Unravelling the Proteomics of HLA-B*57:01<sup>+</sup> Antigen Presenting Cells during Abacavir Medication

Type B adverse drug reactions (ADRs) are unpredictable based on the drug’s pharmacology and represent a key challenge in pharmacovigilance. For human leukocyte antigen (HLA)-mediated type B ADRs, it is assumed that the protein/small-molecule interaction alters the biophysical and mechanistic propert...

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Main Authors: Funmilola Josephine Haukamp, Eline Gall, Gia-Gia Toni Hò, Wiebke Hiemisch, Florian Stieglitz, Joachim Kuhn, Rainer Blasczyk, Andreas Pich, Christina Bade-Döding
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/1/40
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author Funmilola Josephine Haukamp
Eline Gall
Gia-Gia Toni Hò
Wiebke Hiemisch
Florian Stieglitz
Joachim Kuhn
Rainer Blasczyk
Andreas Pich
Christina Bade-Döding
author_facet Funmilola Josephine Haukamp
Eline Gall
Gia-Gia Toni Hò
Wiebke Hiemisch
Florian Stieglitz
Joachim Kuhn
Rainer Blasczyk
Andreas Pich
Christina Bade-Döding
author_sort Funmilola Josephine Haukamp
collection DOAJ
description Type B adverse drug reactions (ADRs) are unpredictable based on the drug’s pharmacology and represent a key challenge in pharmacovigilance. For human leukocyte antigen (HLA)-mediated type B ADRs, it is assumed that the protein/small-molecule interaction alters the biophysical and mechanistic properties of the antigen presenting cells. Sophisticated methods enabled the molecular appreciation of HLA-mediated ADRs; in several instances, the drug molecule occupies part of the HLA peptide binding groove and modifies the recruited peptide repertoire thereby causing a strong T-cell-mediated immune response that is resolved upon withdrawal of medication. The severe ADR in HLA-B*57:01<sup>+</sup> patients treated with the antiretroviral drug abacavir (ABC) in anti-HIV therapy is an example of HLA-drug-T cell cooperation. However, the long-term damages of the HLA-B*57:01-expressing immune cells following ABC treatment remain unexplained. Utilizing full proteome sequencing following ABC treatment of HLA-B*57:01<sup>+</sup> cells, we demonstrate stringent proteomic alteration of the HLA/drug presenting cells. The proteomic content indisputably reflects the cellular condition; this knowledge directs towards individual pharmacovigilance for the development of personalized and safe medication.
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spelling doaj.art-87c9da56a4ef4835a48fa13c4234d6cf2023-11-23T14:19:34ZengMDPI AGJournal of Personalized Medicine2075-44262022-01-011214010.3390/jpm12010040Unravelling the Proteomics of HLA-B*57:01<sup>+</sup> Antigen Presenting Cells during Abacavir MedicationFunmilola Josephine Haukamp0Eline Gall1Gia-Gia Toni Hò2Wiebke Hiemisch3Florian Stieglitz4Joachim Kuhn5Rainer Blasczyk6Andreas Pich7Christina Bade-Döding8Institute for Transfusion Medicine and Transplantat Engineering, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, GermanyInstitute for Transfusion Medicine and Transplantat Engineering, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, GermanyInstitute for Transfusion Medicine and Transplantat Engineering, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, GermanyInstitute for Transfusion Medicine and Transplantat Engineering, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, GermanyInstitute of Toxicology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, GermanyInstitute for Laboratory and Transfusion Medicine, Heart and Diabetes Center North Rhine-Westphalia, Ruhr University Bochum, Georgstr. 11, 44801 Bochum, GermanyInstitute for Transfusion Medicine and Transplantat Engineering, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, GermanyInstitute of Toxicology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, GermanyInstitute for Transfusion Medicine and Transplantat Engineering, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, GermanyType B adverse drug reactions (ADRs) are unpredictable based on the drug’s pharmacology and represent a key challenge in pharmacovigilance. For human leukocyte antigen (HLA)-mediated type B ADRs, it is assumed that the protein/small-molecule interaction alters the biophysical and mechanistic properties of the antigen presenting cells. Sophisticated methods enabled the molecular appreciation of HLA-mediated ADRs; in several instances, the drug molecule occupies part of the HLA peptide binding groove and modifies the recruited peptide repertoire thereby causing a strong T-cell-mediated immune response that is resolved upon withdrawal of medication. The severe ADR in HLA-B*57:01<sup>+</sup> patients treated with the antiretroviral drug abacavir (ABC) in anti-HIV therapy is an example of HLA-drug-T cell cooperation. However, the long-term damages of the HLA-B*57:01-expressing immune cells following ABC treatment remain unexplained. Utilizing full proteome sequencing following ABC treatment of HLA-B*57:01<sup>+</sup> cells, we demonstrate stringent proteomic alteration of the HLA/drug presenting cells. The proteomic content indisputably reflects the cellular condition; this knowledge directs towards individual pharmacovigilance for the development of personalized and safe medication.https://www.mdpi.com/2075-4426/12/1/40adverse drug reactionHLA-B*57:01abacavirproteomehypersensitivity
spellingShingle Funmilola Josephine Haukamp
Eline Gall
Gia-Gia Toni Hò
Wiebke Hiemisch
Florian Stieglitz
Joachim Kuhn
Rainer Blasczyk
Andreas Pich
Christina Bade-Döding
Unravelling the Proteomics of HLA-B*57:01<sup>+</sup> Antigen Presenting Cells during Abacavir Medication
Journal of Personalized Medicine
adverse drug reaction
HLA-B*57:01
abacavir
proteome
hypersensitivity
title Unravelling the Proteomics of HLA-B*57:01<sup>+</sup> Antigen Presenting Cells during Abacavir Medication
title_full Unravelling the Proteomics of HLA-B*57:01<sup>+</sup> Antigen Presenting Cells during Abacavir Medication
title_fullStr Unravelling the Proteomics of HLA-B*57:01<sup>+</sup> Antigen Presenting Cells during Abacavir Medication
title_full_unstemmed Unravelling the Proteomics of HLA-B*57:01<sup>+</sup> Antigen Presenting Cells during Abacavir Medication
title_short Unravelling the Proteomics of HLA-B*57:01<sup>+</sup> Antigen Presenting Cells during Abacavir Medication
title_sort unravelling the proteomics of hla b 57 01 sup sup antigen presenting cells during abacavir medication
topic adverse drug reaction
HLA-B*57:01
abacavir
proteome
hypersensitivity
url https://www.mdpi.com/2075-4426/12/1/40
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