A genome-wide association study identifies a novel susceptibility locus for the immunogenicity of polyethylene glycol

Chia Jung Chang, Chien Hsiun Chen, Bing Mae Chen, Yu-Cheng Su, Ying Ting Chen, Michael S. Hershfield, Ming Ta Michael Lee, Tian Lu Cheng, Yuan Tsong Chen*, Steve R. Roffler, Jer Yuarn Wu

*Corresponding author for this work

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Conjugation of polyethylene glycol (PEG) to therapeutic molecules can improve bioavailability and therapeutic efficacy. However, some healthy individuals have pre-existing anti-PEG antibodies and certain patients develop anti-PEG antibody during treatment with PEGylated medicines, suggesting that genetics might play a role in PEG immunogenicity. Here we perform genome-wide association studies for anti-PEG IgM and IgG responses in Han Chinese with 177 and 140 individuals, defined as positive for anti-PEG IgM and IgG responses, respectively, and with 492 subjects without either anti-PEG IgM or IgG as controls. We validate the association results in the replication cohort, consisting of 211 and 192 subjects with anti-PEG IgM and anti-PEG IgG, respectively, and 596 controls. We identify the immunoglobulin heavy chain (IGH) locus to be associated with anti-PEG IgM response at genome-wide significance (P = 2.23 × 10-22). Our findings may provide novel genetic markers for predicting the immunogenicity of PEG and efficacy of PEGylated therapeutics.

Original languageEnglish
Article number522
JournalNature Communications
Volume8
Issue number1
DOIs
StatePublished - 1 Dec 2017

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