1994
DOI: 10.1177/096120339400300603
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Role of Genetic Factors in Drug-Related Autoimmunity

Abstract: Although there is evidence to suggest that genetic factors play a major role in the pathogenesis of many of the rheumatic diseases, far less is known of their role in the induction and expression of human autoimmunity resulting from long-term exposure to drugs, chemicals and environmental agents. Pharmacogenetic factors represent an important source of interindividual variation in response to drugs; most research to date has focused on genetic polymorphism of drug metabolism via N-acetylation, S-methylation or… Show more

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Cited by 18 publications
(12 citation statements)
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“…Chemical/physical factors Many drugs such as procainamide and hydralazine, which are aromatic amines or hydrazines, can induce a lupus-like syndrome, especially in individuals who are genetically slow acetylators. 134 Both aromatic amines and hydrazines, and their derivatives, can be found in a wide variety of compounds used in agriculture and industry, and commercial applications. Hydrazine itself also occurs naturally in tobacco and tobacco smoke.…”
Section: Environmental Triggersmentioning
confidence: 99%
“…Chemical/physical factors Many drugs such as procainamide and hydralazine, which are aromatic amines or hydrazines, can induce a lupus-like syndrome, especially in individuals who are genetically slow acetylators. 134 Both aromatic amines and hydrazines, and their derivatives, can be found in a wide variety of compounds used in agriculture and industry, and commercial applications. Hydrazine itself also occurs naturally in tobacco and tobacco smoke.…”
Section: Environmental Triggersmentioning
confidence: 99%
“…A second line of evidence comes from studies on drug‐induced lupus. This autoimmune disease can be induced by more than 40 medications, such as the anti‐hypertensive drug hydrazine and the anti‐arrythmic drug procainamide, particularly in individuals who are genetically slow acetylators 59 . Interestingly, aromatic amines and hydrazine derivatives can be found in a wide variety of compounds used in agriculture, industry, and commercial applications.…”
Section: Epigenetic Factors Underlying Impaired B Cell Tolerancementioning
confidence: 99%
“…This autoimmune disease can be induced by more than 40 medications, such as the anti-hypertensive drug hydrazine and the antiarrythmic drug procainamide, particularly in individuals who are genetically slow acetylators. 59 Interestingly, aromatic amines and hydrazine derivatives can be found in a wide variety of compounds used in agriculture, industry, and commercial applications. Hydrazine itself also occurs in tobacco and tobacco smoke, and, as discussed below, a lupus-like syndrome has been reported in individuals who have been in contact with these agents.…”
Section: Epigenetic Factors Underlying Impaired B Cell Tolerancementioning
confidence: 99%
“…4 The most popular theory linking autoimmunity to MS is that a triggering infection by an acute or "hit-and-run" virus induces molecular mimicry, a phenomenon of selfdirected immunity by microbial epitopes. 2 However, immune-mediated tissue damage can also result from viral infections in which the host immune response is directed to viral rather than self proteins, or as a consequence of nonspecific or bystander immune response that changes the local cytokine environment.…”
mentioning
confidence: 99%