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
Hauptverfasser: 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
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container_end_page 2832
container_issue 7
container_start_page 2819
container_title The Journal of clinical investigation
container_volume 128
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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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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