Suppose I have a his-tagged recombinant protein.  If we inject that into people, there is a legitimate concern that the tag would cause adverse immunological responses.  Therefore it appears FDA "discourages" the use of such tags, while weighing it against the practicality of purifying untagged proteins and overall benefit.  But that's not what my question is about. 

It is often said that purification tags should be removed with a site-specific protease.  But in practice, almost all such enzymes leave at least one foreign residue.  For example TEV protease:  The cleavage site is ENLYFQ // G.  After removing an N-Terminal tag, we're stuck with that one terminal G.  Unless our protein happens to start with a G, this amino acid will be foreign.

My questions are:  

- Are there examples of approved therapeutic proteins that had their purification tag removed, but that still contain at least one residual foreign amino acid?  

- Have immune responses, or other adverse events, been demonstrated in response to such residual amino acids? 

- Have regulatory agencies opined on this issue? 

- Anything else you know or believe about this issue? 

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