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严重药物不良反应再探。

Severe drug eruptions revisited.

机构信息

Singapore Immunology Network (SIgN), Agency for Science, Technology and Research (A*STAR), Biopolis, Singapore.

出版信息

Immunol Res. 2012 Sep;53(1-3):162-7. doi: 10.1007/s12026-012-8271-0.

DOI:10.1007/s12026-012-8271-0
PMID:22407574
Abstract

Genetic and non-genetic factors can alter the action of a medicinal drug, resulting in a wide range of responses in different individuals. Among the many potential side effects of therapies, a drug eruption is an adverse drug reaction in the skin. Genetic associations between HLA haplotype and drug eruption have been reported, and immune responses against latent herpesvirus have also been implicated in some forms of this syndrome. We believe that it is essential to understand the immune mechanisms by which some drugs induce hypersensitivity so that we can better target these pathways to limit drug side effects. The identification of patient risk factors for drug eruptions will allow the rational design of novel immunotherapies for these life-threatening reactions, and the development of alternative interventions for high-risk patients.

摘要

遗传和非遗传因素可改变药物的作用,导致不同个体出现广泛的反应。在治疗的众多潜在副作用中,药物疹是皮肤的一种药物不良反应。已有报道称 HLA 单倍型与药物疹之间存在遗传关联,某些形式的这种综合征也与针对潜伏疱疹病毒的免疫反应有关。我们认为,了解某些药物引发过敏反应的免疫机制至关重要,这样我们才能更好地针对这些途径来限制药物副作用。确定药物疹患者的风险因素将有助于为这些危及生命的反应设计合理的新免疫疗法,并为高风险患者开发替代干预措施。

相似文献

1
Severe drug eruptions revisited.严重药物不良反应再探。
Immunol Res. 2012 Sep;53(1-3):162-7. doi: 10.1007/s12026-012-8271-0.
2
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Clin Rev Allergy Immunol. 2015 Oct;49(2):192-202. doi: 10.1007/s12016-014-8421-3.
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Pharmacogenomics of drug-induced hypersensitivity reactions: challenges, opportunities and clinical implementation.药物诱导过敏反应的药物基因组学:挑战、机遇和临床实施。
Asian Pac J Allergy Immunol. 2014 Jun;32(2):111-23.
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A recent update of pharmacogenomics in drug-induced severe skin reactions.药物诱导严重皮肤反应的药物基因组学最新进展。
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Reactivation of human herpesvirus (HHV) family members other than HHV-6 in drug-induced hypersensitivity syndrome.药物性超敏反应综合征中除人疱疹病毒6型(HHV - 6)以外的其他人类疱疹病毒(HHV)家族成员的再激活
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本文引用的文献

1
The DRESS syndrome: a literature review.药物反应伴嗜酸性粒细胞增多和全身性症状(DRESS)综合征:文献综述。
Am J Med. 2011 Jul;124(7):588-97. doi: 10.1016/j.amjmed.2011.01.017. Epub 2011 May 17.
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HLA-A*3101 and carbamazepine-induced hypersensitivity reactions in Europeans.HLA-A*3101 与卡马西平诱导的欧洲人过敏反应。
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Carbamazepine-induced toxic effects and HLA-B*1502 screening in Taiwan.台湾的卡马西平诱导的毒性作用和 HLA-B*1502 筛查。
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New aspects of drug-induced hypersensitivity syndrome.药物诱导的超敏反应综合征的新方面。
J Dermatol. 2011 Mar;38(3):222-8. doi: 10.1111/j.1346-8138.2010.01176.x.
5
Genome-wide association study identifies HLA-A*3101 allele as a genetic risk factor for carbamazepine-induced cutaneous adverse drug reactions in Japanese population.全基因组关联研究发现 HLA-A*3101 等位基因是日本人群卡马西平诱导皮肤不良反应的遗传风险因素。
Hum Mol Genet. 2011 Mar 1;20(5):1034-41. doi: 10.1093/hmg/ddq537. Epub 2010 Dec 10.
6
Drug reaction with eosinophilia and systemic symptoms (DRESS): a multiorgan antiviral T cell response.药物反应伴嗜酸性粒细胞增多和全身症状(DRESS):一种多器官抗病毒 T 细胞反应。
Sci Transl Med. 2010 Aug 25;2(46):46ra62. doi: 10.1126/scitranslmed.3001116.
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T-cell recognition of chemicals, protein allergens and drugs: towards the development of in vitro assays.T 细胞对化学物质、蛋白过敏原和药物的识别:朝着体外检测方法的发展。
Cell Mol Life Sci. 2010 Dec;67(24):4171-84. doi: 10.1007/s00018-010-0495-3. Epub 2010 Aug 18.
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Infectious mononucleosis.传染性单核细胞增多症
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High-level human herpesvirus-6 viremia associated with onset of Stevens-Johnson syndrome: report of two cases.与史蒂文斯-约翰逊综合征发病相关的高水平人疱疹病毒6型病毒血症:两例报告
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Association of HLA-B*1502 allele and carbamazepine-induced Stevens-Johnson syndrome among Indians.中国人 HLA-B*1502 等位基因与卡马西平诱导的 Stevens-Johnson 综合征相关。
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