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Various human self-antigens

Molecular classification
Other
01

Overview

Various human self-antigens refer to a broad and heterogeneous group of endogenous proteins and molecules that are mistakenly targeted by the immune system in autoimmune disorders. Under normal physiological conditions, the immune system maintains 'self-tolerance' through central and peripheral mechanisms, ensuring that these proteins do not elicit an inflammatory response (Source: NIH/NIAID). However, in diseases such as multiple sclerosis (targeting myelin proteins) or type 1 diabetes (targeting insulin and GAD65), this tolerance breaks down, leading to tissue destruction. In the context of modern drug development, these self-antigens are utilized as therapeutic targets for antigen-specific immunotherapies. Unlike broad immunosuppressants, these therapies aim to re-educate the immune system by delivering specific self-antigens in a tolerogenic format—such as via nanoparticles, liver-targeted glycoconjugates, or engineered cell therapies (Source: PubMed, PMID: 31213547). The goal is to selectively silence the pathogenic immune response against those specific antigens while leaving the rest of the immune system intact to fight infections and cancer (Source: Nature Reviews Immunology, 2023).

Other names
AutoantigensSelf-proteinsEndogenous antigensTissue-specific antigensSelf-epitopes
02

Mechanism of action

Induction of antigen-specific immune tolerance through the deletion or anergy of autoreactive T-cells, the induction of regulatory T-cells (Tregs), or the reprogramming of B-cell responses to prevent the attack on endogenous tissues (Source: Nature Reviews Drug Discovery, 2020).

03

Biological functions

Immune responseImmune toleranceHomeostasisCell signaling
04

Disease associations

Autoimmune diseaseType 1 diabetesMultiple sclerosisRheumatoid arthritisSystemic lupus erythematosusCeliac diseaseNeuromyelitis optica
05

Safety considerations

Risk of systemic anaphylaxis upon administration of peptide antigensPotential for exacerbating the autoimmune response (immune activation instead of tolerance)Difficulty in identifying the 'dominant' antigen in polygenic or epitope-spreading conditionsOff-target immune suppression if the delivery platform is not sufficiently specific
06

Interacting drugs

Nexvax2

5 more in the full profile.

07

Biomarkers

Autoantibodies (e.g., Anti-GAD65, Anti-CCP, Anti-dsDNA)Antigen-specific T-cell frequencyCytokine profiles (IL-10, TGF-beta)Regulatory T-cell (Treg) counts

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