“…More recently, biologics have been introduced facilitating sitespecific enzymatic catalysis, an approach which uses a biologic's intrinsic substrate site or, if not available, a genetically introduced substrate site through which functionalized polymers are enzymatically conjugated [31][32][33][34][35]. Alternatively, genetical introduction of unnatural amino acids, guarantees polymer decoration at that preselected site [36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52]. As to the second, immunological challenges of PEGylated biologics, recent reports point to possible side-effects including hypersensitivity, [53,54] and immunological responses, [28,55] which are at least in part driving accelerated plasma clearance after repetitive dosing [56].…”