PMID- 35963284 OWN - NLM STAT- MEDLINE DCOM- 20220928 LR - 20221031 IS - 1879-0542 (Electronic) IS - 0165-2478 (Linking) VI - 249 DP - 2022 Sep TI - Conjugation of human serum albumin and flucloxacillin provokes specific immune response in HLA-B*57:01 transgenic mice. PG - 5-11 LID - S0165-2478(22)00113-4 [pii] LID - 10.1016/j.imlet.2022.08.002 [doi] AB - Flucloxacillin (FLX) induces adverse liver reactions, which has been reported to be related to human leukocyte antigen (HLA)-B*57:01. In a previous study, abacavir-induced hypersensitivity was induced in HLA-B*57:01-transgenic mice (B*57:01-Tg), originally constructed by our group (Susukida et al., 2021). In this study, B*57:01-Tg mice were used to reproduce FLX-induced liver injury. However, treatment of B*57:01-Tg mice with FLX alone did not increase serum ALT levels. Immune-deficient B*57:01-Tg/PD-1(-/-)mice were produced by mating B*57:01-Tg with PD-1(-/-) mice. The immune response of B*57:01-Tg/PD-1(-/-) mice was further modulated by co-administration of CpG-oligodeoxynucleotides and anti-CD4 mAb. Nevertheless, immune regulation in B*57:01-Tg mice did not contribute to the onset of FLX-induced liver injury or immune activation. Moreover, we generated an FLX-human serum albumin (HSA) conjugate and showed that FLX covalently bound to HSA in a time-dependent manner. The FLX-HSA conjugate was administered to the B*57:01-Tg mice. The immune response was investigated using flow cytometry, revealing the phenotype of CD44(high)CD62L(low) in CD8(+) T cells (T(EM) cells). Administration of the FLX-HSA conjugate resulted in an HLA-B*57:01 restricted immune response as shown by the stimulation of T(EM) cells in the draining lymph nodes. In conclusion, administration of FLX alone to B*57:01-Tg mice did not induce liver injury or immune activation. Immune system sensitivity does not play a decisive role in this process. The conjugation of FLX and HSA results in specific T(EM) cell stimulation, which suggests that HLA-B*57:01 drives a stronger interaction with CD8(+) T cells. These results suggest that patients carrying HLA-B*57:01 could be more susceptible to a conjugate of FLX and albumin and drive CD8(+) T cell activation, which may be a vital risk factor for FLX-induced liver injury. In addition, the application of the FLX-HSA adduct may be an effective method for the construction of FLX-induced idiosyncratic liver injury in mice. CI - Copyright (c) 2022 European Federation of Immunological Societies. Published by Elsevier B.V. All rights reserved. FAU - Gao, Yuying AU - Gao Y AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, Japan. FAU - Song, Binbin AU - Song B AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, 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, Japan. FAU - Ito, Kousei AU - Ito K AD - Laboratory of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Chiba University, Japan. Electronic address: itokousei@chiba-u.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220810 PL - Netherlands TA - Immunol Lett JT - Immunology letters JID - 7910006 RN - 0 (HLA-B Antigens) RN - 0 (HLA-B57 antigen) RN - 0 (Oligodeoxyribonucleotides) RN - 0 (Programmed Cell Death 1 Receptor) RN - 43B2M34G2V (Floxacillin) RN - ZIF514RVZR (Serum Albumin, Human) SB - IM MH - Animals MH - CD8-Positive T-Lymphocytes MH - *Chemical and Drug Induced Liver Injury, Chronic MH - *Floxacillin/pharmacology MH - HLA-B Antigens/genetics MH - Humans MH - Lymphocyte Activation MH - Mice MH - Mice, Transgenic MH - Oligodeoxyribonucleotides/pharmacology MH - Programmed Cell Death 1 Receptor MH - Serum Albumin, Human/pharmacology OTO - NOTNLM OT - Adaptive immune response OT - Conjugation OT - Flucloxacillin OT - HLA-B*57:01 transgenic mouse OT - Human serum albumin COIS- Declaration of Competing Interest None EDAT- 2022/08/14 06:00 MHDA- 2022/09/28 06:00 CRDT- 2022/08/13 19:22 PHST- 2022/03/15 00:00 [received] PHST- 2022/07/19 00:00 [revised] PHST- 2022/08/09 00:00 [accepted] PHST- 2022/08/14 06:00 [pubmed] PHST- 2022/09/28 06:00 [medline] PHST- 2022/08/13 19:22 [entrez] AID - S0165-2478(22)00113-4 [pii] AID - 10.1016/j.imlet.2022.08.002 [doi] PST - ppublish SO - Immunol Lett. 2022 Sep;249:5-11. doi: 10.1016/j.imlet.2022.08.002. Epub 2022 Aug 10.