Evidence map›Paper›PMID 28126818›Full record

ArticleScience (New York, N.Y.)2017

IgG antibodies to dengue enhanced for FcγRIIIA binding determine disease severity.

Taia T Wang, Jaturong Sewatanon, Matthew J Memoli, Jens Wrammert, Stylianos Bournazos, Siddhartha Kumar Bhaumik, Benjamin A Pinsky, Kulkanya Chokephaibulkit, Nattawat Onlamoon, Kovit Pattanapanyasat and 3 more

Abstract read
In one paragraph

Article in Science (New York, N.Y.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 250 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
250citing papers in PubMed, 1 pooled it
28.5field-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

250 citing papers in PubMed, 1 synthesis or guideline pooled it, 370 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Dengue virus infection.Nature reviews. Disease primers · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Biographical Feature: Benjamin A. Pinsky, MD, PhD.Journal of clinical microbiology · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

190 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Taia T WangLaboratory of Molecular Genetics and Immunology, The Rockefeller University, 1230 York Avenue, New York, NY 10065, USA.
Jaturong SewatanonDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Matthew J MemoliViral Pathogenesis and Evolution Section, Laboratory of Infectious Diseases, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Jens WrammertEmory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30322, USA.
Stylianos BournazosLaboratory of Molecular Genetics and Immunology, The Rockefeller University, 1230 York Avenue, New York, NY 10065, USA.
Siddhartha Kumar BhaumikEmory Vaccine Center, Emory University School of Medicine, Atlanta, GA 30322, USA.
Benjamin A PinskyDepartment of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford University, Stanford, CA 94305, USA.
Kulkanya ChokephaibulkitDepartment of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand 10700.
Nattawat OnlamoonDepartment of Research and Development, Faculty of Medicine Siriraj Hospital, Bangkok, Thailand 10700.
Kovit PattanapanyasatDepartment of Research and Development, Faculty of Medicine Siriraj Hospital, Bangkok, Thailand 10700.
Jeffery K TaubenbergerViral Pathogenesis and Evolution Section, Laboratory of Infectious Diseases, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Rafi AhmedDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Jeffrey V RavetchLaboratory of Molecular Genetics and Immunology, The Rockefeller University, 1230 York Avenue, New York, NY 10065, USA. ravetch@rockefeller.edu.
Emory University · USRockefeller University · USNational Institute of Allergy and Infectious Diseases · USStanford University · US

Funding

VACCINE INDUCED IMMUNITY IN THE YOUNG AND AGEDU19AI057266 · NIAID · EMORY UNIVERSITY · PI Rafi Ahmed · 2003 to 2026
$81.7M
Developing, Demonstrating, and Disseminating Innovative Programs to Achieve Translational SuccessUL1TR001866 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY, KRUEGER, JAMES G · 2016 to 2025
$40.6M
Pandemic Influenza Translational Research; Novel Vaccine and Drug TherapyZIAAI001157 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MEMOLI, MATTHEW · 2012 to 2025
$37.2M
Understanding B cell memory in response to diverse virus infectionsU19AI111825 · NIAID · ROCKEFELLER UNIVERSITY · PI RAVETCH, JEFFREY VICTOR · 2014 to 2023
$26.0M
Understanding Human B Cell Responses to Influenza to Improve the Influenza U19AI109946 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI RAVETCH, JEFFREY VICTOR · 2014 to 2018
$9.6M
Dengue Virus Infection in IndiaU01AI115651 · NIAID · EMORY UNIVERSITY · PI AHMED, RAFI · 2015 to 2019
$4.0M
Study of FcR Genes: Macrophages and LymphocytesR01AI034662 · NIAID · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI RAVETCH, JEFFREY VICTOR · 1993 to 2012
$2.4M
Innate immune mechanisms in dengue infectionR01AI099385 · NIAID · MAHIDOL UNIVERSITY · PI PATTANAPANYASAT, KOVIT · 2012 to 2016
$661k
NCATS NIH HHS UL1 TR001866NIAID NIH HHS R01 AI034662NIAID NIH HHS R01 AI099385NIAID NIH HHS U01 AI115651NIAID NIH HHS U19 AI057266NIAID NIH HHS U19 AI109946NIAID NIH HHS U19 AI111825
6 · The paper itself

Abstract

Dengue virus (DENV) infection in the presence of reactive, non-neutralizing immunoglobulin G (IgG) (RNNIg) is the greatest risk factor for dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). Progression to DHF/DSS is attributed to antibody-dependent enhancement (ADE); however, because only a fraction of infections occurring in the presence of RNNIg advance to DHF/DSS, the presence of RNNIg alone cannot account for disease severity. We discovered that DHF/DSS patients respond to infection by producing IgGs with enhanced affinity for the activating Fc receptor FcγRIIIA due to afucosylated Fc glycans and IgG1 subclass. RNNIg enriched for afucosylated IgG1 triggered platelet reduction in vivo and was a significant risk factor for thrombocytopenia. Thus, therapeutics and vaccines restricting production of afucosylated, IgG1 RNNIg during infection may prevent ADE of DENV disease.

Indexed as

Antibody-Dependent EnhancementAntibodies, ViralAntibody AffinityBlood PlateletsHumansImmunoglobulin GPlatelet CountReceptors, IgGSevere DengueSeverity of Illness IndexThrombocytopeniaAntibodies, ViralFCGR3A protein, humanImmunoglobulin GReceptors, IgG

Identifiers

PMID28126818
PMCPMC5557095
OpenAlexW2581165541

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.