Predicting and Reducing Immunogenicity
PREDICTING AND REDUCING IMMUNOGENICITY As discussed the mechanisms leading to antibody induction by therapeutic proteins are still not completely understood. As a consequence it is impossible based on our current knowledge to fully predict the immunogenicity of a new product in patients. For nonhuman proteins which induce the classical immune response, the level of nonself is a relative predictor of an immune response. However, it is not an absolute predictor. Sometimes a single amino acid change is sufficient to make a self protein highly immunogenic. With other proteins substantial diver-gence from the natural sequence has no effect. For foreign proteins a number of in vitro stimulation and binding tests and computational models are adver-tised as predictors of immunogenicity. However, all these tests have their limitations. T-cell proliferation assays, for example, have the drawback that many antibodies are capable of inducing some level of T-cell activation or inhibit cell prolif