Evidence map›Paper›PMID 20883967›Full record

ReviewThe Lancet. Infectious diseases2010

Intrinsic antibody-dependent enhancement of microbial infection in macrophages: disease regulation by immune complexes.

Scott B Halstead, Suresh Mahalingam, Mary A Marovich, Sukathida Ubol, David M Mosser

Open access · bronzeAbstract readReview
In one paragraph

Review in The Lancet. Infectious diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 238 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
238citing papers in PubMed, 2 pooled it
9.2field-weighted citation impact, top 1% 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

238 citing papers in PubMed, 2 syntheses or guidelines pooled it, 398 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Dengue Vaccines.Current topics in microbiology and immunology · 2026
    Review
  12. Review
  13. Dengue and severe dengue.Clinical microbiology reviews · 2025
    Review
  14. Article
  15. Leishmaniasis.Nature reviews. Disease primers · 2025
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article

178 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

5 authors at 5 institutions in 4 countries.

Scott B HalsteadInternational Vaccine Institute, Seoul, Korea. halsteads@erols.com
Suresh Mahalingam
Mary A Marovich
Sukathida Ubol
David M Mosser
International Vaccine Institute · KRMahidol University · THUniversity of Canberra · AUUniversity of Maryland, College Park · USWalter Reed Army Institute of Research · US

Funding

MODULATING HOST RESPONSES TO BACTERIAL PRODUCTSR01AI049383 · NIAID · UNIV OF MARYLAND, COLLEGE PARK · PI MOSSER, DAVID M · 2001 to 2011
$3.1M
NIAID NIH HHS R01 AI049383
6 · The paper itself

Abstract

A wide range of microorganisms can replicate in macrophages, and cell entry of these pathogens via non-neutralising IgG antibody complexes can result in increased intracellular infection through idiosyncratic Fcγ-receptor signalling. The activation of Fcγ receptors usually leads to phagocytosis. Paradoxically, the ligation of monocyte or macrophage Fcγ receptors by IgG immune complexes, rather than aiding host defences, can suppress innate immunity, increase production of interleukin 10, and bias T-helper-1 (Th1) responses to Th2 responses, leading to increased infectious output by infected cells. This intrinsic antibody-dependent enhancement (ADE) of infection modulates the severity of diseases as disparate as dengue haemorrhagic fever and leishmaniasis. Intrinsic ADE is distinct from extrinsic ADE, whereby complexes of infectious agents with non-neutralising antibodies lead to an increased number of infected cells. Intrinsic ADE might be involved in many protozoan, bacterial, and viral infections. We review insights into intracellular mechanisms and implications of enhanced pathogenesis after ligation of macrophage Fcγ receptors by infectious immune complexes.

Indexed as

Antibody-Dependent EnhancementAnimalsAntigen-Antibody ComplexBacteriaEukaryotaHumansImmunoglobulin GMacrophagesMonocytesReceptors, IgGTh1 CellsTh2 CellsVirusesAntigen-Antibody ComplexImmunoglobulin GReceptors, IgG

Identifiers

PMID20883967
PMCPMC3057165
OpenAlexW2160653307

What OpenQuestion holds

Textmetadata
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.