Critical Review: Assessment of Interferon-β Immunogenicity in Multiple Sclerosis

被引:11
作者
Bendtzen, Klaus [1 ]
机构
[1] Rigshosp Univ Hosp, IIR, DK-2200 Copenhagen, Denmark
关键词
NEUTRALIZING ANTIBODIES; IFN-BETA; MS PATIENTS; AUTOANTIBODIES; BIOACTIVITY; ALPHA; QUANTIFICATION; CYTOKINES; BIOASSAY; THERAPY;
D O I
10.1089/jir.2010.0091
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
This review discusses type I interferon (IFN) immunogenicity with focus on methods of detection of anti-IFN antibodies in patients treated with human recombinant IFN-beta. Pitfalls involved in the clinical use of various types of assays for binding antibodies and neutralizing antibodies against IFN-beta are presented, and the widely held distinction between binding antibodies and neutralizing antibodies is questioned both in terms of detection and clinical importance. The article also addresses important bioavailability and pharmacokinetic issues occurring with prolonged use of protein drugs. The rationale for individualized or personalized medicine, ie, optimizing therapies according to individual needs rather than using standardized trial-and-error regimens to all patients, is highlighted.
引用
收藏
页码:759 / 766
页数:8
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