“…Although IgA replacement therapy has been attempted in humans, this approach has been variably effective because not all of these replacement products contained sIgA, and IgA is normally transported from sites of local production (and not the blood stream) to the mucosa [ 90 , 92 , 93 , 94 , 95 , 96 , 97 ]. However, there continue to be incremental, albeit critical, advances in IgA biology relating to glyco-engineering, as well as recombinant DNA expression methodologies that raise the possibility of sIgA replacement therapy becoming part of the standard of care for B cell IEI patients in the future [ 91 , 98 , 99 , 100 ]. Some of the scientific bottlenecks in this regard, for which solutions are being actively pursued, include extending the half-life of IgA by engineering its association with the neonatal Fc receptor and addressing the feasibility of commercial scale production by generating sIgA in various eukaryotic expression systems, including plants, for oral consumption by humans [ 91 , 98 , 100 ].…”