Evidence map›Paper›PMID 26254049›Full record

ReviewThe Journal of allergy and clinical immunology2015

Evolving models of the immunopathogenesis of T cell-mediated drug allergy: The role of host, pathogens, and drug response.

Katie D White, Wen-Hung Chung, Shuen-Iu Hung, Simon Mallal, Elizabeth J Phillips

Open access · greenAbstract readReview
In one paragraph

Review in The Journal of allergy and clinical immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 2 pooled it
21.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 2 syntheses or guidelines pooled it, 224 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Preventing adverse drug reactions and more: current clinical use of pharmacogenetic testing.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2025
    Article
  10. Mechanisms of drug induced liver injury.Cellular and molecular life sciences : CMLS · 2025
    Review
  11. Review
  12. Article
  13. Article
  14. Drug hypersensitivity reactions: review of the state of the science for prediction and diagnosis.Toxicological sciences : an official journal of the Society of Toxicology · 2024
    Review
  15. Article
  16. Severe cutaneous adverse reactions.Nature reviews. Disease primers · 2024
    Review
  17. Article
  18. Review
  19. Review
  20. Article

52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Katie D WhiteDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Wen-Hung ChungDepartment of Dermatology, Chang Gung Memorial Hospital, Keelung, Taiwan; Department of Dermatology, Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Shuen-Iu HungProgram in Molecular Medicine, Institute of Pharmacology, School of Medicine, Infection and Immunity Research Center, National Yang-Ming University, Taipei, Taiwan.
Simon MallalDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn; Institute for Immunology and Infectious Diseases, Murdoch University, Murdoch, Australia.
Elizabeth J PhillipsDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn; Institute for Immunology and Infectious Diseases, Murdoch University, Murdoch, Australia. Electronic address: elizabeth.j.phillips@vanderbilt.edu.
Vanderbilt University Medical Center · USKeelung Chang Gung Memorial Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

Understanding and preventing HLA-associated drug reactionsP50GM115305 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENNY, JOSHUA C. · 2015 to 2019
$13.0M
NIGMS NIH HHS P50 GM115305NIGMS NIH HHS P50GM115305
6 · The paper itself

Abstract

Immune-mediated (IM) adverse drug reactions (ADRs) are an underrecognized source of preventable morbidity, mortality, and cost. Increasingly, genetic variation in the HLA loci is associated with risk of severe reactions, highlighting the importance of T-cell immune responses in the mechanisms of both B cell-mediated and primary T cell-mediated IM-ADRs. In this review we summarize the role of host genetics, microbes, and drugs in IM-ADR development; expand on the existing models of IM-ADR pathogenesis to address multiple unexplained observations; discuss the implications of this work in clinical practice today; and describe future applications for preclinical drug toxicity screening, drug design, and development.

Indexed as

AbacavirAllopurinolB-LymphocytesCarbamazepineDideoxynucleosidesDrug HypersensitivityGene Expression RegulationGenetic LociHLA AntigensHumansModels, ImmunologicalPharmacogeneticsStevens-Johnson SyndromeT-LymphocytesVirus DiseasesAbacavirAllopurinolCarbamazepineDideoxynucleosidesHLA AntigensAbacaviradverse drug reactionallopurinolaltered peptidecarbamazepinedrug reaction with eosinophilia and systemic symptomshaptenheterologous immunityhuman herpesvirushuman leukocyte antigenmajor histocompatibility complexpharmacogeneticspharmacogenomicsp-iStevens-Johnson syndromeT-cell receptortoxic epidermal necrolysis

Identifiers

PMID26254049
PMCPMC4577472
OpenAlexW2158965677

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.