HLA-DRB1*07:01 is associated with a higher risk of asparaginase allergies

Author:

Fernandez Christian A.1,Smith Colton1,Yang Wenjian1,Daté Mihir2,Bashford Donald2,Larsen Eric3,Bowman W. Paul4,Liu Chengcheng1,Ramsey Laura B.1,Chang Tamara1,Turner Victoria5,Loh Mignon L.6,Raetz Elizabeth A.7,Winick Naomi J.8,Hunger Stephen P.9,Carroll William L.7,Onengut-Gumuscu Suna10,Chen Wei-Min10,Concannon Patrick11,Rich Stephen S.10,Scheet Paul12,Jeha Sima13,Pui Ching-Hon13,Evans William E.1,Devidas Meenakshi14,Relling Mary V.1

Affiliation:

1. Department of Pharmaceutical Sciences, and

2. Department of Structural Biology, St. Jude Children’s Research Hospital, Memphis, TN;

3. Maine Children’s Cancer Program, Scarborough, ME;

4. Department of Hematology and Oncology, Cook Children's Medical Center, Fort Worth, TX;

5. Department of Pathology, St. Jude Children’s Research Hospital, Memphis, TN;

6. Department of Pediatrics, University of California School of Medicine, San Francisco, CA;

7. Department of Pediatrics, New York University Medical Center, NY;

8. University of Texas Southwestern Medical Center, Dallas, TX;

9. Section of Pediatric Hematology/Oncology/Bone Marrow Transplantation and Center for Cancer and Blood Disorders, University of Colorado Denver School of Medicine, Children’s Hospital Colorado, Aurora, CO;

10. Center for Public Health Genomics, University of Virginia, Charlottesville, VA;

11. Genetics Institute, University of Florida, Gainesville, FL;

12. Department of Epidemiology, University of Texas M. D. Anderson Cancer Center, Houston, TX;

13. Department of Oncology, St. Jude Children’s Research Hospital, Memphis, TN; and

14. Department of Biostatistics, College of Medicine, University of Florida, Gainesville, FL

Abstract

Key PointsHLA-DRB1*07:01 is associated with asparaginase hypersensitivity and anti-asparaginase antibodies. HLA-DRB1 alleles that confer high-affinity binding to asparaginase epitopes lead to a higher frequency of hypersensitivity.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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