A transgenic mouse model for HLA-B57:01–linked abacavir drug tolerance and reactivity
Adverse drug reactions (ADRs) are a major obstacle to drug development, and some of these, including hypersensitivity reactions to the HIV reverse transcriptase inhibitor abacavir (ABC), are associated with HLA alleles, particularly HLA-B*57:01. However, not all HLA-B*57:01+ patients develop ADRs, s...
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Veröffentlicht in: | The Journal of clinical investigation 2018-07, Vol.128 (7), p.2819-2832 |
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creator | Cardone, Marco Garcia, Karla Tilahun, Mulualem E Boyd, Lisa F Gebreyohannes, Sintayehu Yano, Masahide Roderiquez, Gregory Akue, Adovi D Juengst, Leslie Mattson, Elliot Ananthula, Suryatheja Natarajan, Kannan Puig, Montserrat Margulies, David H Norcross, Michael A |
description | Adverse drug reactions (ADRs) are a major obstacle to drug development, and some of these, including hypersensitivity reactions to the HIV reverse transcriptase inhibitor abacavir (ABC), are associated with HLA alleles, particularly HLA-B*57:01. However, not all HLA-B*57:01+ patients develop ADRs, suggesting that in addition to the HLA genetic risk, other factors may influence the outcome of the response to the drug. To study HLA-linked ADRs in vivo, we generated HLA-B*57:01-Tg mice and show that, although ABC activated Tg mouse CD8+ T cells in vitro in a HLA-B*57:01-dependent manner, the drug was tolerated in vivo. In immunocompetent Tg animals, ABC induced CD8+ T cells with an anergy-like phenotype that did not lead to ADRs. In contrast, in vivo depletion of CD4+ T cells prior to ABC administration enhanced DC maturation to induce systemic ABC-reactive CD8+ T cells with an effector-like and skin-homing phenotype along with CD8+ infiltration and inflammation in drug-sensitized skin. B7 costimulatory molecule blockade prevented CD8+ T cell activation. These Tg mice provide a model for ABC tolerance and for the generation of HLA-B*57:01-restricted, ABC-reactive CD8+ T cells dependent on both HLA genetic risk and immunoregulatory host factors. |
doi_str_mv | 10.1172/JCI99321. |
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However, not all HLA-B*57:01+ patients develop ADRs, suggesting that in addition to the HLA genetic risk, other factors may influence the outcome of the response to the drug. To study HLA-linked ADRs in vivo, we generated HLA-B*57:01-Tg mice and show that, although ABC activated Tg mouse CD8+ T cells in vitro in a HLA-B*57:01-dependent manner, the drug was tolerated in vivo. In immunocompetent Tg animals, ABC induced CD8+ T cells with an anergy-like phenotype that did not lead to ADRs. In contrast, in vivo depletion of CD4+ T cells prior to ABC administration enhanced DC maturation to induce systemic ABC-reactive CD8+ T cells with an effector-like and skin-homing phenotype along with CD8+ infiltration and inflammation in drug-sensitized skin. B7 costimulatory molecule blockade prevented CD8+ T cell activation. These Tg mice provide a model for ABC tolerance and for the generation of HLA-B*57:01-restricted, ABC-reactive CD8+ T cells dependent on both HLA genetic risk and immunoregulatory host factors.</description><identifier>ISSN: 0021-9738</identifier><identifier>EISSN: 1558-8238</identifier><identifier>DOI: 10.1172/JCI99321.</identifier><language>eng</language><publisher>Ann Arbor: American Society for Clinical Investigation</publisher><subject>Abacavir ; Anergy ; Antigens ; Antiretroviral drugs ; B7 antigen ; Biomedical research ; CD4 antigen ; CD8 antigen ; Cell activation ; Dendritic cells ; Drug development ; Drug tolerance ; Effector cells ; Histocompatibility antigen HLA ; HIV ; Human immunodeficiency virus ; Hypersensitivity ; Immunological tolerance ; Immunoregulation ; Infections ; Inflammation ; Lymphocytes ; Lymphocytes T ; Peptides ; Phenotypes ; RNA-directed DNA polymerase ; Skin ; T cell receptors ; Transgenic animals ; Transgenic mice ; Viral infections</subject><ispartof>The Journal of clinical investigation, 2018-07, Vol.128 (7), p.2819-2832</ispartof><rights>Copyright American Society for Clinical Investigation Jul 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Cardone, Marco</creatorcontrib><creatorcontrib>Garcia, Karla</creatorcontrib><creatorcontrib>Tilahun, Mulualem E</creatorcontrib><creatorcontrib>Boyd, Lisa F</creatorcontrib><creatorcontrib>Gebreyohannes, Sintayehu</creatorcontrib><creatorcontrib>Yano, Masahide</creatorcontrib><creatorcontrib>Roderiquez, Gregory</creatorcontrib><creatorcontrib>Akue, Adovi D</creatorcontrib><creatorcontrib>Juengst, Leslie</creatorcontrib><creatorcontrib>Mattson, Elliot</creatorcontrib><creatorcontrib>Ananthula, Suryatheja</creatorcontrib><creatorcontrib>Natarajan, Kannan</creatorcontrib><creatorcontrib>Puig, Montserrat</creatorcontrib><creatorcontrib>Margulies, David