Evidence map›Paper›PMID 16284651›Full record

ArticleThe Journal of clinical investigation2005

Complete FcRn dependence for intravenous Ig therapy in autoimmune skin blistering diseases.

Ning Li, Minglang Zhao, Julio Hilario-Vargas, Phillip Prisayanh, Simon Warren, Luis A Diaz, Derry C Roopenian, Zhi Liu

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 2 pooled it
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 2 syntheses or guidelines pooled it, 251 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Monoclonal insulin autoimmune syndrome in pregnancy and postpartum.Endocrinology, diabetes & metabolism case reports · 2026
    Article
  6. Article
  7. Review
  8. Targeting the Neonatal Fc Receptor in Autoimmune Diseases: Pipeline and Progress.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Serum immunoglobulin and the threshold of Fc receptor-mediated immune activation.Biochimica et biophysica acta. General subjects · 2023
    Review
  14. The therapeutic age of the neonatal Fc receptor.Nature reviews. Immunology · 2023
    Review
  15. Review
  16. [Pemphigus: current and future treatment strategies].Dermatologie (Heidelberg, Germany) · 2022
    Review
  17. In Vitro, Ex Vivo, and In Vivo Models for the Study of Pemphigus.International journal of molecular sciences · 2022
    Review
  18. Review
  19. Next-generation antibody-based therapies in neurology.Brain : a journal of neurology · 2022
    Review
  20. Article

49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Ning LiDepartment of Dermatology, University of North Carolina at Chapel Hill, North Carolina 27599, USA.
Minglang Zhao
Julio Hilario-Vargas
Phillip Prisayanh
Simon Warren
Luis A Diaz
Derry C Roopenian
Zhi Liu
University of North Carolina at Chapel Hill · US

Funding

ETIOLOGY AND PATHOGENESIS OF PEMPHIGUSR01AR032599 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DIAZ, LUIS A. · 1987 to 2017
$5.2M
IMMUNOPATHOGENESIS OF BULLOUS PEMPHIGOIDR01AI040768 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIU, ZHI · 2001 to 2016
$4.1M
PEMPHIGUS AND PEMPHIGOIDR01AR032081 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DIAZ, LUIS A. · 1986 to 2011
$3.3M
CLASS I MOLECULES AND AUTOIMMUNITYR01DK056597 · NIDDK · JACKSON LABORATORY · PI ROOPENIAN, DERRY CHARLES · 1999 to 2006
$2.4M
The Mechanism of IVIG Action in PemphigusR01AI061430 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIU, ZHI · 2004 to 2006
$999k
IMMUNOPATHOGENESIS OF BULLOUS PEMPHIGOIDR29AI040768 · NIAID · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI LIU, ZHI · 1996 to 2000
$101k
PEMPHIGUS AND PEMPHIGOIDR37AR032081 · NIAMS · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI DIAZ, LUIS A. · 1990 to 1999
–
NIAID NIH HHS AI40768NIAID NIH HHS AI61430NIAID NIH HHS R01 AI040768NIAID NIH HHS R01 AI061430NIAID NIH HHS R29 AI040768NIAMS NIH HHS AR32081NIAMS NIH HHS AR32599NIAMS NIH HHS R01 AR032081NIAMS NIH HHS R01 AR032599NIAMS NIH HHS R37 AR032081NIDDK NIH HHS DK56597NIDDK NIH HHS R01 DK056597
6 · The paper itself

Abstract

Numerous mechanisms of action have been proposed for intravenous Ig (IVIG). In this study, we used IgG passive transfer murine models of bullous pemphigoid (BP), pemphigus foliaceus (PF), and pemphigus vulgaris (PV) to test the hypothesis that the effect of IVIG in autoantibody-mediated cutaneous bullous diseases is to accelerate the degradation of pathogenic IgG by saturation of the MHC-like Fc receptor neonatal Fc receptor (FcRn). BP, PF, and PV are organ-specific antibody-mediated diseases in which autoantibodies target the hemidesmosomal antigen BP180 and desmosomal antigens Dsg1 and Dsg3, respectively. Antibodies against BP180, Dsg1, and Dsg3, when injected into neonatal mice, induce the BP, PF, and PV disease phenotypes, respectively. We found that FcRn-deficient mice were resistant to experimental BP, PF, and PV. Circulating levels of pathogenic IgG in FcRn-deficient mice were significantly reduced compared with those in WT mice. Administration of high-dose human IgG (HDIG) to WT mice also drastically reduced circulating pathogenic IgG levels and prevented blistering. In FcRn-deficient mice, no additional protective effect with HDIG was realized. These data demonstrate that the therapeutic efficacy of HDIG treatment in the pemphigus and pemphigoid models is dependent on FcRn. Thus, FcRn is a promising therapeutic target for treating such IgG-mediated autoimmune diseases.

Indexed as

AnimalsAnimals, NewbornAntibodiesAutoantibodiesAutoantigensAutoimmune DiseasesCollagen Type XVIIDesmoglein 1Desmoglein 3Dose-Response Relationship, DrugEnzyme-Linked Immunosorbent AssayHistocompatibility Antigens Class IHumansImmunoglobulin GImmunoglobulins, IntravenousImmunotherapyAntibodiesAutoantibodiesAutoantigensCollagen Type XVIIDesmoglein 1Desmoglein 3Dsg3 protein, mouseFc receptor, neonatalHistocompatibility Antigens Class IImmunoglobulin GImmunoglobulins, IntravenousNon-Fibrillar CollagensReceptors, Fc

Identifiers

PMID16284651
PMCPMC1280965
OpenAlexW2144759405

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.