Evidence map›Paper›PMID 29275858›Full record

ArticleCell2018

Engineered Sialylation of Pathogenic Antibodies In Vivo Attenuates Autoimmune Disease.

Jose D Pagan, Maya Kitaoka, Robert M Anthony

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 1 pooled it
16.7field-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

118 citing papers in PubMed, 1 synthesis or guideline pooled it, 204 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. IgG N-glycosylation in autoimmune diseases.Frontiers in immunology · 2026
    Review
  5. Immunoglobulin G in aging and cancer.Frontiers in immunology · 2026
    Review
  6. Antibody glycosylation in neuroimmune diseases.Journal of translational medicine · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Therapeutic effect of galactosyltransferase- and sialyltransferase-encoding mRNA in rheumatoid arthritis.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Molecular determinants of sialylated IgG anti-inflammatory activity.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Exploration of biomarkers for inhibitor development in persons with hemophilia A.Research and practice in thrombosis and haemostasis · 2025
    Article
  17. Article
  18. Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Jose D PaganCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy, and Immunology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02129, USA.
Maya KitaokaCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy, and Immunology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02129, USA.
Robert M AnthonyCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy, and Immunology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02129, USA. Electronic address: robert.anthony@mgh.harvard.edu.
Massachusetts General Hospital · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Ramnik J Xavier · 1991 to 2026
$35.3M
Glycoengineering In VivoDP2AR068272 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI ANTHONY, ROBERT MCCULLOUGH · 2014 to 2014
$2.6M
SIGN receptors and the antiinflammatory activity of sialylated IgG FcsK22AI091684 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI ANTHONY, ROBERT MCCULLOUGH · 2012 to 2013
$270k
NIAID NIH HHS K22 AI091684NIAMS NIH HHS DP2 AR068272NIDDK NIH HHS P30 DK043351
6 · The paper itself

Abstract

Self-reactive IgGs contribute to the pathology of autoimmune diseases, including systemic lupus erythematosus and rheumatoid arthritis. Paradoxically, IgGs are used to treat inflammatory diseases in the form of high-dose intravenous immunoglobulin (IVIG). Distinct glycoforms on the IgG crystallizable fragment (Fc) dictate these divergent functions. IgG anti-inflammatory activity is attributed to sialylation of the Fc glycan. We therefore sought to convert endogenous IgG to anti-inflammatory mediators in vivo by engineering solubilized glycosyltransferases that attach galactose or sialic acid. When both enzymes were administered in a prophylactic or therapeutic fashion, autoimmune inflammation was markedly attenuated in vivo. The enzymes worked through a similar pathway to IVIG, requiring DC-SIGN, STAT6 signaling, and FcγRIIB. Importantly, sialylation was highly specific to pathogenic IgG at the site of inflammation, driven by local platelet release of nucleotide-sugar donors. These results underscore the therapeutic potential of glycoengineering in vivo.

Indexed as

Protein Processing, Post-TranslationalAnimalsAutoimmune DiseasesCells, CulturedFemaleGlycosylationHEK293 CellsHumansImmunoglobulin GImmunotherapyMiceMice, Inbred C57BLSialic AcidsSialyltransferasesImmunoglobulin GSialic AcidsSialyltransferasesAntibodyautoimmune disease therapyglycosylationinflammationplateletssialic acid

Identifiers

PMID29275858
PMCPMC5849077
OpenAlexW2778963731

What OpenQuestion holds

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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.