Evidence map›Paper›PMID 36810251›Full record

ArticleJCI insight2023

Development of antidrug antibodies against adalimumab maps to variation within the HLA-DR peptide-binding groove.

Teresa Tsakok, Jake Saklatvala, Theo Rispens, Floris C Loeff, Annick de Vries, Michael H Allen, Ines A Barbosa, David Baudry, Tejus Dasandi, Michael Duckworth and 20 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Precision medicine using molecular-target drugs in psoriatic arthritis.Therapeutic advances in musculoskeletal disease · 2025
    Review
  3. ADVANCES IN THE GENETICS AND IMMUNOLOGY OF PSORIASIS.... World Psoriasis & Psoriatic Arthritis Conference · 2024
    Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors at 14 institutions in 2 countries.

Teresa TsakokDepartment of Medical and Molecular Genetics and.
Jake SaklatvalaDepartment of Medical and Molecular Genetics and.
Theo RispensDepartment of Immunopathology, Sanquin Research and Landsteiner Laboratory, Amsterdam, Netherlands.
Floris C LoeffDepartment of Immunopathology, Sanquin Research and Landsteiner Laboratory, Amsterdam, Netherlands.
Annick de VriesBiologics Lab, Sanquin Diagnostic Services, Amsterdam, Netherlands.
Michael H AllenSt John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Ines A BarbosaSt John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
David BaudrySt John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Tejus DasandiSt John's Institute of Dermatology, Guy's and St Thomas' National Health Service Foundation Trust, London, United Kingdom.
Michael DuckworthSt John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Freya MeynellSt John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Alice RussellSt John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Anna ChapmanDepartment of Dermatology, Queen Elizabeth Hospital, London, United Kingdom.
Sandy McBrideDepartment of Dermatology, Royal Free London National Health Service Foundation Trust, London, United Kingdom.
Kevin McKennaDepartment of Dermatology, Belfast Health and Social Care Trust, Belfast, United Kingdom.
Gayathri PereraDepartment of Dermatology, Chelsea and Westminster Hospital National Health Service Foundation Trust, London, United Kingdom.
Helen RamsayDepartment of Dermatology, Sheffield Teaching Hospitals National Health Service Foundation Trust, Sheffield, United Kingdom.
Raakhee RameshDepartment of Dermatology, Sandwell and West Birmingham National Health Service Trust, Birmingham, United Kingdom.
Kathleen SandsDepartment of Dermatology, East Kent Hospitals University National Health Service Foundation Trust, Kent, United Kingdom.
Alexa ShipmanDepartment of Dermatology, Portsmouth Hospitals National Health Service Trust, Portsmouth, United Kingdom.
Biomarkers of Systemic Treatment Outcomes in Psoriasis (BSTOP) Study Group
A David BurdenInstitute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, United Kingdom.
Christopher Em GriffithsDermatology Centre, Salford Royal National Health Service Foundation Trust, Manchester, United Kingdom.
Nick J ReynoldsDepartment of Dermatology, Royal Victoria Infirmary, Newcastle upon Tyne NHS Hospitals National Health Service Foundation Trust, Newcastle upon Tyne, United Kingdom.
Richard B WarrenDermatology Centre, Salford Royal National Health Service Foundation Trust, Manchester, United Kingdom.
Satveer MahilSt John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Jonathan BarkerSt John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Nick DandDepartment of Medical and Molecular Genetics and.
Catherine SmithSt John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Michael A SimpsonDepartment of Medical and Molecular Genetics and.
National Health Service · GBKing's College London · GBSanquin · NLBelfast Health and Social Care Trust · GBChelsea and Westminster Hospital NHS Foundation Trust · GBEast Kent Hospitals University NHS Foundation Trust · GBHealth Data Research UK · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBPortsmouth Hospitals NHS Trust · GBQueen Elizabeth Hospital · GBRoyal Free London NHS Foundation Trust · GBSandwell & West Birmingham Hospitals NHS Trust · GBSheffield Teaching Hospitals NHS Foundation Trust · GBUniversity of Glasgow · GB

Funding

Department of HealthMedical Research Council MR/L011808/1Medical Research Council MR/R001839/1Medical Research Council MR/S003126/1
6 · The paper itself

Abstract

Targeted biologic therapies can elicit an undesirable host immune response characterized by the development of antidrug antibodies (ADA), an important cause of treatment failure. The most widely used biologic across immune-mediated diseases is adalimumab, a tumor necrosis factor inhibitor. This study aimed to identify genetic variants that contribute to the development of ADA against adalimumab, thereby influencing treatment failure. In patients with psoriasis on their first course of adalimumab, in whom serum ADA had been evaluated 6-36 months after starting treatment, we observed a genome-wide association with ADA against adalimumab within the major histocompatibility complex (MHC). The association signal mapped to the presence of tryptophan at position 9 and lysine at position 71 of the HLA-DR peptide-binding groove, with both residues conferring protection against ADA. Underscoring their clinical relevance, these residues were also protective against treatment failure. Our findings highlight antigenic peptide presentation via MHC class II as a critical mechanism in the development of ADA against biologic therapies and downstream treatment response.

Indexed as

Genome-Wide Association StudyPsoriasisAdalimumabAntibodiesHLA-DR AntigensHumansAdalimumabAntibodiesHLA-DR AntigensAdaptive immunityDrug therapyGeneticsMolecular geneticsTherapeutics

Identifiers

PMID36810251
PMCPMC9977494
OpenAlexW4321436885

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.