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Active suppression rather than ignorance: Tolerance to abacavir-induced HLA-B*57:01 peptide repertoire alteration
Journal article   Peer reviewed

Active suppression rather than ignorance: Tolerance to abacavir-induced HLA-B*57:01 peptide repertoire alteration

E.J. Phillips and S.A. Mallal
Journal of Clinical Investigation, Vol.128(7), pp.2746-2749
2018
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Abstract

The discovery of HLA-B*57:01–associated abacavir hypersensitivity is a translational success story that eliminated adverse reactions to abacavir through pretreatment screening and defined a mechanistic model of an altered peptide repertoire. In this issue of the JCI, Cardone et al. have developed an HLA-B*57:01–transgenic mouse model and demonstrated that CD4+ T cells play a key role in mediating tolerance to the dramatically altered endogenous peptide repertoire induced by abacavir and postulate a known mechanism by which CD4+ T cells suppress DC maturation. This report potentially explains why 45% of HLA-B*57:01 carriers tolerate abacavir and provides a framework for future studies of HLA-restricted, T cell–mediated drug tolerance and hypersensitivity.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.265 Dermatology - Skin Allergies
1.265.1140 Drug Hypersensitivity
Web Of Science research areas
Medicine, Research & Experimental
ESI research areas
Clinical Medicine
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