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Establishment of the method evaluating the risk for idiosyncratic adverse drug reactions.

Research Project

Project/Area Number 26670074
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Medical pharmacy
Research InstitutionThe University of Tokyo

Principal Investigator

Suzuki Hiroshi  東京大学, 医学部附属病院, 教授 (80206523)

Co-Investigator(Kenkyū-buntansha) HONMA Masashi  東京大学, 医学部附属病院, 特任准教授 (60401072)
Project Period (FY) 2014-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords薬剤反応性 / 免疫学 / 生体分子 / トランスレーショナルリサーチ
Outline of Final Research Achievements

It has been indicated that genetic backgrounds of patients largely affect the risk for idiosyncratic adverse drug reactions. The interaction between HLA-B*57:01 and abacavir was well characterized and it might trigger immune reactions. We examined whether similar "HLA-drug" interactions are observed in the case of seven combinations of HLA-B genotypes and drugs. As a result, only one combination, B*35:05 and nevirapine, showed the strong interaction as observed in B*57:01 and abacavir. It was assumed that nevirapine associates to the antigen presenting pocket of HLA molecule due to the differences in primary sequence of B*35:05 and its negative control. Indeed, the tendency of peptide repertoire presented by B*35:05 changed in the presence of nevirapine. Refolding experiments using denatured HLA protein also supported this interaction.
On the other hand, it would be need to consider different mechanisms of the interaction in other combinations including B*15:02 and carbamazepine.

Report

(3 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • Research Products

    (3 results)

All 2016 2015

All Presentation (3 results) (of which Invited: 1 results)

  • [Presentation] 特異体質性副作用発現に関与するHLAタンパク質-薬物分子の相互作用の解析2016

    • Author(s)
      長屋仁織、本間雅、苅谷嘉顕、加藤智起、池淵祐樹、鈴木洋史
    • Organizer
      日本薬学会第136年会
    • Place of Presentation
      横浜
    • Year and Date
      2016-03-26
    • Related Report
      2015 Annual Research Report
  • [Presentation] 特異体質性薬物副作用の解析2016

    • Author(s)
      本間雅、長屋仁織、苅谷嘉顕、池淵祐樹、鈴木洋史
    • Organizer
      東京大学医学部附属病院先端医療シーズ開発フォーラム2016
    • Place of Presentation
      東京
    • Year and Date
      2016-02-02
    • Related Report
      2015 Annual Research Report
  • [Presentation] 薬物副作用に関するトランスレーショナル研究サイクル2015

    • Author(s)
      本間雅
    • Organizer
      日本薬物動態学会第30年会
    • Place of Presentation
      東京
    • Year and Date
      2015-11-12
    • Related Report
      2015 Annual Research Report
    • Invited

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Published: 2014-04-04   Modified: 2017-05-10  

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