Evidence map›Paper›PMID 19837377›Full record

ArticleCell host & microbe2009

Complement protein C1q reduces the stoichiometric threshold for antibody-mediated neutralization of West Nile virus.

Erin Mehlhop, Steevenson Nelson, Christiane A Jost, Sergey Gorlatov, Syd Johnson, Daved H Fremont, Michael S Diamond, Theodore C Pierson

Open access · bronzeAbstract read
In one paragraph

Article in Cell host & microbe, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed
7.5field-weighted citation impact, top 3% 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

80 citing papers in PubMed, 110 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Plant-Based Systems for Producing Therapeutic Proteins: Current Status and Future Prospects.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Dengue and severe dengue.Clinical microbiology reviews · 2025
    Review
  9. Review
  10. Article
  11. Review
  12. The role of antibody-dependent enhancement in dengue vaccination.Tropical diseases, travel medicine and vaccines · 2024
    Article
  13. Review
  14. Article
  15. prM-reactive antibodies reveal a role for partially mature virions in dengue virus pathogenesis.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

20 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 3 institutions in 1 country.

Erin MehlhopDepartment of Pathology and Immunology, Washington University School of Medicine, Saint Louis, MO 63110, USA.
Steevenson Nelson
Christiane A Jost
Sergey Gorlatov
Syd Johnson
Daved H Fremont
Michael S Diamond
Theodore C Pierson
National Institutes of Health · USWashington University in St. Louis · USMacroGenics (United States) · US

Funding

Virology and Smallpox VaccinationsU54AI057160 · NIAID · WASHINGTON UNIVERSITY · PI RAY, RANJIT · 2003 to 2013
$80.9M
Antibody-based Protection against FlavivirsesR01AI073755 · NIAID · WASHINGTON UNIVERSITY · PI DIAMOND, MICHAEL S, FREMONT, DAVED H. · 2007 to 2022
$11.4M
Mechanisms of Antibody-Mediated Neutralization of Flavivirus InfectionZIAAI000957 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI PIERSON, THEODORE · 2009 to 2019
$7.1M
Monoclonal Antibody Therapy for West Nile VirusU01AI061373 · NIAID · WASHINGTON UNIVERSITY · PI DIAMOND, MICHAEL S · 2005 to 2009
$5.1M
Intramural NIH HHS ZIA AI000957NIAID NIH HHS R01 AI073755NIAID NIH HHS U01 AI061373NIAID NIH HHS U54 AI057160
6 · The paper itself

Abstract

Virus neutralization is governed by the number of antibodies that bind a virion during the cellular entry process. Cellular and serum factors that interact with antibodies have the potential to modulate neutralization potency. Although the addition of serum complement can increase the neutralizing activity of antiviral antibodies in vitro, the mechanism and significance of this augmented potency in vivo remain uncertain. Herein, we show that the complement component C1q increases the potency of antibodies against West Nile virus by modulating the stoichiometric requirements for neutralization. The addition of C1q does not result in virolysis but instead reduces the number of antibodies that must bind the virion to neutralize infectivity. For IgG subclasses that bind C1q avidly, this reduced stoichiometric threshold falls below the minimal number of antibodies required for antibody-dependent enhancement (ADE) of infection of cells expressing Fc-gamma receptors (CD32) and explains how C1q restricts the ADE of flavivirus infection.

Indexed as

AnimalsAntibodies, NeutralizingAntibodies, ViralCell LineComplement C1qHumansImmunoglobulin GNeutralization TestsWest Nile virusAntibodies, NeutralizingAntibodies, ViralComplement C1qImmunoglobulin G

Identifiers

PMID19837377
PMCPMC2782387
OpenAlexW2009959546

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.