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UvA-DARE is a service provided by the library of the University of Amsterdam (https://dare.uva.nl)

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Immunogenicity of therapeutic antibodies

Immunological mechanisms & clinical consequences

van Schie, K.A.J.

Publication date

2017

Document Version

Other version

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Citation for published version (APA):

van Schie, K. A. J. (2017). Immunogenicity of therapeutic antibodies: Immunological

mechanisms & clinical consequences.

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Immunogenicity of therapeutic antibodies

Immunological mechanisms & clinical consequences

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Life Sciences, Sanquin Research, and the Dutch Arthritis Foundation. Copyright © Karin van Schie, 2017

ISBN: 978-94-6233-737-4 Cover design: Bruce de Kok

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Immunogenicity of therapeutic antibodies

Immunological mechanisms & clinical consequences

ACADEMISCH PROEFSCHRIFT

ter verkrijging van de graad van doctor aan de Universiteit van Amsterdam op gezag van de Rector Magnificus

prof. dr. ir. K.I.J. Maex

ten overstaan van een door het College voor Promoties ingestelde commissie, in het openbaar te verdedigen in de Agnietenkapel

op donderdag 12 oktober 2017, te 14.00 uur

door

Katharina Anna Jacoba van Schie

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Copromotores: Dr. T. Rispens Sanquin Research

Dr. G.J. Wolbink Reade

Overige leden: Prof. dr. J. Borst Universiteit van Amsterdam Prof. dr. R.E.M. Toes Universiteit Leiden

Prof. dr. W. Jiskoot Universiteit Leiden

Prof. dr. G.R.A.M. D’Haens Universiteit van Amsterdam Prof. dr. A. Gils Katholieke Universiteit Leuven Prof. dr. R.F. van Vollenhoven Universiteit van Amsterdam

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TABLE OF CONTENTS

Chapter 1 General introduction 7

Chapter 2 Cross-reactive and pre-existing antibodies to therapeutic antibodies—Effects on treatment and immunogenicity

29

Chapter 3 Therapeutic TNF inhibitors can differentially stabilize trimeric TNF by inhibiting monomer exchange

55

Chapter 4 The antibody response against human and chimeric anti-TNF therapeutic antibodies primarily targets the TNF binding region

79

Chapter 5 Neutralizing capacity of monoclonal and polyclonal anti-natalizumab antibodies: The immune response to antibody therapeutics preferentially targets the antigen-binding site

95

Chapter 6 Infusion reactions during infliximab treatment are not associated with IgE anti-infliximab antibodies

113

Chapter 7 Complexes of drug and anti-drug antibodies cause limited immune activation due to a restricted anti-idiotype response

135

Chapter 8 Summarizing discussion 171

Appendix English summary 197

Nederlandse samenvatting 200

List of publications 203

List of co-authors and their contribution to the manuscript 205

Portfolio 209

Curriculum Vitae 211

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