Evidence map›Paper›PMID 31194726›Full record

ArticlePLoS biology2019

Specific activation of pro-Infliximab enhances selectivity and safety of rheumatoid arthritis therapy.

Yun-Chi Lu, Chih-Hung Chuang, Kuo-Hsiang Chuang, I-Ju Chen, Bo-Cheng Huang, Wen-Han Lee, Hsin-Ell Wang, Jia-Je Li, Yi-An Cheng, Kai-Wen Cheng and 4 more

Open access · goldAbstract read
In one paragraph

Article in PLoS biology, 2019. 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
2.8field-weighted citation impact, top 10% 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. Article
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  3. Conditionally Activatable Antibody Platforms: Mechanisms, Modalities, and Clinical Translation Potential.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Cell-based therapies for the treatment of rheumatoid arthritis.Immunity, inflammation and disease · 2023
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Hydrogels for the treatment of rheumatoid arthritis.Frontiers in bioengineering and biotechnology · 2022
    Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

14 authors at 4 institutions in 1 country.

Yun-Chi LuGraduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chih-Hung ChuangDepartment of Medical Laboratory Science and Biotechnology, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan.ORCID 0000-0002-1221-6584
Kuo-Hsiang ChuangGraduate Institute of Pharmacognosy, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0001-7513-2671
I-Ju ChenDrug Development and Value Creation Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan.
Bo-Cheng HuangInstitute of Biomedical Sciences, National Sun Yat-Sen University, Kaohsiung, Taiwan.
Wen-Han LeeDepartment of Biomedical Science and Environmental Biology, Kaohsiung Medical University, Kaohsiung, Taiwan.
Hsin-Ell WangDepartment of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan.
Jia-Je LiDepartment of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan.
Yi-An ChengGraduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kai-Wen ChengDrug Development and Value Creation Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan.
Jaw-Yuan WangGraduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Yuan-Chin HsiehDrug Development and Value Creation Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan.
Wen-Wei LinGraduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Tian-Lu ChengGraduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.ORCID 0000-0003-0004-8840
Kaohsiung Medical University · TWNational Yang Ming Chiao Tung University · TWNational Sun Yat-sen University · TWTaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During rheumatoid arthritis (RA) treatment, long-term injection of antitumor necrosis factor α antibodies (anti-TNFα Abs) may induce on-target toxicities, including severe infections (tuberculosis [TB] or septic arthritis) and malignancy. Here, we used an immunoglobulin G1 (IgG1) hinge as an Ab lock to cover the TNFα-binding site of Infliximab by linking it with matrix metalloproteinase (MMP) -2/9 substrate to generate pro-Infliximab that can be specifically activated in the RA region to enhance the selectivity and safety of treatment. The Ab lock significantly inhibits the TNFα binding and reduces the anti-idiotypic (anti-Id) Ab binding to pro-Infliximab by 395-fold, 108-fold compared with Infliximab, respectively, and MMP-2/9 can completely restore the TNFα neutralizing ability of pro-Infliximab to block TNFα downstream signaling. Pro-Infliximab was only selectively activated in the disease site (mouse paws) and presented similar pharmacokinetics (PKs) and bio-distribution to Infliximab. Furthermore, pro-Infliximab not only provided equivalent therapeutic efficacy to Infliximab but also maintained mouse immunity against Listeria infection in the RA mouse model, leading to a significantly higher survival rate (71%) than that of the Infliximab treatment group (0%). The high-selectivity pro-Infliximab maintains host immunity and keeps the original therapeutic efficiency, providing a novel strategy for RA therapy.

Indexed as

AnimalsArthritis, RheumatoidDrug Delivery SystemsHumansImmunoglobulin GInfliximabMiceMice, Inbred DBAMice, KnockoutTumor Necrosis Factor-alphaImmunoglobulin GInfliximabTumor Necrosis Factor-alpha

Identifiers

PMID31194726
PMCPMC6563948
OpenAlexW2950581734

What OpenQuestion holds

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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.