Evidence map›Paper›PMID 24139828›Full record

ArticleThe Journal of allergy and clinical immunology2013

Rapid desensitization of mice with anti-FcγRIIb/FcγRIII mAb safely prevents IgG-mediated anaphylaxis.

Marat V Khodoun, Zeynep Yesim Kucuk, Richard T Strait, Durga Krishnamurthy, Kevin Janek, Corey D Clay, Suzanne C Morris, Fred D Finkelman

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Importance of mast cell histamine secretion in IgG-mediated systemic anaphylaxis.The Journal of allergy and clinical immunology · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Allergy, Anaphylaxis, and Nonallergic Hypersensitivity: IgE, Mast Cells, and Beyond.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022
    Review
  9. Article
  10. Non-IgE-Mediated Drug Hypersensitivity Reactions.Current allergy and asthma reports · 2021
    Review
  11. Transcriptional frameshifts contribute to protein allergenicity.The Journal of clinical investigation · 2020
    Article
  12. Article
  13. The pathophysiology of anaphylaxis.The Journal of allergy and clinical immunology · 2017
    Review
  14. Article
  15. Review
  16. IgG subclasses determine pathways of anaphylaxis in mice.The Journal of allergy and clinical immunology · 2017
    Article
  17. Human IgE-independent systemic anaphylaxis.The Journal of allergy and clinical immunology · 2016
    Review
  18. Molecular and cellular mechanisms of food allergy and food tolerance.The Journal of allergy and clinical immunology · 2016
    Review
  19. Article
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.

Marat V KhodounDepartment of Research, Cincinnati Veterans Affairs Medical Center, Cincinnati, Ohio; Division of Immunology, Allergy and Rheumatology, Department of Medicine, University of Cincinnati School of Medicine, Cincinnati, Ohio.
Zeynep Yesim Kucuk
Richard T Strait
Durga Krishnamurthy
Kevin Janek
Corey D Clay
Suzanne C Morris
Fred D Finkelman
Cincinnati Children's Hospital Medical Center · USVeterans Health Administration · USUniversity of Cincinnati · US

Funding

Cincinnati Center for Excellence in Molecular HematologyP30DK090971 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI ZHENG, YI · 2010 to 2015
$4.0M
Immunology/Allergy Fellowship Training GrantT32AI060515 · NIAID · UNIVERSITY OF CINCINNATI · PI BERNSTEIN, DAVID I., ROTHENBERG, MARC E. · 2004 to 2018
$2.8M
NIAID NIH HHS T32 AI060515NIDDK NIH HHS P30 DK090971
6 · The paper itself

Abstract

backgroundStimulatory IgG receptors (FcγRs) on bone marrow-derived cells contribute to the pathogenesis of several autoimmune and inflammatory disorders. Monoclonal antibodies that block FcγRs might suppress these diseases, but they can induce anaphylaxis.

objectiveWe wanted to determine whether a rapid desensitization approach can safely suppress IgG/FcγR-mediated anaphylaxis.

methodsMice were injected with serially increasing doses of 2.4G2, a rat mAb that blocks the inhibitory FcγR, FcγRIIb, and the stimulatory receptor, FcγRIII. Rectal temperature was used to detect the development of anaphylaxis. Passive and active IgG-mediated anaphylaxis were evaluated in mice that had been rapidly desensitized with 2.4G2 or mock-desensitized in mice in which monocyte/macrophages, basophils, or neutrophils had been depleted or desensitized and in mice in which FcγRI, FcγRIII, and/or FcγRIV had been deleted or blocked.

resultsRapid desensitization with 2.4G2 prevented 2.4G2-induced shock and completely suppressed IgG-mediated anaphylaxis. Rapid desensitization of ovalbumin-sensitized mice with 2.4G2 was safer and more effective than rapid desensitization with ovalbumin. 2.4G2 treatment completely blocked FcγRIII and removed most FcγRI and FcγRIV from nucleated peripheral blood cells. Because IgG(2a)-mediated anaphylaxis was partially FcγRI and FcγRIV dependent, the effects of 2.4G2 on FcγRI and FcγRIV were probably crucial for its complete inhibition of IgG(2a)-mediated anaphylaxis. IgG(2a)-mediated anaphylaxis was partially inhibited by depletion or desensitization of monocyte/macrophages, basophils, or neutrophils.

conclusionIgG-mediated anaphylaxis can be induced by ligation of FcγRI, FcγRIII, or FcγRIV on monocycte/macrophages, basophils, or neutrophils and can be safely suppressed by rapid desensitization with anti-FcγRII/RIII mAb. A similar approach may safely suppress other FcγR-dependent immunopathology.

Indexed as

AnaphylaxisAnimalsAntibodies, BlockingAntibodies, MonoclonalBasophilsBody TemperatureDesensitization, ImmunologicDisease Models, AnimalFemaleHypersensitivityMacrophagesMiceMice, Inbred BALB CMice, Inbred C57BLNeutrophilsOvalbuminAntibodies, BlockingAntibodies, MonoclonalFcgr2b protein, mouseFcgr3 protein, mouseOvalbuminReceptors, IgGAmerican Type Culture CollectionAnaphylaxisATCCbasophilEgg whiteEWFcγRHanks balanced salt solution plus 10% newborn bovine serumHNHNAHN plus 0.2% NaN3IgGmAbmacrophageMonoclonal antibodymouseneutrophilOVAOvalbuminPAFPlatelet-activating factorrapid desensitizationTNPTrinitrophenylWild-typeWT

Identifiers

PMID24139828
PMCPMC8215526
OpenAlexW2052727065

What OpenQuestion holds

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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.