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Molecular Landscape of Anti-Drug Antibodies Reveals the Mechanism of the Immune Response Following Treatment With TNF? Antagonists.


ABSTRACT: Drugs formulated from monoclonal antibodies (mAbs) are clinically effective in various diseases. Repeated administration of mAbs, however, elicits an immune response in the form of anti-drug-antibodies (ADA), thereby reducing the drug's efficacy. Notwithstanding their importance, the molecular landscape of ADA and the mechanisms involved in their formation are not fully understood. Using a newly developed quantitative bio-immunoassay, we found that ADA concentrations specific to TNF? antagonists can exceed extreme concentrations of 1 mg/ml with a wide range of neutralization capacity. Our data further suggest a preferential use of the ? light chain in a subset of neutralizing ADA. Moreover, we show that administration of TNF? antagonists result in a vaccine-like response whereby ADA formation is governed by the extrafollicular T cell-independent immune response. Our bio-immunoassay coupled with insights on the nature of the immune response can be leveraged to improve mAb immunogenicity assessment and facilitate improvement in therapeutic intervention strategies.

SUBMITTER: Vaisman-Mentesh A 

PROVIDER: S-EPMC6930160 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Molecular Landscape of Anti-Drug Antibodies Reveals the Mechanism of the Immune Response Following Treatment With TNFα Antagonists.

Vaisman-Mentesh Anna A   Rosenstein Shai S   Yavzori Miri M   Dror Yael Y   Fudim Ella E   Ungar Bella B   Kopylov Uri U   Picard Orit O   Kigel Aya A   Ben-Horin Shomron S   Benhar Itai I   Wine Yariv Y  

Frontiers in immunology 20191218


Drugs formulated from monoclonal antibodies (mAbs) are clinically effective in various diseases. Repeated administration of mAbs, however, elicits an immune response in the form of anti-drug-antibodies (ADA), thereby reducing the drug's efficacy. Notwithstanding their importance, the molecular landscape of ADA and the mechanisms involved in their formation are not fully understood. Using a newly developed quantitative bio-immunoassay, we found that ADA concentrations specific to TNFα antagonists  ...[more]

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