PMID- 33967088 OWN - NLM STAT- MEDLINE DCOM- 20210511 LR - 20240321 IS - 1672-7347 (Print) IS - 1672-7347 (Linking) VI - 46 IP - 4 DP - 2021 Apr 28 TI - Progress in study on the association between HLA genetic variation and adverse drug reactions. PG - 404-413 LID - 1672-7347(2021)04-0404-10 [pii] LID - 10.11817/j.issn.1672-7347.2021.200256 [doi] AB - The human leukocyte antigen (HLA) molecules encoded within the human major histocompatibility complex are a group of highly conserved cell surface proteins, which are related to antigen recognition. HLA genes display a high degree of genetic polymorphism, which is the basis of individual differences in immunity. Specific HLA genotypes have been highly associated with typical adverse drug reactions. HLA-A*31:01 and HLA-B*15:02 are associated with carbamazepine-induced severe cutaneous adverse reactions, HLA-B*57:01 is related to abacavir-induced drug-induced hypersensitivity syndrome and flucloxacillin/pazopanib-induced drug-induced liver injury, while HLA-B*35:01 is a potential biomarker for predicting polygonum multiflorum-induced liver injury. It is not clear how small drug molecules to interact with HLA molecules and T cell receptors (TCR). There are four mechanistic hypotheses, including the hapten/prohapten theory, the pharmacological interaction concept, the altered peptide repertoire model, and the altered TCR repertoire model. FAU - Liu, Yating AU - Liu Y AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha 410008. 188111105@csu.edu.cn. AD - Institute of Clinical Pharmacology, Central South University; Hunan Key Laboratory of Pharmacogenetics, Changsha 410078. 188111105@csu.edu.cn. FAU - Zeng, Xiangchang AU - Zeng X AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha 410008. AD - Institute of Clinical Pharmacology, Central South University; Hunan Key Laboratory of Pharmacogenetics, Changsha 410078. FAU - Ouyang, Dongsheng AU - Ouyang D AD - Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha 410008. 801940@csu.edu.cn. AD - Institute of Clinical Pharmacology, Central South University; Hunan Key Laboratory of Pharmacogenetics, Changsha 410078. 801940@csu.edu.cn. AD - Hunan Key Laboratory for Bioanalysis of Complex Matrix Samples, Changsha 410205, China. 801940@csu.edu.cn. LA - eng LA - chi GR - 2017ZX09304014/the National Development of Key Novel Drugs for Special Projects/ GR - 2019SK2241/the Key Research and Development Programs of Hunan Province/ GR - 2019GK5020/the Innovation and Entrepreneurship Investment Project in Hunan Province/ GR - 2019CB1014/the International Scientific and Technological Innovation Cooperation Base for Bioanalysis of Complex Matrix Samples in Hunan Province/ PT - Journal Article TT - 人类白细胞抗原基因的遗传变异与药物不良反应的关系. PL - China TA - Zhong Nan Da Xue Xue Bao Yi Xue Ban JT - Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences JID - 101230586 RN - 0 (HLA Antigens) SB - IM MH - *Drug-Related Side Effects and Adverse Reactions/genetics MH - Genotype MH - HLA Antigens/genetics MH - Humans MH - Polymorphism, Genetic PMC - PMC10930308 OAB - The human leukocyte antigen (HLA) molecules encoded within the human major histocompatibility complex are a group of highly conserved cell surface proteins, which are related to antigen recognition. HLA genes display a high degree of genetic polymorphism, which is the basis of individual differences in immunity. Specific HLA genotypes have been highly associated with typical adverse drug reactions. HLA-A*31:01 and HLA-B*15:02 are associated with carbamazepine-induced severe cutaneous adverse reactions, HLA-B*57:01 is related to abacavir-induced drug-induced hypersensitivity syndrome and flucloxacillin/pazopanib-induced drug-induced liver injury, while HLA-B*35:01 is a potential biomarker for predicting polygonum multiflorum-induced liver injury. It is not clear how small drug molecules to interact with HLA molecules and T cell receptors (TCR). There are four mechanistic hypotheses, including the hapten/prohapten theory, the pharmacological interaction concept, the altered peptide repertoire model, and the altered TCR repertoire model. OABL- eng OTO - NOTNLM OT - adverse drug reaction OT - genetic polymorphism OT - human leukocyte antigen OT - immunity COIS- 作者声称无任何利益冲突。 EDAT- 2021/05/11 06:00 MHDA- 2021/05/12 06:00 PMCR- 2021/04/28 CRDT- 2021/05/10 06:11 PHST- 2021/05/10 06:11 [entrez] PHST- 2021/05/11 06:00 [pubmed] PHST- 2021/05/12 06:00 [medline] PHST- 2021/04/28 00:00 [pmc-release] AID - 1672-7347(2021)04-0404-10 [pii] AID - 10.11817/j.issn.1672-7347.2021.200256 [doi] PST - ppublish SO - Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021 Apr 28;46(4):404-413. doi: 10.11817/j.issn.1672-7347.2021.200256.