Human leukocyte antigens and drug hypersensitivity

被引:135
作者
Chung, Wen-Hung
Hung, Shuen-Lu
Chen, Yuan-Tsong
机构
[1] Acad Sinica, Inst Biomed Sci, Program Mol Med, Taiwan Int Grad Program, Taipei 11529, Taiwan
[2] Natl Yang Ming Univ, Sch Life Sci, Taipei 112, Taiwan
[3] Chang Gung Univ, Dept Dermatol, Taipei, Taiwan
[4] Chang Gung Univ, Coll Med, Taipei, Taiwan
[5] Natl Yang Ming Univ, Sch Med, Inst Pharmacol, Taipei 112, Taiwan
关键词
drug hypersensitivity; human leukocyte antigen; immune reactions; pharmacogenetics;
D O I
10.1097/ACI.0b013e3282370c5f
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
The strong genetic association suggests a direct involvement of HLA in the pathogenesis of drug hypersensitivity when the HLA molecule presents an antigenic drug for T cell activation. The high sensitivity/ specificity of some markers provides a plausible basis for developing tests to identify individuals at risk for drug hypersensitivity. Application of HLA-13*1502 genotyping as a screening tool before prescribing carbamazepine could be a valuable tool in preventing carbamazepine-induced SJS/TEN in south-east Asian countries.
引用
收藏
页码:317 / 323
页数:7
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