Delayed reactions to drugs show levels of perforin, granzyme B, and Fas-L to be related to disease severity

SJ Posadas, A Padial, MJ Torres, C Mayorga… - Journal of allergy and …, 2002 - Elsevier
Background: Drugs can induce different immunologic reactions; T-cell mediated responses
produce the most severe reactions. Although in vitro studies show that T cells recognize
drugs or their metabolites and induce an effector cytotoxic response, direct in vivo evidence
of involvement is lacking. T lymphocytes produce cytotoxic markers that are responsible for 2
major pathways to cell death: granule-mediated exocytosis (perforin and granzyme B) and
Fas/FasL interaction. Objective: The purpose of this investigation was to establish the role of …