Evidence map›Paper›PMID 27474078›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2016

Antibodies That Efficiently Form Hexamers upon Antigen Binding Can Induce Complement-Dependent Cytotoxicity under Complement-Limiting Conditions.

Erika M Cook, Margaret A Lindorfer, Hilma van der Horst, Simone Oostindie, Frank J Beurskens, Janine Schuurman, Clive S Zent, Richard Burack, Paul W H I Parren, Ronald P Taylor

Open access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
8.8field-weighted citation impact, top 2% 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

43 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
  2. Targeting CD20 for B-cell Depletion in Autoimmune Kidney Disease: Next Generation.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  3. Complement activation by IgG subclasses is governed by their ability to oligomerize upon antigen binding.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  4. Article
  5. Article
  6. Therapeutic targeting of TRAIL death receptors.Biochemical Society transactions · 2023
    Review
  7. Article
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  9. Review
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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

10 authors at 4 institutions in 2 countries.

Erika M CookDepartment of Biochemistry and Molecular Genetics, University of Virginia School of Medicine, Charlottesville, VA 22908;ORCID 0000-0002-6383-1560
Margaret A LindorferDepartment of Biochemistry and Molecular Genetics, University of Virginia School of Medicine, Charlottesville, VA 22908;ORCID 0000-0003-4203-405X
Hilma van der HorstGenmab, 3584 CM Utrecht, the Netherlands;
Simone OostindieGenmab, 3584 CM Utrecht, the Netherlands;
Frank J BeurskensGenmab, 3584 CM Utrecht, the Netherlands;ORCID 0000-0002-7165-5771
Janine SchuurmanGenmab, 3584 CM Utrecht, the Netherlands;ORCID 0000-0002-9738-9926
Clive S ZentWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY 14642;ORCID 0000-0001-6099-3313
Richard BurackDepartment of Pathology, University of Rochester Medical Center, Rochester, NY 14642; and.
Paul W H I ParrenGenmab, 3584 CM Utrecht, the Netherlands; Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, 2333 ZA Leiden, the Netherlands.ORCID 0000-0002-4365-3859
Ronald P TaylorDepartment of Biochemistry and Molecular Genetics, University of Virginia School of Medicine, Charlottesville, VA 22908; rpt@virginia.edu.ORCID 0000-0003-1578-8382
Genmab (Netherlands) · NLUniversity of Virginia · USUniversity of Rochester Medical Center · USLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, we demonstrated that IgG Abs can organize into ordered hexamers after binding their cognate Ags expressed on cell surfaces. This process is dependent on Fc:Fc interactions, which promote C1q binding, the first step in classical pathway complement activation. We went on to engineer point mutations that stimulated IgG hexamer formation and complement-dependent cytotoxicity (CDC). The hexamer formation-enhanced (HexaBody) CD20 and CD38 mAbs support faster, more robust CDC than their wild-type counterparts. To further investigate the CDC potential of these mAbs, we used flow cytometry, high-resolution digital imaging, and four-color confocal microscopy to examine their activity against B cell lines and primary chronic lymphocytic leukemia cells in sera depleted of single complement components. We also examined the CDC activity of alemtuzumab (anti-CD52) and mAb W6/32 (anti-HLA), which bind at high density to cells and promote substantial complement activation. Although we observed little CDC for mAb-opsonized cells reacted with sera depleted of early complement components, we were surprised to discover that the Hexabody mAbs, as well as ALM and W6/32, were all quite effective at promoting CDC in sera depleted of individual complement components C6 to C9. However, neutralization studies conducted with an anti-C9 mAb verified that C9 is required for CDC activity against cell lines. These highly effective complement-activating mAbs efficiently focus activated complement components on the cell, including C3b and C9, and promote CDC with a very low threshold of MAC binding, thus providing additional insight into their enhanced efficacy in promoting CDC.

Indexed as

Antibody-Dependent Cell CytotoxicityBinding Sites, AntibodyADP-ribosyl Cyclase 1AlemtuzumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntigensAntigens, CD20B-LymphocytesCell Line, TumorComplement ActivationComplement C3bComplement C9Complement System ProteinsHumansMembrane GlycoproteinsADP-ribosyl Cyclase 1AlemtuzumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntigensAntigens, CD20CD38 protein, humanComplement C3bComplement C9Complement System ProteinsMembrane Glycoproteins

Identifiers

PMID27474078
PMCPMC4991250
OpenAlexW2501322479

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.