PMID- 35568130 OWN - NLM STAT- MEDLINE DCOM- 20220606 LR - 20220606 IS - 1879-3177 (Electronic) IS - 0887-2333 (Linking) VI - 82 DP - 2022 Aug TI - Weak complex formation of adverse drug reaction-associated HLAB57, B58, and B15 molecules. PG - 105383 LID - S0887-2333(22)00080-7 [pii] LID - 10.1016/j.tiv.2022.105383 [doi] AB - The combination of certain human leukocyte antigen (HLA) polymorphisms with administration of certain drugs shows a strong correlation with developing drug hypersensitivity. Examples of typical combinations are HLA-B*57:01 with abacavir and HLA-B*15:02 with carbamazepine. However, despite belonging to the same serotype, HLA-B*57:03 and HLA-B*15:01 are not associated with drug hypersensitivity. Recent studies have shown that several HLA polymorphisms are associated with multiple drugs rather than a single drug, all resulting in drug hypersensitivity. In this study, we compared the molecular structures and intracellular localization of HLA-B*57:01, HLA-B*58:01, and HLA-B*15:02, which pose risks for developing drug hypersensitivity, as well as HLA-B*57:03 and HLA-B*15:01 that do not present such risks. We found that HLA molecules posing risks have a low affinity for the subunit beta(2)-microglobulin; notably, the weak hydrogen bond formed via Gln96 of the HLA molecule contributes to this behavior. We also clarified that these HLA molecules are easily accumulated in the endoplasmic reticulum, exhibiting a low expression on the cell surface. Considering that these hypersensitivity risk-associated HLA molecules form complexes with beta(2)-microglobulin and peptides in the endoplasmic reticulum, we assumed that their low complex formation ability in the endoplasmic reticulum facilitates the interaction with multiple drugs. CI - Copyright (c) 2022 Elsevier Ltd. All rights reserved. FAU - Shirayanagi, Tomohiro AU - Shirayanagi T AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-city, Chiba 260-8675, Japan. FAU - Kazaoka, Akira AU - Kazaoka A AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-city, Chiba 260-8675, Japan. FAU - Watanabe, Kenji AU - Watanabe K AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-city, Chiba 260-8675, Japan. FAU - Qu, Liang AU - Qu L AD - Department of Physical Chemistry, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-city, Chiba 260-8675, Japan. FAU - Sakamoto, Naoki AU - Sakamoto N AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-city, Chiba 260-8675, Japan. FAU - Hoshino, Tyuji AU - Hoshino T AD - Department of Physical Chemistry, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-city, Chiba 260-8675, Japan. FAU - Ito, Kousei AU - Ito K AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-city, Chiba 260-8675, Japan. FAU - Aoki, Shigeki AU - Aoki S AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-city, Chiba 260-8675, Japan. Electronic address: aokishigeki@chiba-u.jp. LA - eng PT - Journal Article DEP - 20220511 PL - England TA - Toxicol In Vitro JT - Toxicology in vitro : an international journal published in association with BIBRA JID - 8712158 RN - 0 (HLA Antigens) RN - 0 (HLA-B Antigens) RN - 33CM23913M (Carbamazepine) SB - IM MH - Carbamazepine/toxicity MH - *Drug Hypersensitivity/genetics MH - *Drug-Related Side Effects and Adverse Reactions MH - HLA Antigens/genetics MH - HLA-B Antigens/chemistry/metabolism MH - Humans OTO - NOTNLM OT - Drug hypersensitivity OT - Human leukocyte antigen OT - Molecular dynamics simulation OT - beta(2)-microglobulin EDAT- 2022/05/15 06:00 MHDA- 2022/06/07 06:00 CRDT- 2022/05/14 19:25 PHST- 2022/03/22 00:00 [received] PHST- 2022/05/04 00:00 [revised] PHST- 2022/05/09 00:00 [accepted] PHST- 2022/05/15 06:00 [pubmed] PHST- 2022/06/07 06:00 [medline] PHST- 2022/05/14 19:25 [entrez] AID - S0887-2333(22)00080-7 [pii] AID - 10.1016/j.tiv.2022.105383 [doi] PST - ppublish SO - Toxicol In Vitro. 2022 Aug;82:105383. doi: 10.1016/j.tiv.2022.105383. Epub 2022 May 11.