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Fig 1.

The workflow of the virtual screening protocol for screening of similar drugs to abacavir.

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Fig 2.

Chemical structures for abacavir and the other seven drugs that were predicted to bind in the F-pocket of HLA-B*57:01.

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Fig 3.

Effects of abacavir and acyclovir on HLA-B*57:01 binding specificity.

Specific peptides with a terminal valine that showed an increased affinity for HLA-B*57:01 in the presence of abacavir were tested. Values are represented as geometric mean with 95% CI of two independent runs in triplicates, analyzed for statistical significance by Mann-Whitney U test comparing log IC50 values vs. vehicle; p < 0.05 was considered significant (*p < 0.05; **p < 0.01; ***p < 0.001).

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Fig 3 Expand

Fig 4.

Effects of acyclovir (2 mg/mL) on the affinity of C-terminal residues for HLA-B*57:01.

Values are represented as geometric mean with 95% CI of the fold difference between vehicle/acyclovir treatment. The experiment was run 6 times with each run performed in triplicates. Analyzed for statistical significance by column statistics; p < 0.05 was considered significant (*p < 0.05; **p < 0.01; ***p < 0.001). The most pronounced affinity increases for HLA-B*57:01 in the presence of 2 mg/mL of acyclovir were found for peptides with a cysteine, isoleucine and valine at the C-terminus.

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Table 1.

Peptide affinity (nM) for HLA-B*57:01 in the presence of 2 mg/mL acyclovir.

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Table 1 Expand

Fig 5.

Effects of abacavir and acyclovir on HLA-B*57:01 binding specificity.

Specific peptides with a terminal isoleucine that showed an increased affinity for HLA-B*57:01 in the presence of abacavir were tested. Values are represented as geometric mean with 95% CI of two independent runs in triplicates, analyzed for statistical significance by Mann-Whitney U test comparing log IC50 values vs. vehicle; p < 0.05 was considered significant (*p < 0.05; **p < 0.01; ***p < 0.001).

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Fig 5 Expand

Fig 6.

Acyclovir and abacavir alter the binding specificity of HLA-B*57:01.

The peptide KAAKYRVSV was radiolabeled and tested for binding to HLA-B*57:01 in increasing doses of acyclovir and abacavir. Values are represented as geometric mean with 95% CI of four experimental runs in triplicates. Analysed by statistical significance by one-sided Mann Whitney test. *p<0.05, **p<0.01, ***p<0.001, ****p<0.0001.

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Fig 6 Expand

Fig 7.

PBMC from a healthy HLA-B*57:01 positive donor (Donor 1) where primed with abacavir at day 0, cultured for 14 days and then restimulated 1:10 with (A) HLA-B*57:01 single antigen line (C1R.B57), (B) with O/N abacavir treated C1R.B57 (C1R.B57.ABC) or (C) with O/N acyclovir treated C1R.B57 (C1R.B57.ACY).

Antigen activated cells were detected by ICS for IFN-γ production and CD8+/ IFN-γ T-cells quantitated using flow cytometry. (D) PBMC from two healthy HLA-B*57:01 positive donors were either primed with abacavir (ABC primed), primed with acyclovir (ACY primed) or had no treatment (Control. PBMC were cultured for 14 days and then stimulated 1:10 with treated and untreated single antigen line, C1R.B57, as indicated.

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