| Literature DB >> 30134124 |
Jason H Karnes1,2,3, Matthew A Miller1, Katie D White4, Katherine C Konvinse5,6, Rebecca K Pavlos7,8, Alec J Redwood8, Jonathan G Peter9,10, Rannakoe Lehloenya9, Simon A Mallal4,5,8, Elizabeth J Phillips4,5,8.
Abstract
Adverse drug reactions (ADRs) are a significant health care burden. Immune-mediated adverse drug reactions (IM-ADRs) are responsible for one-fifth of ADRs but contribute a disproportionately high amount of that burden due to their severity. Variation in human leukocyte antigen ( HLA) genes has emerged as a potential preprescription screening strategy for the prevention of previously unpredictable IM-ADRs. Immunopharmacogenomics combines the disciplines of immunogenomics and pharmacogenomics and focuses on the effects of immune-specific variation on drug disposition and IM-ADRs. In this review, we present the latest evidence for HLA associations with IM-ADRs, ongoing research into biological mechanisms of IM-ADRs, and the translation of clinical actionable biomarkers for IM-ADRs, with a focus on T cell-mediated ADRs.Entities:
Keywords: Stevens-Johnson syndrome; adverse drug reaction; human leukocyte antigen; immunopharmacogenomics; pharmacogenomics; toxic epidermal necrolysis
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Year: 2018 PMID: 30134124 PMCID: PMC6409210 DOI: 10.1146/annurev-pharmtox-010818-021818
Source DB: PubMed Journal: Annu Rev Pharmacol Toxicol ISSN: 0362-1642 Impact factor: 13.820