of excellence for biomedical research, university of Genoa, 16132 Genoa, Italy. Electronic address: negrini@unige.it. FAU - Becquemont, Laurent AU - Becquemont L AD - Pharmacology department, faculty of medicine Paris-Sud, UMR 1184, CEA, DSV/iMETI, division of immuno-virology, IDMIT, Inserm center for immunology of viral infections and autoimmune diseases, hopital Bicetre, university Paris Sud, Assistance publique-Hopitaux de Paris, 94275 Le Kremlin-Bicetre, France. LA - eng PT - Journal Article PT - Review DEP - 20170103 PL - France TA - Therapie JT - Therapie JID - 0420544 RN - 0 (Anticonvulsants) RN - 0 (Dideoxynucleosides) RN - 0 (Enzyme Inhibitors) RN - 0 (HLA Antigens) RN - 0 (Reverse Transcriptase Inhibitors) RN - 33CM23913M (Carbamazepine) RN - 63CZ7GJN5I (Allopurinol) RN - WR2TIP26VS (abacavir) SB - IM MH - Allopurinol/adverse effects MH - Anticonvulsants/adverse effects MH - Carbamazepine/adverse effects MH - Dideoxynucleosides/adverse effects MH - Drug Hypersensitivity/*genetics/immunology MH - Enzyme Inhibitors/adverse effects MH - *Genetic Predisposition to Disease MH - HLA Antigens/*genetics/immunology MH - Humans MH - Pharmacogenetics MH - Reverse Transcriptase Inhibitors/adverse effects OTO - NOTNLM OT - Abacavir OT - Allopurinol OT - Carbamazepine OT - HLA OT - Hypersensitivity drug reactions EDAT- 2017/02/07 06:00 MHDA- 2017/07/28 06:00 CRDT- 2017/02/07 06:00 PHST- 2016/07/05 00:00 [received] PHST- 2016/09/02 00:00 [accepted] PHST- 2017/02/07 06:00 [pubmed] PHST- 2017/07/28 06:00 [medline] PHST- 2017/02/07 06:00 [entrez] AID - S0040-5957(16)31285-9 [pii] AID - 10.1016/j.therap.2016.12.009 [doi] PST - ppublish SO - Therapie. 2017 Apr;72(2):231-243. doi: 10.1016/j.therap.2016.12.009. Epub 2017 Jan 3.