Principles of Immunopharmacology pp 117-127 | Cite as
Immune response in human pathology: hypersensitivity and autoimmunity
Summary
The immune system is a complex network and inadvertent immunological reactivity can result in HYPERSENSITIVITY or autoimmunity. Nearly every chemical can induce HYPERSENSITIVITY reactions which can affect nearly every organ or tissue of the body. One organ or tissue, however, is often a predominant target. Anaphylactic shock, skin reactions, and cytopenias are the most frequent reactions. HYPERSENSITIVITY reactions can be either immunemediated or non-immune-mediated (pseudoallergy). A number of different mechanisms are involved and risk factors can serve as triggers. Autoimmunity is still a mystery even though autoimmune diseases are relatively common. Spontaneous autoimmune diseases as well as drug- and chemical-induced autoimmune reactions are divided into systemic and organ-specific. Our current understanding of the mechanisms involved in these adverse reactions is very limited.
Keywords
Systemic Lupus Erythematosus Hypersensitivity Reaction Contact Dermatitis Allergy Clin Immunol Toxic Epidermal NecrolysisPreview
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Selected readings
- Descotes J (ed.) (2004) Immunotoxicity of Drugs and Chemicals: An Experimental and Clinical Approach. Vol. 1: Principles and Methods of Immunotoxicology. Elsevier, AmsterdamGoogle Scholar
- Holgate ST, Church MK, Lichtenstein LM (2000) Allergy (2nd Edition). Mosby, LondonGoogle Scholar
- Gorski A, Krotkiewski H, Zimecki M (2001) Autoimmunity. Kluwer Academic Publishers, Dordrecht, BostonGoogle Scholar
References
- 1.Descotes J (2004) Health consequences of immunotoxic effects. In: Descotes J (ed): Immunotoxicity of Drugs and Chemicals, 3rd edition. Elsevier, Amsterdam, 55–126Google Scholar
- 2.Demoly P, Bousquet J (2001) Epidemiology of drug allergy. Curr Opin Allergy Clin Immunol 1: 305–310PubMedGoogle Scholar
- 3.Choquet-Kastylevsky G, Vial T, Descotes J (2001) Drug allergy diagnosis in humans: possibilities and pitfalls. Toxicology 158: 1–10CrossRefPubMedGoogle Scholar
- 4.Bochner BS, Lichtenstein LM (1991) Anaphylaxis. N Engl J Med 324: 1785–1790PubMedGoogle Scholar
- 5.Klein JS, Yocum MN (1995) Underreporting of anaphylaxis in a community emergency room. J Clin Allergy Immunol 95: 637–638Google Scholar
- 6.Gruchalla RS (2003) Drug allergy. J Allergy Clin Immunol 111(Suppl): 548–559Google Scholar
- 7.Greenberger PA (1999) Allergic emergencies in the physician’s office. Clin Rev Allergy Immunol 17: 401–412PubMedGoogle Scholar
- 8.Wolkenstein P, Revuz J (1995) Drug-induced severe skin reactions. Drug Saf 13: 56–68PubMedGoogle Scholar
- 9.Svensson CR, Cowen EW, Gaspari AA (2000) Cutaneous drug reactions. Pharmacol Rev 53: 357–379Google Scholar
- 10.Pichler W, Yawalkar N, Schmid S, Helbling A (2002) Pathogenesis of drug-induced exanthems. Allergy 57: 884–893PubMedGoogle Scholar
- 11.Andersen KE, Maibach HI (1980) Allergic reaction to drugs used topically. Clin Toxicol 16: 415–465PubMedGoogle Scholar
- 12.Fritsch PO, Sidoroff A (2000) Drug-induced Stevens-Johnson syndrome/toxic epidermal necrolysis. Am J Clin Dermatol 1: 349–360CrossRefPubMedGoogle Scholar
- 13.Roujeau JC, Kelly JP, Naldi L, Rzany B, Stern RS, Anderson T, Auquier A, Bastuji-Garin S, Correia O, Locati F et al (1995) Medication and risk of Stevens-Johnson syndrome or toxic epidermal necrolysis. N Engl J Med 333: 1600–1607CrossRefPubMedGoogle Scholar
- 14.Bocquet H, Bagot M, Roujeau JC (1996) Drug-induced pseudolymphoma and drug hypersensitivity syndrome (Drug Rash with Eosinophilia and Systemic Symptoms: DRESS). Semin Cutan Med Surg 15: 250–257PubMedGoogle Scholar
- 15.Danielson DA, Douglas SW, Herzog J, Jick H, Porter JB (1984) Drug-induced blood disorders. JAMA 252: 3257–3260CrossRefPubMedGoogle Scholar
- 16.Salama A, Mueller-Eckhardt C (1986) Two types of nomifensine-induced immune haemolytic anaemias: drug-dependent sensitization and/or autoimmunization. Br J Haematol 64: 613–620PubMedGoogle Scholar
- 17.Thompson JW, Jacobs RF (1993) Adverse effects of newer cephalosporins. An update. Drug Saf 9: 132–142PubMedGoogle Scholar
- 18.Warkentin TE (2002) Heparin-induced thrombocytopenia. Curr Hematol Rep 1: 63–72PubMedGoogle Scholar
- 19.Liu ZX, Kaplowitz N (2002) Immune-mediated drug-induced liver disease. Clin Liver Dis 6: 467–486Google Scholar
