Evidence map›Paper›PMID 29686315›Full record

ArticleScientific reports2018

Structural and kinetic basis for the selectivity of aducanumab for aggregated forms of amyloid-β.

Joseph W Arndt, Fang Qian, Benjamin A Smith, Chao Quan, Krishna Praneeth Kilambi, Martin W Bush, Thomas Walz, R Blake Pepinsky, Thierry Bussière, Stefan Hamann and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 183 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 1 pooled it
9.8field-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

183 citing papers in PubMed, 1 synthesis or guideline pooled it, 356 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. B1 Cells for Life.Immunological reviews · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Toxic mechanisms of amyloid oligomers and therapeutic strategies.Protein science : a publication of the Protein Society · 2026
    Review
  9. Review
  10. Article
  11. The evolving landscape of amyloid-targeting therapies in Alzheimer's disease: progress and challenges.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  12. Review
  13. Herpes simplex virus infection and Alzheimer's disease.Frontiers in aging neuroscience · 2026
    Review
  14. Aducanumab binding to AβProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  15. Article
  16. Article
  17. Aducanumab Binding to AβbioRxiv : the preprint server for biology · 2025
    Article
  18. Review
  19. Review
  20. Article

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

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 at 2 institutions in 1 country.

Joseph W ArndtBiogen, Cambridge, MA, USA. joe.arndt@biogen.com.
Fang QianBiogen, Cambridge, MA, USA.
Benjamin A SmithBiogen, Cambridge, MA, USA.
Chao QuanBiogen, Cambridge, MA, USA.
Krishna Praneeth KilambiBiogen, Cambridge, MA, USA.
Martin W BushThe Rockefeller University, New York, NY, USA.
Thomas WalzBiogen, Cambridge, MA, USA.
R Blake PepinskyBiogen, Cambridge, MA, USA.
Thierry BussièreBiogen, Cambridge, MA, USA.
Stefan HamannBiogen, Cambridge, MA, USA.
Thomas O CameronBiogen, Cambridge, MA, USA.
Paul H WeinrebBiogen, Cambridge, MA, USA. paul.weinreb@biogen.com.ORCID 0000-0002-0802-0052
Biogen (United States) · USRockefeller University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aducanumab, a human-derived antibody targeting amyloid-β (Aβ), is in Phase 3 clinical trials for the treatment of Alzheimer's disease. Biochemical and structural analyses show that aducanumab binds a linear epitope formed by amino acids 3-7 of the Aβ peptide. Aducanumab discriminates between monomers and oligomeric or fibrillar aggregates based on weak monovalent affinity, fast binding kinetics and strong avidity for epitope-rich aggregates. Direct comparative studies with analogs of gantenerumab, bapineuzumab and solanezumab demonstrate clear differentiation in the binding properties of these antibodies. The crystal structure of the Fab fragment of aducanumab bound to its epitope peptide reveals that aducanumab binds to the N terminus of Aβ in an extended conformation, distinct from those seen in structures with other antibodies that target this immunodominant epitope. Aducanumab recognizes a compact epitope that sits in a shallow pocket on the antibody surface. In silico analyses suggest that aducanumab interacts weakly with the Aβ monomer and may accommodate a variety of peptide conformations, further supporting its selectivity for Aβ aggregates. Our studies provide a structural rationale for the low affinity of aducanumab for non-pathogenic monomers and its greater selectivity for aggregated forms than is seen for other Aβ-targeting antibodies.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAntibodies, Monoclonal, HumanizedBinding Sites, AntibodyEnzyme-Linked Immunosorbent AssayHumansImmunotherapyKineticsMolecular Docking SimulationProtein ConformationSurface Plasmon ResonanceaducanumabAmyloid beta-PeptidesAntibodies, Monoclonal, Humanized

Identifiers

PMID29686315
PMCPMC5913127
OpenAlexW2802724927

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.