PMID- 34606953 OWN - NLM STAT- MEDLINE DCOM- 20211228 LR - 20211228 IS - 1879-3185 (Electronic) IS - 0300-483X (Linking) VI - 463 DP - 2021 Nov TI - The PD1 inhibitory pathway and mature dendritic cells contribute to abacavir hypersensitivity in human leukocyte antigen transgenic PD1 knockout mice. PG - 152971 LID - S0300-483X(21)00293-6 [pii] LID - 10.1016/j.tox.2021.152971 [doi] AB - Based on recent genome-wide association studies, abacavir-induced hypersensitivity is highly associated with human leukocyte antigen (HLA)-B*57:01 allele. However, the underlying mechanism of this occurrence is unclear. To investigate the underlying mechanism, we developed HLA-B*57:01 transgenic mice and found that application of abacavir could cause CD8 T cell activation with elevation in PD1 expression; however, severe skin hypersensitivity was not observed. To eliminate the immunosuppressive effect of PD1, HLA-B*57:01 transgenic/PD1 knockout (01Tg/PD1) mice were generated by mating HLA-B*57:01 transgenic mice and PD1 knockout mice. Thereafter, 01Tg/PD1 mice were treated with abacavir. Similar to the above results, severe skin hypersensitivity was not observed. Therefore, we treated 01Tg/PD1 mice with an anti-CD4 antibody to deplete CD4 T cells, followed by abacavir topically and orally. Severe abacavir-induced skin hypersensitivity was observed in 01Tg/PD1 mice after depletion of CD4 T cells, in addition to significant CD8 T cell activation and dendritic cell maturation. Taken together, we succeeded in reproducing severe skin hypersensitivity in a mouse model. And we found that through the combined depletion of PD1 and CD4 T cells, CD8 T cells could be activated and could proceed to clonal proliferation, which is promoted by mature dendritic cells, thereby eventually inducing severe skin hypersensitivity. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Song, Binbin AU - Song B AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, Chiba, Japan; Key Laboratory of Ethnomedicine (Minzu University of China), Ministry of Education, School of Pharmacy, Minzu University of China, Beijing, China. FAU - Aoki, Shigeki AU - Aoki S AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, Chiba, Japan. FAU - Liu, Cong AU - Liu C AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, Chiba, Japan. FAU - Susukida, Takeshi AU - Susukida T AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, Chiba, Japan; Laboratory of Cancer Biology and Immunology, Section of Host Defences, Institute of Natural Medicine, University of Toyama, Toyama, Japan. FAU - Kuwahara, Saki AU - Kuwahara S AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, Chiba, Japan. FAU - Ito, Kousei AU - Ito K AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, Chiba, Japan. Electronic address: itokousei@chiba-u.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211001 PL - Ireland TA - Toxicology JT - Toxicology JID - 0361055 RN - 0 (Anti-HIV Agents) RN - 0 (Dideoxynucleosides) RN - 0 (HLA-B Antigens) RN - 0 (Pdcd1 protein, mouse) RN - 0 (Programmed Cell Death 1 Receptor) RN - WR2TIP26VS (abacavir) SB - IM MH - Animals MH - Anti-HIV Agents/administration & dosage/immunology/toxicity MH - CD8-Positive T-Lymphocytes/immunology MH - Dendritic Cells/immunology MH - Dideoxynucleosides/administration & dosage/immunology/*toxicity MH - Disease Models, Animal MH - Drug Eruptions/*immunology MH - Drug Hypersensitivity/*immunology MH - HLA-B Antigens/immunology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Mice, Transgenic MH - Programmed Cell Death 1 Receptor/*genetics OTO - NOTNLM OT - CD4 T cell depletion OT - Humanized mice OT - Idiosyncratic adverse drug reactions OT - Immune suppression OT - Skin damage OT - T cell reactivity EDAT- 2021/10/05 06:00 MHDA- 2021/12/29 06:00 CRDT- 2021/10/04 20:15 PHST- 2021/09/03 00:00 [received] PHST- 2021/09/24 00:00 [revised] PHST- 2021/09/29 00:00 [accepted] PHST- 2021/10/05 06:00 [pubmed] PHST- 2021/12/29 06:00 [medline] PHST- 2021/10/04 20:15 [entrez] AID - S0300-483X(21)00293-6 [pii] AID - 10.1016/j.tox.2021.152971 [doi] PST - ppublish SO - Toxicology. 2021 Nov;463:152971. doi: 10.1016/j.tox.2021.152971. Epub 2021 Oct 1.