In-Vitro Approaches to Predict and Study T-Cell Mediated Hypersensitivity to Drugs

Naisbitt, Dean (2021) In-Vitro Approaches to Predict and Study T-Cell Mediated Hypersensitivity to Drugs. Frontiers in Immunology, 12. 630530-.

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Official URL: http://dx.doi.org/10.3389/fimmu.2021.630530

Abstract

Mitigating the risk of drug hypersensitivity reactions is an important facet of a given pharmaceutical, with poor performance in this area of safety often leading to warnings, restrictions and withdrawals. In the last 50 years, efforts to diagnose, manage, and circumvent these obscure, iatrogenic diseases have resulted in the development of assays at all stages of a drugs lifespan. Indeed, this begins with intelligent lead compound selection/design to minimize the existence of deleterious chemical reactivity through exclusion of ominous structural moieties. Preclinical studies then investigate how compounds interact with biological systems, with emphasis placed on modeling immunological/toxicological liabilities. During clinical use, competent and accurate diagnoses are sought to effectively manage patients with such ailments, and pharmacovigilance datasets can be used for stratification of patient populations in order to optimise safety profiles. Herein, an overview of some of the <i>in-vitro</i> approaches to predict intrinsic immunogenicity of drugs and diagnose culprit drugs in allergic patients after exposure is detailed, with current perspectives and opportunities provided.

Item Type:	Article
Uncontrolled Keywords:	drug hypersensitivity, in-vitro, preclinical, predictive, T-cell, immunogenicity
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology
Depositing User:	Symplectic Admin
Date Deposited:	17 May 2021 07:28
Last Modified:	18 Jan 2023 22:46
DOI:	10.3389/fimmu.2021.630530
Open Access URL:	https://doi.org/10.3389/fimmu.2021.630530
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3123006