Clinical and immunogenetic correlates of abacavir hypersensitivity

被引:119
作者
Phillips, EJ [1 ]
Wong, GA
Kaul, R
Shahabi, K
Nolan, DA
Knowles, SR
Martin, AM
Mallal, SA
Shear, NH
机构
[1] Univ British Columbia, British Columbia Ctr Excellence HIV AIDS, Vancouver, BC V5Z 1M9, Canada
[2] Univ Liverpool, Royal Liverpool & Broadgreen Univ Hosp NHS Trust, Liverpool L69 3BX, Merseyside, England
[3] Univ Toronto, Hlth Network, Toronto, ON, Canada
[4] Univ Toronto, Sunnybrook & Womens Coll, Hlth Sci Ctr, Toronto, ON, Canada
[5] Royal Perth Hosp, Ctr Clin Immunol & Biomed Stat, Perth, WA, Australia
关键词
D O I
10.1097/01.aids.0000171414.99409.fb
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A patch test (PT) may be useful in defining true abacavir hypersensitivity syndrome (AHS). Seven previously PT-positive patients remote from the original AHS were shown to have robust 24 h responses, supporting PT durability. HLA-B*5701 was present in all seven PT-positive versus one of 11 controls tolerating abacavir (P < 0.001). Five of seven PT (71%) versus one of 11 controls (9%) (P = 0.005) showed significant abacavir-specific CD8 proliferation, suggesting a direct role for HLA-B*5701-restricted CD8 cells in the pathophysiology of AHS.
引用
收藏
页码:979 / 981
页数:3
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