Evidence map›Paper›PMID 29588277›Full record

ReviewBlood2018

Tolerogenic properties of the Fc portion of IgG and its relevance to the treatment and management of hemophilia

Richard S Blumberg, David Lillicrap, IgG Fc Immune Tolerance Group

Open access · bronzeAbstract readReview
In one paragraph

Review in Blood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Designing better gene therapies for lysosomal storage disorders using engineered enzymes.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  3. Exploration of biomarkers for inhibitor development in persons with hemophilia A.Research and practice in thrombosis and haemostasis · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Selective Depletion of Antigen-Specific Antibodies for the Treatment of Demyelinating Disease.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Article
  11. Review
  12. Review
  13. Emerging benefits of Fc fusion technology in the context of recombinant factor VIII replacement therapy.Haemophilia : the official journal of the World Federation of Hemophilia · 2020
    Review
  14. Article
  15. Tolerating Factor VIII: Recent Progress.Frontiers in immunology · 2019
    Review
  16. Review
  17. The Neonatal Fc Receptor (FcRn): A Misnomer?Frontiers in immunology · 2019
    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

3 authors at 2 institutions in 2 countries.

Richard S BlumbergDivision of Gastroenterology, Hepatology, and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-9704-248X
David LillicrapDepartment of Pathology and Molecular Medicine, Queen's University, Kingston, ON, Canada.
IgG Fc Immune Tolerance Group
Brigham and Women's Hospital · USQueen's University · CA

Funding

STRUCTURE-FUNCTION RELATIONSHIPS IN THE ALIMENTARY TRACTP30DK034854 · NIDDK · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI JONATHAN C KAGAN · 1986 to 2026
$32.4M
INTESTINAL TRANSCYTOSIS OF IGG IN ADULT LIFER01DK053056 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BLUMBERG, RICHARD S · 1997 to 2021
$10.6M
Induction of Tolerance to FVIII in HemophiliaR01HL126727 · NHLBI · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI PRATT, KATHLEEN PALMER, SCOTT, DAVID WILLIAM · 2015 to 2022
$3.2M
Engineered CARs Targeting FVIII-specific T and B CellsR21HL127495 · NHLBI · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI SCOTT, DAVID WILLIAM · 2016 to 2017
$424k
Intestinal Immune Regulation by IgG and FcRnR56DK053056 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BLUMBERG, RICHARD S · 2017 to 2017
$100k
CIHR FDN-154285NHLBI NIH HHS R01 HL126727NHLBI NIH HHS R21 HL127495NIDDK NIH HHS P30 DK034854NIDDK NIH HHS R01 DK053056NIDDK NIH HHS R56 DK053056
6 · The paper itself

Abstract

Hemophilia, or inherited genetic deficiencies in coagulation factors, results in uncontrolled bleeding requiring replacement therapy with recombinant proteins given preventively or on demand. However, a major problem with these approaches is the potential for development of immune responses to the administered proteins due to the underlying genetic deficiency of the factor(s) throughout life. As such, there is great interest in developing strategies that avoid immunogenicity and induce immune tolerance. Recently, recombinant factor VIII (rFVIII) and rFIX fused to the crystallizable fragment (Fc) domain of immunoglobulin G (IgG) have been developed as therapeutic agents for hemophilia A and B, respectively. Although it is well known that the possession of an Fc domain confers IgG's longer-lasting circulating half-life, it is not generally appreciated that the Fc domain also confers immunoregulatory properties that are associated with the induction of tolerance. Here, we review some of the latest advances in our understanding of the tolerogenic abilities of IgG Fc and the impact of Fc-fusion proteins of rFVIII on the treatment of hemophilia.

Indexed as

Immune ToleranceAnimalsDisease ManagementFactor IXFactor VIIIHemophilia AHemophilia BHumansImmunoglobulin Fc FragmentsImmunoglobulin GImmunomodulationIsoantibodiesReceptors, FcRecombinant Fusion ProteinsTreatment OutcomeFactor IXFactor VIIIImmunoglobulin Fc FragmentsImmunoglobulin GIsoantibodiesReceptors, FcRecombinant Fusion Proteins

Identifiers

PMID29588277
PMCPMC5958656
OpenAlexW2794609724

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.