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Denis Jullien, Jörg C. Prinz, Frank O. Nestle 

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1 Immunogenicity of Biotherapy Used in Psoriasis: The Science Behind the Scenes 
Denis Jullien, Jörg C. Prinz, Frank O. Nestle  Journal of Investigative Dermatology  Volume 135, Issue 1, Pages (January 2015) DOI: /jid Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions

2 Figure 1 Molecular structures of biologic drugs used to treat psoriasis. Neutralizing anti-drug antibodies (ADAs) bind to murine epitopes and idiotopes located at the antigen-binding site and prevent fixation of the therapeutic agent to its target, reducing its clinical efficacy. In contrast, ADAs that bind to allotopes and human neo-antigens at the hinge of fusion proteins are usually non-neutralizing. Both neutralizing and non-neutralizing ADAs may reduce drug efficacy through the formation of immune complexes, which may lead to increased drug clearance. Journal of Investigative Dermatology  , 31-38DOI: ( /jid ) Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions


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