H</creatorcontrib><creatorcontrib>Norcross, Michael A</creatorcontrib><title>A transgenic mouse model for HLA-B57:01–linked abacavir drug tolerance and reactivity</title><title>The Journal of clinical investigation</title><description>Adverse drug reactions (ADRs) are a major obstacle to drug development, and some of these, including hypersensitivity reactions to the HIV reverse transcriptase inhibitor abacavir (ABC), are associated with HLA alleles, particularly HLA-B*57:01. However, not all HLA-B*57:01+ patients develop ADRs, suggesting that in addition to the HLA genetic risk, other factors may influence the outcome of the response to the drug. To study HLA-linked ADRs in vivo, we generated HLA-B*57:01-Tg mice and show that, although ABC activated Tg mouse CD8+ T cells in vitro in a HLA-B*57:01-dependent manner, the drug was tolerated in vivo. In immunocompetent Tg animals, ABC induced CD8+ T cells with an anergy-like phenotype that did not lead to ADRs. In contrast, in vivo depletion of CD4+ T cells prior to ABC administration enhanced DC maturation to induce systemic ABC-reactive CD8+ T cells with an effector-like and skin-homing phenotype along with CD8+ infiltration and inflammation in drug-sensitized skin. B7 costimulatory molecule blockade prevented CD8+ T cell activation. These Tg mice provide a model for ABC tolerance and for the generation of HLA-B*57:01-restricted, ABC-reactive CD8+ T cells dependent on both HLA genetic risk and immunoregulatory host factors.</description><subject>Abacavir</subject><subject>Anergy</subject><subject>Antigens</subject><subject>Antiretroviral drugs</subject><subject>B7 antigen</subject><subject>Biomedical research</subject><subject>CD4 antigen</subject><subject>CD8 antigen</subject><subject>Cell activation</subject><subject>Dendritic cells</subject><subject>Drug development</subject><subject>Drug tolerance</subject><subject>Effector cells</subject><subject>Histocompatibility antigen HLA</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Hypersensitivity</subject><subject>Immunological tolerance</subject><subject>Immunoregulation</subject><subject>Infections</subject><subject>Inflammation</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Peptides</subject><subject>Phenotypes</subject><subject>RNA-directed DNA polymerase</subject><subject>Skin</subject><subject>T cell receptors</subject><subject>Transgenic animals</subject><subject>Transgenic mice</subject><subject>Viral 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for HLA-B57:01–linked abacavir drug tolerance and reactivity</atitle><jtitle>The Journal of clinical investigation</jtitle><date>2018-07-01</date><risdate>2018</risdate><volume>128</volume><issue>7</issue><spage>2819</spage><epage>2832</epage><pages>2819-2832</pages><issn>0021-9738</issn><eissn>1558-8238</eissn><abstract>Adverse drug reactions (ADRs) are a major obstacle to drug development, and some of these, including hypersensitivity reactions to the HIV reverse transcriptase inhibitor abacavir (ABC), are associated with HLA alleles, particularly HLA-B*57:01. However, not all HLA-B*57:01+ patients develop ADRs, suggesting that in addition to the HLA genetic risk, other factors may influence the outcome of the response to the drug. To study HLA-linked ADRs in vivo, we generated HLA-B*57:01-Tg mice and show that, although ABC activated Tg mouse CD8+ T cells in vitro in a HLA-B*57:01-dependent manner, the drug was tolerated in vivo. In immunocompetent Tg animals, ABC induced CD8+ T cells with an anergy-like phenotype that did not lead to ADRs. In contrast, in vivo depletion of CD4+ T cells prior to ABC administration enhanced DC maturation to induce systemic ABC-reactive CD8+ T cells with an effector-like and skin-homing phenotype along with CD8+ infiltration and inflammation in drug-sensitized skin. B7 costimulatory molecule blockade prevented CD8+ T cell activation. These Tg mice provide a model for ABC tolerance and for the generation of HLA-B*57:01-restricted, ABC-reactive CD8+ T cells dependent on both HLA genetic risk and immunoregulatory host factors.</abstract><cop>Ann Arbor</cop><pub>American Society for Clinical Investigation</pub><doi>10.1172/JCI99321.</doi></addata></record> |
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subjects | Abacavir Anergy Antigens Antiretroviral drugs B7 antigen Biomedical research CD4 antigen CD8 antigen Cell activation Dendritic cells Drug development Drug tolerance Effector cells Histocompatibility antigen HLA HIV Human immunodeficiency virus Hypersensitivity Immunological tolerance Immunoregulation Infections Inflammation Lymphocytes Lymphocytes T Peptides Phenotypes RNA-directed DNA polymerase Skin T cell receptors Transgenic animals Transgenic mice Viral infections |
title | A transgenic mouse model for HLA-B57:01–linked abacavir drug tolerance and reactivity |
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