Evidence map›Paper›PMID 28251805›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2017

Effect of the Anti-C1s Humanized Antibody TNT009 and Its Parental Mouse Variant TNT003 on HLA Antibody-Induced Complement Activation-A Preclinical In Vitro Study.

M Wahrmann, J Mühlbacher, L Marinova, H Regele, N Huttary, F Eskandary, G Cohen, G F Fischer, G C Parry, J C Gilbert and 2 more

Abstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Cold Agglutinin Disease.Clinical hematology international · 2020
    Review
  8. Review
  9. Article
  10. Effect of the Anti-C1s Humanized Antibody TNT009 and Its Parental Mouse Variant TNT003 on HLA Antibody-Induced Complement Activation-A Preclinical In Vitro Study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2017
    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

12 authors.

M WahrmannDivision of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna, Vienna, Austria.
J MühlbacherDepartment of Surgery, Medical University Vienna, Vienna, Austria.
L MarinovaDivision of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna, Vienna, Austria.
H RegeleClinical Institute of Pathology, Medical University Vienna, Vienna, Austria.
N HuttaryClinical Institute of Pathology, Medical University Vienna, Vienna, Austria.
F EskandaryDivision of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna, Vienna, Austria.
G CohenDivision of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna, Vienna, Austria.
G F FischerDepartment of Blood Group Serology and Transfusion Medicine, Medical University Vienna, Vienna, Austria.
G C ParryTrue North Therapeutics, Inc., South San Francisco, CA.
J C GilbertTrue North Therapeutics, Inc., South San Francisco, CA.
S PanickerTrue North Therapeutics, Inc., South San Francisco, CA.
G A BöhmigDivision of Nephrology and Dialysis, Department of Medicine III, Medical University Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The classic pathway (CP) of complement is believed to significantly contribute to alloantibody-mediated transplant injury, and targeted complement inhibition is currently considered to be a promising approach for preventing rejection. Here, we investigated the mode of action and efficacy of the humanized anti-C1s monoclonal antibody TNT009 and its parental mouse variant, TNT003, in preclinical in vitro models of HLA antibody-triggered CP activation. In flow cytometric assays, we measured the attachment of C1 subcomponents and C4/C3 split products (C4b/d, C3b/d) to HLA antigen-coated flow beads or HLA-mismatched aortic endothelial cells and splenic lymphocytes. Anti-C1s antibodies profoundly inhibited C3 activation at concentrations >20 μg/mL, in both solid phase and cellular assays. While C4 activation was also prevented, this was not the case for C1 subcomponent attachment. Analysis of serum samples obtained from 68 sensitized transplant candidates revealed that the potency of inhibition was related to the extent of baseline CP activation. This study demonstrates that anti-C1s antibodies TNT009 and TNT003 are highly effective in blocking HLA antibody-triggered complement activation downstream of C1. Our results provide the foundation for clinical studies designed to investigate the potential of TNT009 in the treatment or prevention of complement-mediated tissue injury in sensitized transplant recipients.

Indexed as

AnimalsAntibodies, MonoclonalComplement ActivationComplement C1sFollow-Up StudiesGlomerular Filtration RateGraft RejectionGraft SurvivalHLA AntigensHumansIsoantibodiesKidney Failure, ChronicKidney Function TestsKidney TransplantationMicePrognosisAntibodies, MonoclonalComplement C1sHLA AntigensIsoantibodiesTNT003basic (laboratory) research/sciencecomplement biologyflow cytometryfusion proteins and monoclonal antibodieshistocompatibilityimmunosuppressantimmunosuppression/immune modulationmajor histocompatibility complex (MHC)rejection: antibody-mediated (ABMR)translational research/science

Identifiers

PMID28251805
PMCPMC5600102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.