HLA Associations and Clinical Implications in T-Cell Mediated Drug Hypersensitivity Reactions: An Updated Review

T-cell mediated drug hypersensitivity reactions may range from mild rash to severe fatal reactions. Among them, drug reaction with eosinophilia and systemic symptoms (DRESS) or drug-induced hypersensitivity syndrome (DIHS), Stevens-Johnson syndrome/ toxic epidermal necrolysis (SJS/TEN), are some of...

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Autors principals: Chi-Yuan Cheng, Shih-Chi Su, Chi-Hua Chen, Wei-Li Chen, Shin-Tarng Deng, Wen-Hung Chung
Format: Article
Idioma:English
Publicat: Hindawi Limited 2014-01-01
Col·lecció:Journal of Immunology Research
Accés en línia:http://dx.doi.org/10.1155/2014/565320
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author Chi-Yuan Cheng
Shih-Chi Su
Chi-Hua Chen
Wei-Li Chen
Shin-Tarng Deng
Wen-Hung Chung
author_facet Chi-Yuan Cheng
Shih-Chi Su
Chi-Hua Chen
Wei-Li Chen
Shin-Tarng Deng
Wen-Hung Chung
author_sort Chi-Yuan Cheng
collection DOAJ
description T-cell mediated drug hypersensitivity reactions may range from mild rash to severe fatal reactions. Among them, drug reaction with eosinophilia and systemic symptoms (DRESS) or drug-induced hypersensitivity syndrome (DIHS), Stevens-Johnson syndrome/ toxic epidermal necrolysis (SJS/TEN), are some of the most life-threatening severe cutaneous adverse reactions (SCARs). Recent advances in pharmacogenetic studies show strong genetic associations between human leukocyte antigen (HLA) alleles and susceptibility to drug hypersensitivity. This review summarizes the literature on recent progresses in pharmacogenetic studies and clinical application of pharmacogenetic screening based on associations between SCARs and specific HLA alleles to avoid serious conditions associated with drug hypersensitivity.
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spelling doaj.art-fccfb6d3d9a64b51a9090a2c99ccae542024-11-02T05:15:26ZengHindawi LimitedJournal of Immunology Research2314-88612314-71562014-01-01201410.1155/2014/565320565320HLA Associations and Clinical Implications in T-Cell Mediated Drug Hypersensitivity Reactions: An Updated ReviewChi-Yuan Cheng0Shih-Chi Su1Chi-Hua Chen2Wei-Li Chen3Shin-Tarng Deng4Wen-Hung Chung5Department of Pharmacy Administration, Chang Gung Memorial Hospital, Linkou 33305, TaiwanDepartment of Dermatology, Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospitals, Linkou 33305, TaiwanDepartment of Pharmacy Administration, Chang Gung Memorial Hospital, Linkou 33305, TaiwanDepartment of Pharmacy Administration, Chang Gung Memorial Hospital, Linkou 33305, TaiwanDepartment of Pharmacy Administration, Chang Gung Memorial Hospital, Linkou 33305, TaiwanDepartment of Dermatology, Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospitals, Linkou 33305, TaiwanT-cell mediated drug hypersensitivity reactions may range from mild rash to severe fatal reactions. Among them, drug reaction with eosinophilia and systemic symptoms (DRESS) or drug-induced hypersensitivity syndrome (DIHS), Stevens-Johnson syndrome/ toxic epidermal necrolysis (SJS/TEN), are some of the most life-threatening severe cutaneous adverse reactions (SCARs). Recent advances in pharmacogenetic studies show strong genetic associations between human leukocyte antigen (HLA) alleles and susceptibility to drug hypersensitivity. This review summarizes the literature on recent progresses in pharmacogenetic studies and clinical application of pharmacogenetic screening based on associations between SCARs and specific HLA alleles to avoid serious conditions associated with drug hypersensitivity.http://dx.doi.org/10.1155/2014/565320
spellingShingle Chi-Yuan Cheng
Shih-Chi Su
Chi-Hua Chen
Wei-Li Chen
Shin-Tarng Deng
Wen-Hung Chung
HLA Associations and Clinical Implications in T-Cell Mediated Drug Hypersensitivity Reactions: An Updated Review
Journal of Immunology Research
title HLA Associations and Clinical Implications in T-Cell Mediated Drug Hypersensitivity Reactions: An Updated Review
title_full HLA Associations and Clinical Implications in T-Cell Mediated Drug Hypersensitivity Reactions: An Updated Review
title_fullStr HLA Associations and Clinical Implications in T-Cell Mediated Drug Hypersensitivity Reactions: An Updated Review
title_full_unstemmed HLA Associations and Clinical Implications in T-Cell Mediated Drug Hypersensitivity Reactions: An Updated Review
title_short HLA Associations and Clinical Implications in T-Cell Mediated Drug Hypersensitivity Reactions: An Updated Review
title_sort hla associations and clinical implications in t cell mediated drug hypersensitivity reactions an updated review
url http://dx.doi.org/10.1155/2014/565320
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