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Abacavir induced T cell reactivity from drug naive individuals shares features of allo-immune responses.


ABSTRACT: Abacavir hypersensitivity is a severe hypersensitivity reaction which occurs exclusively in carriers of the HLA-B*57?01 allele. In vitro culture of PBMC with abacavir results in the outgrowth of abacavir-reacting CD8+ T cells, which release IFN? and are cytotoxic. How this immune response is induced and what is recognized by these T cells is still a matter of debate. We analyzed the conditions required to develop an abacavir-dependent T cell response in vitro. The abacavir reactivity was independent of co-stimulatory signals, as neither DC maturation nor release of inflammatory cytokines were observed upon abacavir exposure. Abacavir induced T cells arose in the absence of professional APC and stemmed from naïve and memory compartments. These features are reminiscent of allo-reactivity. Screening for allo-reactivity revealed that about 5% of generated T cell clones (n?=?136) from three donors were allo-reactive exclusively to the related HLA-B*58?01. The addition of peptides which can bind to the HLA-B*57?01-abacavir complex and to HLA-B*58?01 during the induction phase increased the proportion of HLA-B*58?01 allo-reactive T cell clones from 5% to 42%. In conclusion, abacavir can alter the HLA-B*57?01-peptide complex in a way that mimics an allo-allele ('altered self-allele') and create the potential for robust T cell responses.

SUBMITTER: Adam J 

PROVIDER: S-EPMC3994040 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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Abacavir induced T cell reactivity from drug naïve individuals shares features of allo-immune responses.

Adam Jacqueline J   Wuillemin Natascha N   Watkins Stephan S   Jamin Heidi H   Eriksson Klara K KK   Villiger Peter P   Fontana Stefano S   Pichler Werner J WJ   Yerly Daniel D  

PloS one 20140421 4


Abacavir hypersensitivity is a severe hypersensitivity reaction which occurs exclusively in carriers of the HLA-B*57∶01 allele. In vitro culture of PBMC with abacavir results in the outgrowth of abacavir-reacting CD8+ T cells, which release IFNγ and are cytotoxic. How this immune response is induced and what is recognized by these T cells is still a matter of debate. We analyzed the conditions required to develop an abacavir-dependent T cell response in vitro. The abacavir reactivity was indepen  ...[more]

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