Evidence map›Paper›PMID 27474782›Full record

ArticleHepatology (Baltimore, Md.)2016

A novel high mobility group box 1 neutralizing chimeric antibody attenuates drug-induced liver injury and postinjury inflammation in mice.

Peter Lundbäck, Jonathan D Lea, Agnieszka Sowinska, Lars Ottosson, Camilla Melin Fürst, Johanna Steen, Cecilia Aulin, Joanna I Clarke, Anja Kipar, Lena Klevenvall and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
10.6field-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

54 citing papers in PubMed, 103 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Anti-DAMP therapies for acute inflammation.Frontiers in immunology · 2025
    Review
  5. Emerging Roles of High-mobility Group Box-1 in Liver Disease.Journal of clinical and translational hepatology · 2024
    Review
  6. Article
  7. Review
  8. The Role of Carbamoyl Phosphate Synthetase 1 as a Prognostic Biomarker in Patients With Acetaminophen-induced Acute Liver Failure.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Article
  9. Standardized PreclinicalMolecular pharmaceutics · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. Protective Effects ofMolecules (Basel, Switzerland) · 2022
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review
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

18 authors at 4 institutions in 3 countries.

Peter LundbäckDepartment of Medicine, Rheumatology Unit, Karolinska Institute, Stockholm, Sweden. peter.lundback@medisin.uio.no.
Jonathan D LeaMRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, Liverpool University, Liverpool, United Kingdom.
Agnieszka SowinskaDepartment of Medicine, Rheumatology Unit, Karolinska Institute, Stockholm, Sweden.
Lars OttossonDepartment of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
Camilla Melin FürstSection of Medical Protein Chemistry, Department of Translational Medicine, Lund University, Malmö, Sweden.
Johanna SteenDepartment of Medicine, Rheumatology Unit, Karolinska Institute, Stockholm, Sweden.
Cecilia AulinDepartment of Medicine, Rheumatology Unit, Karolinska Institute, Stockholm, Sweden.
Joanna I ClarkeMRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, Liverpool University, Liverpool, United Kingdom.
Anja KiparMRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, Liverpool University, Liverpool, United Kingdom.
Lena KlevenvallDepartment of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
Huan YangLaboratory of Biomedical Science, The Feinstein Institute for Medical Research, Manhasset, NY, USA.
Karin PalmbladDepartment of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
B Kevin ParkMRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, Liverpool University, Liverpool, United Kingdom.
Kevin J TraceyLaboratory of Biomedical Science, The Feinstein Institute for Medical Research, Manhasset, NY, USA.
Anna M BlomSection of Medical Protein Chemistry, Department of Translational Medicine, Lund University, Malmö, Sweden.
Ulf AnderssonDepartment of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
Daniel J AntoineMRC Centre for Drug Safety Science, Department of Molecular & Clinical Pharmacology, Liverpool University, Liverpool, United Kingdom. D.Antoine@liverpool.ac.uk.
Helena Erlandsson HarrisDepartment of Medicine, Rheumatology Unit, Karolinska Institute, Stockholm, Sweden. helena.harris@ki.se.
Karolinska Institutet · SEUniversity of Liverpool · GBFeinstein Institute for Medical Research · USLund University · SE

Funding

Molecular Basis of Bioelectronic MedicineR35GM118182 · NIGMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI TRACEY, KEVIN J · 2016 to 2025
$7.3M
Medical Research Council MR/L006758/1Wellcome Trust 097826/Z/11/Z
6 · The paper itself

Abstract

Acetaminophen (APAP) overdoses are of major clinical concern. Growing evidence underlines a pathogenic contribution of sterile postinjury inflammation in APAP-induced acute liver injury (APAP-ALI) and justifies development of anti-inflammatory therapies with therapeutic efficacy beyond the therapeutic window of the only current treatment option, N-acetylcysteine (NAC). The inflammatory mediator, high mobility group box 1 (HMGB1), is a key regulator of a range of liver injury conditions and is elevated in clinical and preclinical APAP-ALI. The anti-HMGB1 antibody (m2G7) is therapeutically beneficial in multiple inflammatory conditions, and anti-HMGB1 polyclonal antibody treatment improves survival in a model of APAP-ALI. Herein, we developed and investigated the therapeutic efficacy of a partly humanized anti-HMGB1 monoclonal antibody (mAb; h2G7) and identified its mechanism of action in preclinical APAP-ALI. The mouse anti-HMGB1 mAb (m2G7) was partly humanized (h2G7) by merging variable domains of m2G7 with human antibody-Fc backbones. Effector function-deficient variants of h2G7 were assessed in comparison with h2G7 in vitro and in preclinical APAP-ALI. h2G7 retained identical antigen specificity and comparable affinity as m2G7. 2G7 treatments significantly attenuated APAP-induced serum elevations of alanine aminotransferase and microRNA-122 and completely abrogated markers of APAP-induced inflammation (tumor necrosis factor, monocyte chemoattractant protein 1, and chemokine [C-X-C motif] ligand 1) with prolonged therapeutic efficacy as compared to NAC. Removal of complement and/or Fc receptor binding did not affect h2G7 efficacy.

conclusionThis is the first report describing the generation of a partly humanized HMGB1-neutralizing antibody with validated therapeutic efficacy and with a prolonged therapeutic window, as compared to NAC, in APAP-ALI. The therapeutic effect was mediated by HMGB1 neutralization and attenuation of postinjury inflammation. These results represent important progress toward clinical implementation of HMGB1-specific therapy as a means to treat APAP-ALI and other inflammatory conditions. (Hepatology 2016;64:1699-1710).

Indexed as

AcetaminophenAnalgesics, Non-NarcoticAnimalsAntibodies, NeutralizingAntipyreticsChemical and Drug Induced Liver InjuryHMGB1 ProteinInflammationMaleMiceMice, Inbred C57BLAcetaminophenAnalgesics, Non-NarcoticAntibodies, NeutralizingAntipyreticsHMGB1 Protein

Identifiers

PMID27474782
PMCPMC5082559
OpenAlexW2478211415

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Registered trials

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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.