BACKGROUND Carbamazepine causes various forms of hypersensitivity reactions, ranging from maculopapular exanthema to severe blistering reactions. The HLA-B★1502 allele has been shown to be strongly correlated with carbamazepine-induced Stevens–Johnson syndrome and toxic epidermal necrolysis (SJS–TEN) in the Han Chinese and other Asian populations but not in European populations. METHODS We performed a genomewide association study of samples obtained from 22 subjects with carbamazepine-induced hypersensitivity syndrome, 43 subjects with carbamazepine-induced maculopapular exanthema, and 3987 control subjects, all of European descent. We tested for an association between disease and HLA alleles through proxy single-nucleotide polymorphisms and imputation, confirming associations by high-resolution sequence-based HLA typing. We replicated the associations in samples from 145 subjects with carbamazepine-induced hypersensitivity reactions. RESULTS The HLA-A★3101 allele, which has a prevalence of 2 to 5% in Northern European populations, was significantly associated with the hypersensitivity syndrome (P = 3.5×10−8). An independent genomewide association study of samples from subjects with maculopapular exanthema also showed an association with the HLA-A★3101 allele (P = 1.1×10−6). Follow-up genotyping confirmed the variant as a risk factor for the hypersensitivity syndrome (odds ratio, 12.41; 95% confidence interval [CI], 1.27 to 121.03), maculopapular exanthema (odds ratio, 8.33; 95% CI, 3.59 to 19.36), and SJS–TEN (odds ratio, 25.93; 95% CI, 4.93 to 116.18). CONCLUSIONS The presence of the HLA-A★3101 allele was associated with carbamazepine-induced hypersensitivity reactions among subjects of Northern European ancestry. The presence of the allele increased the risk from 5.0% to 26.0%, whereas its absence reduced the risk from 5.0% to 3.8%. (Funded by the U.K. Department of Health and others.)

The resonant two-color two-photon ionization and laser induced fluorescence excitation spectra of the 1-phenylallyl (cinnamyl) and inden-2-ylmethyl radicals are reported. The 1-phenylallyl radical is found to fluoresce with low yield, permitting only a coarse dispersed fluorescence spectrum, while the inden-2-ylmethyl radical yields sufficient fluorescence to obtain ground-state vibrational frequencies and twodimensional fluorescence spectra. Computed ionization energies and thermochemical properties including radical stabilization energies are reported for a range of resonance-stabilized radicals, including the phenylpropargyl, vinylpropargyl and phenylallyl radicals.

After benzene and naphthalene, the smallest polycyclic aromatic hydrocarbon bearing six-membered rings is the threefold-symmetric phenalenyl radical. Despite the fact that it is so fundamental, its electronic spectroscopy has not been rigorously scrutinized, in spite of growing interest in graphene fragments for molecular electronic applications. Here we used complementary laser spectroscopic techniques to probe the jet-cooled phenalenyl radical in vacuo. Its spectrum reveals the interplay between four electronic states that exhibit Jahn-Teller and pseudo-Jahn-Teller vibronic coupling. The coupling mechanism has been elucidated by the application of various ab initio quantum-chemical techniques.

The ionization energies for three resonance-stabilized radicals are determined: cyclohexadienyl, 1-phenylpropargyl, and methylcyclohexadienyl. The recommended ionization energies are, respectively, 6.820(1), 6.585(1), and 7.232(1) eV. That of cyclohexadienyl is found to be just 0.02 eV above a high level ab initio calculation [Bargholz, A.; Oswald, R.; Botschwina, P. J. Chem. Phys. 2013, 138, 014307], and that of 1-phenylpropargyl is found within the stated error of a recent experimental determination [Holzmeier, F.; Lang, M.; Hemberger, P.; Fischer, I. ChemPhysChem 2014, DOI: 10.1002/cphc.201402446]. The ionization energy of the methylcyclohexadienyl radical is consistent with the ortho isomer. Ionization energies of a range of isotopologues of cyclohexadienyl radical are given, along with their D1 ← D0 origin band positions, which indicate a blue shift of 18 cm(-1) per deuterium atom substituted. The ionization energy of cyclohexadienyl, along with the calculated bond dissociation energy of Bargholz et al., affords a new estimate of the 0 K proton affinity of benzene: 739.7 ± 2.0 kJ/mol. The ionization energies are discussed in terms of the interplay between radical and cation stabilization energies.