Evidence map›Paper›PMID 33717075›Full record

ReviewFrontiers in immunology2021

The Roles of Immunoregulatory Networks in Severe Drug Hypersensitivity.

Yun-Shiuan Olivia Hsu, Kun-Lin Lu, Yun Fu, Chuang-Wei Wang, Chun-Wei Lu, Yu-Fen Lin, Wen-Cheng Chang, Kun-Yun Yeh, Shuen-Iu Hung, Wen-Hung Chung and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
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  8. Skin Infiltrate Composition as a Telling Measure of Responses to Checkpoint Inhibitors.JID innovations : skin science from molecules to population health · 2023
    Article
  9. Article
  10. Review
  11. Review
  12. Review
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  14. Article
  15. Genophenotypic Factors and Pharmacogenomics in Adverse Drug Reactions.International journal of molecular sciences · 2021
    Review
  16. Review
  17. Article
  18. Review
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

11 authors at 3 institutions in 2 countries.

Yun-Shiuan Olivia HsuDepartment of Medical Education, Chang Gung Memorial Hospital, Linkou, Taiwan.
Kun-Lin LuCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Yun FuCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chuang-Wei WangCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chun-Wei LuCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Yu-Fen LinImmune-Oncology Center of Excellence, Chang Gung Memorial Hospital, Linkou, Taiwan.
Wen-Cheng ChangCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Kun-Yun YehCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Shuen-Iu HungCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Wen-Hung ChungCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chun-Bing ChenCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chang Gung University · TWChang Gung Memorial Hospital · TWBeijing Tsinghua Chang Gung Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The immunomodulatory effects of regulatory T cells (Tregs) and co-signaling receptors have gained much attention, as they help balance immunogenic and immunotolerant responses that may be disrupted in autoimmune and infectious diseases. Drug hypersensitivity has a myriad of manifestations, which ranges from the mild maculopapular exanthema to the severe Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and drug reaction with eosinophilia and systemic symptoms/drug-induced hypersensitivity syndrome (DRESS/DIHS). While studies have identified high-risk human leukocyte antigen (HLA) allotypes, the presence of the HLA allotype at risk is not sufficient to elicit drug hypersensitivity. Recent studies have suggested that insufficient regulation by Tregs may play a role in severe hypersensitivity reactions. Furthermore, immune checkpoint inhibitors, such as anti-CTLA-4 or anti-PD-1, in cancer treatment also induce hypersensitivity reactions including SJS/TEN and DRESS/DIHS. Taken together, mechanisms involving both Tregs as well as coinhibitory and costimulatory receptors may be crucial in the pathogenesis of drug hypersensitivity. In this review, we summarize the currently implicated roles of co-signaling receptors and Tregs in delayed-type drug hypersensitivity in the hope of identifying potential pharmacologic targets.

Indexed as

ImmunomodulationAnimalsBiomarkersCostimulatory and Inhibitory T-Cell ReceptorsCytokinesDiagnosis, DifferentialDisease SusceptibilityDrug HypersensitivityGene Expression RegulationHumansSeverity of Illness IndexSignal TransductionT-Lymphocyte SubsetsBiomarkersCostimulatory and Inhibitory T-Cell ReceptorsCytokinescontact dermatitiscosignaling pathwaysdelayed type hypersensitivitydrug reaction with eosinophilia and systemic symptomsimmune checkpointsregulatory T cellsStevens-Johnson Syndrometoxic epidermal necrolysis

Identifiers

PMID33717075
PMCPMC7953830
OpenAlexW3134545850

What OpenQuestion holds

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LicenceCC BY
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.