PMID- 32726429 OWN - NLM STAT- MEDLINE DCOM- 20210720 LR - 20210720 IS - 1096-0929 (Electronic) IS - 1096-0929 (Linking) VI - 177 IP - 2 DP - 2020 Oct 1 TI - Identification of Flucloxacillin-Haptenated HLA-B*57:01 Ligands: Evidence of Antigen Processing and Presentation. PG - 454-465 LID - 10.1093/toxsci/kfaa124 [doi] AB - Flucloxacillin is a beta-lactam antibiotic associated with a high incidence of drug-induced liver reactions. Although expression of human leukocyte antigen (HLA)-B*57:01 increases susceptibility, little is known of the pathological mechanisms involved in the induction of the clinical phenotype. Irreversible protein modification is suspected to drive the reaction through the modification of peptides that are presented by the risk allele. In this study, the binding of flucloxacillin to immune cells was characterized and the nature of the peptides presented by HLA-B*57:01 was analyzed using mass spectrometric-based immunopeptidomics methods. Flucloxacillin modification of multiple proteins was observed, providing a potential source of neoantigens for HLA presentation. Of the peptides eluted from flucloxacillin-treated C1R-B*57:01 cells, 6 putative peptides were annotated as flucloxacillin-modified HLA-B*57:01 peptide ligands (data are available via ProteomeXchange with identifier PXD020137). To conclude, we have characterized naturally processed drug-haptenated HLA ligands presented on the surface of antigen presenting cells that may drive drug-specific CD8+ T-cell responses. CI - (c) The Author(s) 2020. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Waddington, James C AU - Waddington JC AD - MRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, United Kingdom. FAU - Meng, Xiaoli AU - Meng X AD - MRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, United Kingdom. FAU - Illing, Patricia T AU - Illing PT AD - Infection and Immunity Program and Department of Biochemistry and Molecular Biology, Biomedicine Discovery Institute, Monash University, Clayton, Victoria 3800, Australia. FAU - Tailor, Arun AU - Tailor A AD - MRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, United Kingdom. FAU - Adair, Kareena AU - Adair K AD - MRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, United Kingdom. FAU - Whitaker, Paul AU - Whitaker P AD - Regional Adult Cystic Fibrosis Unit, St James's Hospital, Leeds LS9 7TF, United Kingdom. FAU - Hamlett, Jane AU - Hamlett J AD - MRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, United Kingdom. FAU - Jenkins, Rosalind E AU - Jenkins RE AD - MRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, United Kingdom. FAU - Farrell, John AU - Farrell J AD - MRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, United Kingdom. FAU - Berry, Neil AU - Berry N AD - Department of Chemistry, University of Liverpool, Liverpool L69 7ZD, United Kingdom. FAU - Purcell, Anthony W AU - Purcell AW AD - Infection and Immunity Program and Department of Biochemistry and Molecular Biology, Biomedicine Discovery Institute, Monash University, Clayton, Victoria 3800, Australia. FAU - Naisbitt, Dean J AU - Naisbitt DJ AD - MRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, United Kingdom. FAU - Park, Brian Kevin AU - Park BK AD - MRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool L69 3GE, United Kingdom. LA - eng GR - MR/R009635/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Toxicol Sci JT - Toxicological sciences : an official journal of the Society of Toxicology JID - 9805461 RN - 0 (HLA-B Antigens) RN - 0 (HLA-B57 antigen) RN - 0 (Ligands) RN - 43B2M34G2V (Floxacillin) SB - IM MH - *Antigen Presentation MH - *Floxacillin/toxicity MH - HLA-B Antigens MH - Humans MH - Ligands OTO - NOTNLM OT - haptenated HLA ligands OT - immune-mediated liver injury OT - intracellular covalent binding EDAT- 2020/07/30 06:00 MHDA- 2021/07/21 06:00 CRDT- 2020/07/30 06:00 PHST- 2020/07/30 06:00 [pubmed] PHST- 2021/07/21 06:00 [medline] PHST- 2020/07/30 06:00 [entrez] AID - 5877955 [pii] AID - 10.1093/toxsci/kfaa124 [doi] PST - ppublish SO - Toxicol Sci. 2020 Oct 1;177(2):454-465. doi: 10.1093/toxsci/kfaa124.