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Immunogenicity of Biotherapy Used in Psoriasis: The Science Behind the Scenes

  • Denis Jullien*
  • , Joerg C. Prinz
  • , Frank O. Nestle
  • *Corresponding author for this work
  • Kings Coll London, Kings College London, University of London, St Johns Inst Dermatol, Div Genet & Mol Med, Sch Med,Guys Hosp
  • University of Lyon
  • Ludwig Maximilian University of Munich

Research output: Contribution to journalLiterature reviewpeer-review

77 Citations (Scopus)

Abstract

A potential limitation in the use of biologic drugs used to treat psoriasis is the development of anti-drug antibodies (ADAs). Many factors contribute to this unwanted immune response, from the product itself, to its mode of administration, the underlying disease, and patient characteristics. ADAs may decrease the efficacy of biologic drugs by neutralizing them or modifying their clearance and may account for hypersensitivity reactions. This article reviews the scientific basis of immunogenicity and the mechanisms by which it affects clinical outcomes. It also considers testing for innmunogenicity and how biologic therapy of psoriasis may be tailored on the basis of immunogenicity.

Original languageEnglish
Pages (from-to)31-38
Number of pages8
JournalJournal of Investigative Dermatology
Volume135
Issue number1
DOIs
Publication statusPublished - Jan 2015

Keywords

  • RHEUMATOID-ARTHRITIS PATIENTS
  • ANTI-DRUG ANTIBODIES
  • LONG-TERM TREATMENT
  • CHRONIC INFLAMMATORY DISEASES
  • NECROSIS-FACTOR INHIBITORS
  • LOW-DOSE METHOTREXATE
  • DOUBLE-BLIND
  • CLINICAL-RESPONSE
  • INFLIXIMAB INDUCTION
  • PLAQUE PSORIASIS

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