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Table 3.

Predicted binding of FVIII peptides with substitutions at M2199 to DRB1*01:01

Substitution* ProPred score IEDB consensus percentile rank
None (WT peptide) 1.09 6.87
M2199L 1.19 6.53
M2199I 0.79 14.35
M2199Q 0.39 13.37
M2199F 0.37 3.45
M2199N 0.33 13.67
M2199A 0.29 11.97
M2199C 0.29 15.04
M2199V 0.24 9.07
M2199Y <0 4.14
M2199S <0 18.03
M2199T <0 18.03
M2199G <0 12.73
M2199H <0 12.73
M2199E <0 18.03
M2199W <0 10.95
M2199K <0 18.03
M2199R <0 11.55
M2199P <0 18.03
M2199D <0 18.03
*

The input sequence for the ProPred and IEBD algorithms was FVIII2185-2213, which spans all possible 15-mer sequences that include the substitution site at M2199.

Predicted affinities from the ProPred algorithm.35 Possible scores range from <0 (no binding) to 6 (highest possible affinity) for DRB1*01:01. All 9 sequences with scores >0 had the same predicted binding motif, with F2196 in MHCII anchor position 1. None of the substitutions resulted in additional predicted binding modes (score >0) that would indicate creation of a potential DRB1*01:01-restricted neoepitope. Scores ≥0.14 (bolded) correspond to predicted peptide-DRB1*01:01 affinities in the top 3% of possible values. ProPred recommends a threshold of 3% for selecting potential physiologically relevant interactions.

Predicted affinities from the IEDB consensus method, which combines scores generated by 3 prediction algorithms: combinatorial library, NN-align (netMHCII-2.2), and SMM-align (netMHCII-1.1).36,37 The final scores reflect the predicted peptide affinities for DRB1*01:01. The highest predicted consensus affinity score, expressed as a percentage ranking, for each input sequence is listed. IEDB recommends a threshold of 10% for selecting potential physiologically relevant interactions (bolded). All 3 algorithms in the consensus method predicted a 9-mer MHCII-binding core for the WT sequence with F2196 in anchor position 1. The 4 modified FVIII sequences that ranked in the top 10% all had alternative predicted MHCII core sequences with either F2196 or F2200 in anchor position 1.