Evidence map›Paper›PMID 21685887›Full record

ArticleNature2011

Intravenous gammaglobulin suppresses inflammation through a novel T(H)2 pathway.

Robert M Anthony, Toshihiko Kobayashi, Fredrik Wermeling, Jeffrey V Ravetch

Open access · greenAbstract read
In one paragraph

Article in Nature, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 329 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
329citing papers in PubMed, 1 pooled it
28.3field-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

329 citing papers in PubMed, 1 synthesis or guideline pooled it, 613 citations in OpenAlex.

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  19. Therapeutic effect of galactosyltransferase- and sialyltransferase-encoding mRNA in rheumatoid arthritis.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
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269 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Robert M AnthonyLaboratory of Molecular Genetics and Immunology, The Rockefeller University, 1230 York Avenue, New York, New York 10065, USA.
Toshihiko Kobayashi
Fredrik Wermeling
Jeffrey V Ravetch
Rockefeller University · US

Funding

FCR DEFICIENT MICE--SUSCEPTIBILITY TO PATHOGENSR01AI035875 · NIAID · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI RAVETCH, JEFFREY VICTOR · 1994 to 2012
$4.7M
SIGN receptors and the antiinflammatory activity of sialylated IgG FcsK22AI091684 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI ANTHONY, ROBERT MCCULLOUGH · 2012 to 2013
$270k
NIAID NIH HHS K22 AI091684NIAID NIH HHS R01 AI035875
6 · The paper itself

Abstract

High-dose intravenous immunoglobulin is a widely used therapeutic preparation of highly purified immunoglobulin G (IgG) antibodies. It is administered at high doses (1-2 grams per kilogram) for the suppression of autoantibody-triggered inflammation in a variety of clinical settings. This anti-inflammatory activity of intravenous immunoglobulin is triggered by a minor population of IgG crystallizable fragments (Fcs), with glycans terminating in α2,6 sialic acids (sFc) that target myeloid regulatory cells expressing the lectin dendritic-cell-specific ICAM-3 grabbing non-integrin (DC-SIGN; also known as CD209). Here, to characterize this response in detail, we generated humanized DC-SIGN mice (hDC-SIGN), and demonstrate that the anti-inflammatory activity of intravenous immunoglobulin can be recapitulated by the transfer of bone-marrow-derived sFc-treated hDC-SIGN(+) macrophages or dendritic cells into naive recipients. Furthermore, sFc administration results in the production of IL-33, which, in turn, induces expansion of IL-4-producing basophils that promote increased expression of the inhibitory Fc receptor FcγRIIB on effector macrophages. Systemic administration of the T(H)2 cytokines IL-33 or IL-4 upregulates FcγRIIB on macrophages, and suppresses serum-induced arthritis. Consistent with these results, transfer of IL-33-treated basophils suppressed induced arthritic inflammation. This novel DC-SIGN-T(H)2 pathway initiated by an endogenous ligand, sFc, provides an intrinsic mechanism for maintaining immune homeostasis that could be manipulated to provide therapeutic benefit in autoimmune diseases.

Indexed as

AnimalsArthritisAutoimmune DiseasesBasophilsBone MarrowCell Adhesion MoleculesCrystallizationDC-Specific ICAM-3 Grabbing NonintegrinDendritic CellsHumansImmunoglobulin GImmunoglobulins, IntravenousInflammationInterleukin-33Interleukin-4InterleukinsCell Adhesion MoleculesDC-Specific ICAM-3 Grabbing NonintegrinFc gamma receptor IIBIl33 protein, mouseImmunoglobulin GImmunoglobulins, IntravenousInterleukin-33Interleukin-4InterleukinsLectins, C-TypeLigandsReceptors, Cell SurfaceReceptors, IgG

Identifiers

PMID21685887
PMCPMC3694429
OpenAlexW1985075809

What OpenQuestion holds

Textmetadata
LicenceTDM
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.