Evidence map›Paper›PMID 29531170›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2018

rIgG1 Fc Hexamer Inhibits Antibody-Mediated Autoimmune Disease via Effects on Complement and FcγRs.

Rolf Spirig, Ian K Campbell, Sandra Koernig, Chao-Guang Chen, Bonnie J B Lewis, Rebecca Butcher, Ineke Muir, Shirley Taylor, Jenny Chia, David Leong and 15 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 44 citations in OpenAlex.

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  11. Science advances · 2025
    Article
  12. Article
  13. Article
  14. IgG hexamers initiate acute lung injury.bioRxiv : the preprint server for biology · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 3 institutions in 4 countries.

Rolf SpirigCSL Behring AG, 3010 Bern, Switzerland; adrian.zuercher@cslbehring.com rolf.spirig@cslbehring.com.
Ian K CampbellCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.ORCID 0000-0002-3731-966X
Sandra KoernigCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
Chao-Guang ChenCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.ORCID 0000-0003-2136-8595
Bonnie J B LewisCentre for Innovation Canadian Blood Services, Toronto, Ontario K1G 4J5, Canada; and.
Rebecca ButcherCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
Ineke MuirCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.ORCID 0000-0002-8209-1385
Shirley TaylorCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.ORCID 0000-0002-3718-4363
Jenny ChiaCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
David LeongCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
Jason SimmondsCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.ORCID 0000-0003-1947-8701
Pierre ScotneyCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
Peter SchmidtCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
Louis FabriCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
Andreas HofmannCSL Behring AG, 3010 Bern, Switzerland.
Monika JordiCSL Behring AG, 3010 Bern, Switzerland.
Martin O SpycherCSL Behring AG, 3010 Bern, Switzerland.
Susann CattepoelCSL Behring AG, 3010 Bern, Switzerland.
Jennifer BrasseitCSL Behring AG, 3010 Bern, Switzerland.
Con PanousisCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
Tony RoweCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
Donald R BranchCentre for Innovation Canadian Blood Services, Toronto, Ontario K1G 4J5, Canada; and.ORCID 0000-0002-8974-2451
Adriana Baz MorelliCSL Ltd., Bio21 Institute, Parkville, Victoria 3010, Australia.
Fabian KäsermannCSL Behring AG, 3010 Bern, Switzerland.ORCID 0000-0002-4255-9350
Adrian W ZuercherCSL Behring AG, 3010 Bern, Switzerland; adrian.zuercher@cslbehring.com rolf.spirig@cslbehring.com.
CSL (United Kingdom) · GBCSL (Switzerland) · CHUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Activation of Fc receptors and complement by immune complexes is a common important pathogenic trigger in many autoimmune diseases and so blockade of these innate immune pathways may be an attractive target for treatment of immune complex-mediated pathomechanisms. High-dose IVIG is used to treat autoimmune and inflammatory diseases, and several studies demonstrate that the therapeutic effects of IVIG can be recapitulated with the Fc portion. Further, recent data indicate that recombinant multimerized Fc molecules exhibit potent anti-inflammatory properties. In this study, we investigated the biochemical and biological properties of an rFc hexamer (termed Fc-μTP-L309C) generated by fusion of the IgM μ-tailpiece to the C terminus of human IgG1 Fc. Fc-μTP-L309C bound FcγRs with high avidity and inhibited FcγR-mediated effector functions (Ab-dependent cell-mediated cytotoxicity, phagocytosis, respiratory burst) in vitro. In addition, Fc-μTP-L309C prevented full activation of the classical complement pathway by blocking C2 cleavage, avoiding generation of inflammatory downstream products (C5a or sC5b-9). In vivo, Fc-μTP-L309C suppressed inflammatory arthritis in mice when given therapeutically at approximately a 10-fold lower dose than IVIG, which was associated with reduced inflammatory cytokine production and complement activation. Likewise, administration of Fc-μTP-L309C restored platelet counts in a mouse model of immune thrombocytopenia. Our data demonstrate a potent anti-inflammatory effect of Fc-μTP-L309C in vitro and in vivo, likely mediated by blockade of FcγRs and its unique inhibition of complement activation.

Indexed as

AnimalsAntibodies, MonoclonalAntibody-Dependent Cell CytotoxicityAntigen-Antibody ComplexAutoimmune DiseasesCell LineComplement ActivationComplement System ProteinsHumansImmunoglobulin Fc FragmentsImmunoglobulin GInflammationMaleMiceMice, Inbred BALB CPhagocytosisAntibodies, MonoclonalAntigen-Antibody ComplexComplement System ProteinsImmunoglobulin Fc FragmentsImmunoglobulin GReceptors, FcReceptors, IgG

Identifiers

PMID29531170
PMCPMC5890536
OpenAlexW2793778251

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.