PMID- 32173028 OWN - NLM STAT- MEDLINE DCOM- 20210219 LR - 20210219 IS - 1879-1166 (Electronic) IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 81 IP - 6 DP - 2020 Jun TI - New genetic predictors for abacavir tolerance in HLA-B*57:01 positive individuals. PG - 300-304 LID - S0198-8859(19)31410-7 [pii] LID - 10.1016/j.humimm.2020.02.011 [doi] AB - Abacavir hypersensitivity syndrome (ABC HSS) is strongly associated with carriage of human leukocyte antigen (HLA)-B*57:01, which has a 100% negative predictive value for the development of ABC HSS. However, 45% of individuals who carry HLA-B*57:01 can tolerate ABC. We investigated immune and non-immune related genes in ABC HSS (n = 95) and ABC tolerant (n = 43) HLA-B*57:01 + patients to determine other factors required for the development of ABC HSS. Assignment of phenotype showed that ABC HSS subjects were significantly less likely than tolerants to carry only ERAP1 hypoactive trimming allotypes (p = 0.02). An altered self-peptide repertoire model by which abacavir activates T cells is in keeping with observation that endoplasmic reticulum aminopeptidase 1 (ERAP1) allotypes that favour efficient peptide trimming are more common in ABC HSS patients compared to patients who tolerate ABC. Independently, non-specific immune activation via soluble cluster of differentiation antigen 14 (sCD14) may also influence susceptibility to ABC HSS. CI - Copyright (c) 2020 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Pavlos, Rebecca AU - Pavlos R AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia; Telethon Kids Institute, Western Australia, Australia. FAU - Deshpande, Pooja AU - Deshpande P AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia; School of Human Sciences, University of Western Australia, Western Australia, Australia. FAU - Chopra, Abha AU - Chopra A AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia. FAU - Leary, Shay AU - Leary S AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia. FAU - Strautins, Kaija AU - Strautins K AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia. FAU - Nolan, David AU - Nolan D AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia; Department of Clinical Immunology, Royal Perth Hospital, Western Australia, Australia. FAU - Thorborn, Daren AU - Thorborn D AD - Celgene Corporation, NJ, USA. FAU - Shaefer, Mark AU - Shaefer M AD - ViiV Healthcare at Research Triangle Park, NC, USA. FAU - Rauch, Andri AU - Rauch A AD - Inselspital, Bern, Switzerland. FAU - Dunn, David AU - Dunn D AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia. FAU - Montaner, Julio AU - Montaner J AD - British Columbia Centre for Excellence in HIV/AIDS, Vancouver British Columbia, Canada. FAU - Rachlis, Anita AU - Rachlis A AD - Sunnybrook Health Sciences Centre, Toronto, Canada; University of Toronto,Toronto, Canada. FAU - Almeida, Coral-Ann AU - Almeida CA AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia; Department of Haematology, Fiona Stanley Hospital, Western Australia, Australia. FAU - Choo, Linda AU - Choo L AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia. FAU - James, Ian AU - James I AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia. FAU - Redwood, Alec J AU - Redwood AJ AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia; Institute for Respiratory Health, University of Western Australia, Western Australia, Australia. FAU - Li, Yueran AU - Li Y AD - School of Human Sciences, University of Western Australia, Western Australia, Australia. FAU - Gaudieri, Silvana AU - Gaudieri S AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia; School of Human Sciences, University of Western Australia, Western Australia, Australia; Vanderbilt University Medical Centre, Nashville, USA. FAU - Mallal, Simon A AU - Mallal SA AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia; Vanderbilt University Medical Centre, Nashville, USA. FAU - Phillips, Elizabeth J AU - Phillips EJ AD - Institute for Immunology and Infectious Diseases, Murdoch University, Western Australia, Australia; Vanderbilt University Medical Centre, Nashville, USA. Electronic address: elizabeth.j.phillips@vumc.org. LA - eng GR - R01 HG010863/HG/NHGRI NIH HHS/United States GR - UM1 AI068634/AI/NIAID NIH HHS/United States GR - F30 AI131780/AI/NIAID NIH HHS/United States GR - P50 GM115305/GM/NIGMS NIH HHS/United States GR - P30 AI110527/AI/NIAID NIH HHS/United States GR - R21 AI139021/AI/NIAID NIH HHS/United States GR - R34 AI136815/AI/NIAID NIH HHS/United States GR - UM1 AI068636/AI/NIAID NIH HHS/United States PT - Journal Article DEP - 20200312 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Allergens) RN - 0 (Anti-HIV Agents) RN - 0 (Dideoxynucleosides) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*57:01 antigen) RN - 0 (Lipopolysaccharide Receptors) RN - 0 (Minor Histocompatibility Antigens) RN - EC 3.4.11.- (Aminopeptidases) RN - EC 3.4.11.- (ERAP1 protein, human) RN - WR2TIP26VS (abacavir) SB - IM MH - Allergens/immunology MH - Aminopeptidases/genetics MH - Anti-HIV Agents/immunology/*therapeutic use MH - Dideoxynucleosides/adverse effects/immunology/*therapeutic use MH - Drug Hypersensitivity Syndrome/etiology/*genetics MH - Drug-Related Side Effects and Adverse Reactions/*genetics MH - Female MH - Genetic Association Studies MH - Genetic Predisposition to Disease MH - Genotype MH - HIV Infections/complications/*drug therapy MH - HIV-1/*physiology MH - HLA-B Antigens/*genetics MH - Humans MH - Lipopolysaccharide Receptors/genetics MH - Male MH - Minor Histocompatibility Antigens/genetics MH - Phenotype MH - Retrospective Studies PMC - PMC7266722 MID - NIHMS1590559 OTO - NOTNLM OT - Abacavir hypersensitivity syndrome OT - Endoplasmic reticulum aminopeptidase 1 OT - Human leukocyte antigen COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/03/17 06:00 MHDA- 2021/02/20 06:00 PMCR- 2020/06/03 CRDT- 2020/03/17 06:00 PHST- 2019/11/28 00:00 [received] PHST- 2020/02/17 00:00 [revised] PHST- 2020/02/21 00:00 [accepted] PHST- 2020/03/17 06:00 [pubmed] PHST- 2021/02/20 06:00 [medline] PHST- 2020/03/17 06:00 [entrez] PHST- 2020/06/03 00:00 [pmc-release] AID - S0198-8859(19)31410-7 [pii] AID - 10.1016/j.humimm.2020.02.011 [doi] PST - ppublish SO - Hum Immunol. 2020 Jun;81(6):300-304. doi: 10.1016/j.humimm.2020.02.011. Epub 2020 Mar 12.