- 20.Alexopoulos E (1998) Drug-induced acute interstitial nephritis. Renal Failure 20: 809–819PubMedGoogle Scholar
- 21.Limper AH, Rosenow EC (1996) Drug-induced interstitial lung disease. Curr Opin Pulm Med 2: 396–404PubMedGoogle Scholar
- 22.Park BK, Naisbitt DJ, Gordon SF, Kitteringham NR, Pirmohamed M (2001) Metabolic activation in drug allergies. Toxicology 158: 11–23CrossRefPubMedGoogle Scholar
- 23.The International Collaborative Study of Severe Anaphylaxis (1998) An epidemiological study of severe anaphylactic and anaphylactoid reactions among hospital patients: methods and overall risks. Epidemiology 9: 141–146Google Scholar
- 24.Baldo BA, Pham NH, Zhao Z (2001) Chemistry of drug allergenicity. Curr Opin Allergy Clin Immunol 1: 327–335PubMedGoogle Scholar
- 25.Descotes J, Choquet-Kastylevsky G (2001) The Gell and Coombs classification: is it still valid? Toxicology 158: 43–49CrossRefPubMedGoogle Scholar
- 26.Rajan TV (2003) The Gell-Coombs classification of hypersensitivity reactions: a re-interpretation. Trends Immunol 24: 376–379CrossRefPubMedMathSciNetGoogle Scholar
- 27.Pichler WJ (2003) Delayed drug hypersensitivity reactions. Ann Intern Med 139: 683–693PubMedGoogle Scholar
- 28.Zuberbier T (1999) Pseudoallergy or nonallergic hypersensitivity. Allergy 54: 397–398CrossRefPubMedGoogle Scholar
- 29.Wallace MR, Mascola JR, Oldfield EC (1991) Red man syndrome: incidence, etiology, and prophylaxis. J Infect Dis 164: 1180–1185PubMedGoogle Scholar
- 30.Szebeni J (2001) Complement activation-related pseudoallergy caused by liposomes, micellar carriers of intravenous drugs, and radiocontrast agents. Crit Rev Ther Drug Carrier Syst 18: 567–606PubMedGoogle Scholar
- 31.Szczeklik A, Stevenson DD (2003) Aspirin-induced asthma: advances in pathogenesis, diagnosis, and management. J Allergy Clin Immunol 111: 913–921CrossRefPubMedGoogle Scholar
- 32.Agostoni A, Cicardi M, Cugno M, Zingale LC, Gioffre D, Nussberger J (1999) Angioedema due to angiotensin-converting enzyme inhibitors. Immunopharmacology 4: 21–25Google Scholar
- 33.Jacobson DL, Gange SJ, Rose NR, Graham NM (1997) Epidemiology and estimated population burden of selected autoimmune diseases in the United States. Clin Immunol Immunopathol 84: 223–243CrossRefPubMedGoogle Scholar
- 34.Bigazzi PE (1997) Auto-immunity induced by xenobiotics. Toxicology 119: 1–21CrossRefPubMedGoogle Scholar
- 35.Vial T, Nicolas B, Descotes J (1997) Drug-induced autoimmunity. Experience of the French Pharmacovigilance system. Toxicology 119: 23–27CrossRefPubMedGoogle Scholar
- 36.Vial T, Chevrel G, Descotes J (2000) Drugs acting on the immune system. In: MNG Dukes, JK Aronson (eds): Meyler’s Side-Effects of Drugs, 14th edition. Elsevier Sciences, Amsterdam, 1246–1337Google Scholar
- 37.Rubin RL (1999) Etiology and mechanisms of druginduced lupus. Curr Opin Rheumatol 11: 357–363CrossRefPubMedGoogle Scholar
- 38.Behan PO, Behan WM, Zacharias FJ, Nicholls JT (1976) Immunological abnormalities in patients who had the oculomucocutaneous syndrome associated with practolol therapy. Lancet 2: 984–987PubMedGoogle Scholar
- 39.Piyasirisilp S, Hemachudha T (2002) Neurological adverse events associated with vaccination. Curr Opin Neurol 15: 333–338CrossRefPubMedGoogle Scholar
- 40.Penn AS, Low BW, Jaffe IA, Luo L, Jacques JJ (1998) Drug-induced autoimmune myasthenia gravis. Ann NY Acad Sci 841: 433–449PubMedGoogle Scholar
- 41.Pearce EN, Farwell AP, Braverman LE (2003) Thyroiditis. N Engl J Med 348: 2646–2655CrossRefPubMedGoogle Scholar
- 42.Beaune PH, Lecoeur S (1997) Immunotoxicology of the liver: adverse reactions to drugs. J Hepatol 26(Suppl 2): 37–42PubMedGoogle Scholar
- 43.Miossec P (1997) Cytokine-induced autoimmune disorders. Drug Saf 17: 93–104PubMedGoogle Scholar
- 44.Fairweather D, Kaya Z, Shellam GR, Lawson CM, Rose NR (2001) From infection to autoimmunity. J Autoimmun 16: 175–186CrossRefPubMedGoogle Scholar
- 45.Pichler WJ (2003) Drug-induced autoimmunity. Curr Opin Allergy Clin Immunol 3: 249–253PubMedMathSciNetGoogle Scholar
- 46.Choquet-Kastylevsky G, Descotes J (1998) Value of animal models for predicting hypersensitivity reactions to medicinal products. Toxicology 129: 27–35PubMedGoogle Scholar
- 47.Descotes J (2000) Autoimmunity and toxicity testing. Toxicol Lett 112—113: 461–465PubMedGoogle Scholar