SAP/SH2D1A deficiency causes X-linked lymphoproliferative disease (XLP), characterized by defective germinal center formation and impaired antibody responses .
In SAP⁻/⁻ mice, IgG1 production drops 1,000–100,000-fold during secondary immune responses due to failed follicular T helper cell differentiation .
MEDI1912 (anti-NGF antibody) was redesigned with STT mutations (W→S, F→T, L→T) to reduce self-association, improving serum half-life from 4.03 to 9.43 days in rats without compromising antigen affinity .
| Application | SAP/SH2D1A Clones | SAP/APCS Clones |
|---|---|---|
| Flow Cytometry | XLP-1D12 (92% specificity) | N/A |
| ELISA | N/A | AB12-5A1 (LOD: 1.0 µg/ml) |
| In Vivo Therapy | N/A | Anti-SAP IgG1 (100% amyloid clearance in mice) |
Specificity Issues: Anti-SAP/APCS antibodies like MEDI1912 showed nonspecific tissue binding until hydrophobicity-reducing mutations (STT) were introduced .
Dosing Constraints: Anti-SAP IgG1 required CPHPC pre-treatment to deplete circulating SAP before administration to avoid systemic immune reactions .