Schutte Ryan J, Sun Yonghu, Li Danmeng, Zhang Furen, Ostrov David A
Department of Pathology, Immunology and Laboratory Medicine, University of Florida College of Medicine, University of Florida, PO Box 103633, Gainesville, FL 32610-3633, USA.
Department of Dermatology, Shandong Provincial Institute of Dermatology and Venereology, 27397 Jingshi Road, Jinan, Shandong 250022, PR China.
Clin Lab Med. 2018 Dec;38(4):669-677. doi: 10.1016/j.cll.2018.08.002.
Severe adverse drug reactions are a common cause of morbidity and mortality. Some of the most severe reactions are immunologically mediated and have been linked to specific HLA alleles. The mechanisms underlying HLA-associated drug hypersensitivity are complex and not fully understood. Recent findings have provided insight into recognition mechanisms underlying drug-induced immunopathogenesis and criteria for increasing positive prediction of hypersensitivity. Refining pharmocogenetic testing strategies to better identify at-risk individuals can improve hypersensitivity prevention and mechanism characterization.
严重药物不良反应是发病和死亡的常见原因。一些最严重的反应是由免疫介导的,并且与特定的HLA等位基因有关。HLA相关药物超敏反应的潜在机制复杂,尚未完全了解。最近的研究结果为药物诱导的免疫发病机制的识别机制和提高超敏反应阳性预测的标准提供了见解。完善药物遗传学检测策略以更好地识别高危个体,可以改善超敏反应的预防和机制表征。