Evidence map›Paper›PMID 27297292›Full record

ReviewImmunobiology2016

Utilizing complement evasion strategies to design complement-based antibacterial immunotherapeutics: Lessons from the pathogenic Neisseriae.

Sanjay Ram, Jutamas Shaughnessy, Rosane B DeOliveira, Lisa A Lewis, Sunita Gulati, Peter A Rice

Open access · greenAbstract readReview
In one paragraph

Review in Immunobiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. The human factor H protein family - an update.Frontiers in immunology · 2024
    Review
  5. Recent advances onSynthetic and systems biotechnology · 2023
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Therapeutic CMP-Nonulosonates against Multidrug-ResistantJournal of immunology (Baltimore, Md. : 1950) · 2020
    Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Human Factor H Domains 6 and 7 Fused to IgG1 Fc Are Immunotherapeutic againstJournal of immunology (Baltimore, Md. : 1950) · 2018
    Article
  19. Review
  20. 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

6 authors at 1 institution in 1 country.

Sanjay RamDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA 01605, USA. Electronic address: sanjay.ram@umassmed.edu.
Jutamas ShaughnessyDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA 01605, USA.
Rosane B DeOliveiraDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA 01605, USA.
Lisa A LewisDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA 01605, USA.
Sunita GulatiDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA 01605, USA.
Peter A RiceDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA 01605, USA.
University of Massachusetts Chan Medical School · US

Funding

Immune defenses against Neisseria gonorrhoeaeR01AI114790 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI RAM, SANJAY, RICE, PETER A. · 2015 to 2019
$3.1M
Vaccines and Immunotherapeutics against gonorrhea in the contex of Chlamydia coU01AI118161 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI RAM, SANJAY · 2014 to 2017
$2.0M
Lipooligosaccharide mimitope vaccines against Neisseria gonorrhoeaeR01AI114710 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GULATI, SUNITA, RICE, PETER A. · 2015 to 2018
$1.8M
Sialic acid analogs as novel immunotherapeutics against multidrug-resistant gonorrheaR33AI119327 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GULATI, SUNITA, RAM, SANJAY · 2017 to 2019
$1.4M
Immunology of Infection with Neisseria gonorrhoeaeR56AI032725 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI RAM, SANJAY, RICE, PETER A. · 2014 to 2014
$583k
Novel immunotherapeutics against multi-drug resistant Neisseria gonorrhoeaeR21AI111728 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI RAM, SANJAY, SHAUGHNESSY, JUTAMAS · 2014 to 2015
$460k
Sialic acid analogs as novel immunotherapeutics against multidrug-resistant gonorrheaR21AI119327 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GULATI, SUNITA, RAM, SANJAY · 2015 to 2016
$456k
NIAID NIH HHS R01 AI114710NIAID NIH HHS R01 AI114790NIAID NIH HHS R21 AI111728NIAID NIH HHS R21 AI119327NIAID NIH HHS R33 AI119327NIAID NIH HHS R56 AI032725NIAID NIH HHS U01 AI118161
6 · The paper itself

Abstract

Novel therapies are urgently needed to combat the global threat of multidrug-resistant pathogens. Complement forms an important arm of innate defenses against infections. In physiological conditions, complement activation is tightly controlled by soluble and membrane-associated complement inhibitors, but must be selectively activated on invading pathogens to facilitate microbial clearance. Many pathogens, including Neisseria gonorrhoeae and N. meningitidis, express glycans, including N-acetylneuraminic acid (Neu5Ac), that mimic host structures to evade host immunity. Neu5Ac is a negatively charged 9-cabon sugar that inhibits complement, in part by enhancing binding of the complement inhibitor factor H (FH) through C-terminal domains (19 and 20) on FH. Other microbes also bind FH, in most instances through FH domains 6 and 7 or 18-20. Here we describe two strategies to target complement activation on Neisseriae. First, microbial binding domains of FH were fused to IgG Fc to create FH18-20/Fc (binds gonococci) and FH6,7/Fc (binds meningococci). A point mutation in FH domain 19 eliminated hemolysis caused by unmodified FH18-20, but retained binding to gonococci. FH18-20/Fc and FH6,7/Fc mediated complement-dependent killing in vitro and showed efficacy in animal models of gonorrhea and meningococcal bacteremia, respectively. The second strategy utilized CMP-nonulosonate (CMP-NulO) analogs of sialic acid that were incorporated into LOS and prevented complement inhibition by physiologic CMP-Neu5Ac and resulted in attenuated gonococcal infection in mice. While studies to establish the safety of these agents are needed, enhancing complement activation on microbes may represent a promising strategy to treat antimicrobial resistant organisms.

Indexed as

Drug DesignAnimalsAnti-Bacterial AgentsAntigens, BacterialBacteriaBacterial InfectionsComplement ActivationComplement Factor HComplement System ProteinsHost-Pathogen InteractionsHumansImmunoglobulin Fc FragmentsImmunologic FactorsMolecular MimicryNeisseriaRecombinant Fusion ProteinsAnti-Bacterial AgentsAntigens, BacterialComplement Factor HComplement System ProteinsImmunoglobulin Fc FragmentsImmunologic FactorsRecombinant Fusion ProteinsSialic AcidsComplementFactor HImmunotherapeuticsNeisseriaSialic acid

Identifiers

PMID27297292
PMCPMC4987187
OpenAlexW2411599091

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.