Identificador persistente para citar o vincular este elemento:
http://hdl.handle.net/10662/20211
Títulos: | The study of severe cutaneous drug hypersensitivity reactions from a systems biology perspective |
Autores/as: | Perkins, James R. Ayuso Parejo, Pedro Cornejo García, José Antonio Ranea, Juan A |
Palabras clave: | Biología de sistemas;Systems Biology;Síndrome Steven-Johnson;Células T;Steven-Johnson syndrome;T cells;Human leukocyte antigen;Antígeno leucocitario humano;Hypersensitivity drug reactions;Reacciones de hipersensibilidad a los medicamentos;Toxic epidermal necrolysis;Necrólisis epidérmica tóxica |
Fecha de publicación: | 2014 |
Editor/a: | Lippincott Williams & Wilkins |
Fuente: | 10.1097/ACI.0000000000000076 |
Resumen: | Purpose of review Stevens–Johnson syndrome and toxic epidermal necrolysis are severe hypersensitivity reactions, the majority of which are drug induced. The underlying mechanisms are not fully understood. Here, we review recent findings concerning both mechanistic and genetic factors related to these diseases and propose future approaches to unravel their complexity. Recent findings Genome-wide association study studies have identified several variants in the human leukocyte antigen region associated with these reactions. These are highly dependent on the population studied and the triggering drug. The T-cell receptor repertoire of the patient is also key. Fas–Fas ligand interactions, perforin and granulysin have also been identified as important players. Furthermore, a high-throughput gene expression study has identified a number of genes that increase in expression in patients during the acute phase of these reactions. Summary We review recent high-throughput studies on these diseases and suggest ways in which the data can be combined and reanalyzed using integrative systems biology techniques. We also suggest future lines of research using recent technology that could shed further light on their underlying mechanisms. |
URI: | http://hdl.handle.net/10662/20211 |
ISSN: | 1528-4050 1473-6322 |
Colección: | DTMQU - Artículos |
Archivos
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