Article
HLA DRB1*15:01-DQB1*06:02-Restricted Human CD4+ T Cells Are Selectively Activated With Amoxicillin-Peptide Adducts.
Toxicological sciences : an official journal of the Society of Toxicology - 1 Nov 2020
Tailor Arun, Meng Xiaoli, Adair Kareena, Farrell John, Waddington James C, Daly Ann, Pirmohamed Munir, Dear Gordon, Park B Kevin, Naisbitt Dean J
Abstract excerpt
Amoxicillin-clavulanate is the most common cause of idiosyncratic drug-induced liver injury (DILI). Drug-specific CD4+ T cells have been detected in patients with DILI, suggestive of an immune etiology. Furthermore, genetic associations including the human leucocyte antigen (HLA) DRB1*15:01-DQB1*06:02 haplotype influence susceptibility. Amoxicillin forms protein adducts that are postulated to activate T cells, by...
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