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临床前开发阶段预测治疗性蛋白质免疫反应的新方法。

New approaches to prediction of immune responses to therapeutic proteins during preclinical development.

作者信息

Perry Laura C A, Jones Timothy D, Baker Matthew P

机构信息

Antitope Ltd, Babraham Research Campus, Babraham, Cambridge, UK.

出版信息

Drugs R D. 2008;9(6):385-96. doi: 10.2165/0126839-200809060-00004.

Abstract

Clinical studies show that immunogenicity observed against therapeutic proteins can limit efficacy and reduce the safety of the treatment. It is therefore beneficial to be able to predict the immunogenicity of therapeutic proteins before they enter the clinic. Studies using deimmunized proteins have highlighted the importance of T-cell epitopes in the generation of undesirable immunogenicity. In silico, in vitro, ex vivo and in vivo methods have therefore been developed that focus on identification of CD4+ T-cell epitopes in the sequence of therapeutic proteins. A case study of existing therapeutic proteins is presented to review these different approaches in order to assess their utility in predicting immunogenic potential.

摘要

临床研究表明,针对治疗性蛋白质观察到的免疫原性会限制疗效并降低治疗的安全性。因此,能够在治疗性蛋白质进入临床之前预测其免疫原性是有益的。使用去免疫化蛋白质的研究突出了T细胞表位在产生不良免疫原性方面的重要性。因此,已经开发了计算机模拟、体外、离体和体内方法,这些方法侧重于在治疗性蛋白质序列中鉴定CD4+ T细胞表位。本文通过现有治疗性蛋白质的案例研究来回顾这些不同的方法,以评估它们在预测免疫原性潜力方面的效用。

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