PMID- 32475910 OWN - NLM STAT- MEDLINE DCOM- 20210121 LR - 20210121 IS - 1347-5215 (Electronic) IS - 0918-6158 (Linking) VI - 43 IP - 6 DP - 2020 TI - Detection of Abacavir-Induced Structural Alterations in Human Leukocyte Antigen-B*57 : 01 Using Phage Display. PG - 1007-1015 LID - 10.1248/bpb.b20-00102 [doi] AB - The interaction of human leukocyte antigen (HLA) with specific drugs is associated with delayed-type hypersensitivity reactions, which cause severe cutaneous toxicity. Such interactions induce structural alterations in HLA complexes via several different mechanisms such as the hapten theory, p-i concept, and altered peptide repertoire model, leading to the activation of cytotoxic T cells. To date, comprehensive detection of such structural alterations in preclinical studies has been difficult. Here, we evaluated structural alterations in HLA complexes focusing on the interaction between the HLA-B*57 : 01 allele and abacavir (an anti-human immunodeficiency virus drug), representing a model of abacavir hypersensitivity syndrome induced by changes in the peptide repertoire on the HLA molecule. We employed a phage display method using a commercially available antibody library to screen specific phage antibodies able to recognize HLA-B*57 : 01. The affinity of selected phage antibodies increased because of structural alterations in HLA-B*57 : 01 following exposure to abacavir, indicating that specific phage antibodies can identify drug-mediated structural changes in HLA complexes. We also identified an unreported structural change in HLA-B*57 : 01 using the phage display method, whereby abacavir increased the expression of peptide-deficient HLA-B*57 : 01 on the cell surface. These results suggest that phage display technology is a useful method for detecting structural changes in HLA complexes. This technology represents a potential novel strategy for predicting HLA-associated hypersensitivity reactions by drugs in pre-clinical studies. FAU - Shirayanagi, Tomohiro AU - Shirayanagi T AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University. FAU - Aoki, Shigeki AU - Aoki S AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University. FAU - Fujimori, Sota AU - Fujimori S AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University. FAU - Watanabe, Kenji AU - Watanabe K AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University. FAU - Aida, Tetsuo AU - Aida T AD - Medicinal Safety Research Laboratories, Daiichi Sankyo Co., Ltd. FAU - Hirasawa, Makoto AU - Hirasawa M AD - Drug Metabolism & Pharmacokinetics Research Laboratories, Daiichi Sankyo Co., Ltd. FAU - Kumagai, Kazuyoshi AU - Kumagai K AD - Medicinal Safety Research Laboratories, Daiichi Sankyo Co., Ltd. FAU - Hoshino, Tyuji AU - Hoshino T AD - Department of Physical Chemistry, Graduate School of Pharmaceutical Sciences, Chiba University. FAU - Ito, Kousei AU - Ito K AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University. LA - eng PT - Journal Article PL - Japan TA - Biol Pharm Bull JT - Biological & pharmaceutical bulletin JID - 9311984 RN - 0 (Anti-HIV Agents) RN - 0 (Antibodies) RN - 0 (Dideoxynucleosides) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B57 antigen) RN - WR2TIP26VS (abacavir) SB - IM MH - Anti-HIV Agents/*pharmacology MH - Antibodies/immunology MH - Cell Surface Display Techniques MH - Dideoxynucleosides/*pharmacology MH - HLA-B Antigens/*chemistry/genetics/immunology MH - HeLa Cells MH - Humans OTO - NOTNLM OT - adverse drug reaction OT - human leukocyte antigen OT - phage display EDAT- 2020/06/02 06:00 MHDA- 2021/01/22 06:00 CRDT- 2020/06/02 06:00 PHST- 2020/06/02 06:00 [entrez] PHST- 2020/06/02 06:00 [pubmed] PHST- 2021/01/22 06:00 [medline] AID - 10.1248/bpb.b20-00102 [doi] PST - ppublish SO - Biol Pharm Bull. 2020;43(6):1007-1015. doi: 10.1248/bpb.b20-00102.