Drug metabolite-specific lymphocyte responses in sulfamethoxazole allergic patients with cystic fibrosis.

Abstract:

:Sulfamethoxazole (SMX) is an important antibiotic in the management of patients with cystic fibrosis, but allergic reactions may develop thus restricting therapy. The aim of this study was to utilize drug (metabolite) antigens to diagnose SMX-mediated allergic reactions in patients with cystic fibrosis. Lymphocytes from 2/12 allergic patients were stimulated to proliferate strongly with the SMX metabolite nitroso SMX (SMX-NO). In contrast, responses to SMX were weak. The introduction of an antigen-driven T-cell enrichment step prior to the analysis of proliferation increased the sensitivity of the assay. SMX-NO responses were detected with lymphocytes from all patients with cutaneous signs.

journal_name

Chem Res Toxicol

authors

Lavergne SN,Whitaker P,Peckham D,Conway S,Park BK,Naisbitt DJ

doi

10.1021/tx100151v

subject

Has Abstract

pub_date

2010-06-21 00:00:00

pages

1009-11

issue

6

eissn

0893-228X

issn

1520-5010

journal_volume

23

pub_type

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