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Immunogenic sites on anti-TNF drugs

Human TNFRp75 (TNFRII) fusion protein (etanercept)

Even though the molecule consists of 100% human sequences, T- and B-cells may recognize peptide fragments overlapping the region between the two human parts as non-self and, hence, raise specific immune responses to the drug.
Anti-allotypic responses may also contribute to drug immunogenicity.

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