Evidence map›Paper›PMID 32556153›Full record

ArticleBlood2020

Macrophage hypophagia as a mechanism of innate immune exhaustion in mAb-induced cell clearance.

Jonathan J Pinney, Fátima Rivera-Escalera, Charles C Chu, Hannah E Whitehead, Karl R VanDerMeid, Ashley M Nelson, Michelle C Barbeau, Clive S Zent, Michael R Elliott

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

29 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
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  7. Hyperactive Rac converts sublethal to lethal trogocytosis in vivo.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  11. Hyperactive Rac converts sublethal nibbling to lethal phagocytosisbioRxiv : the preprint server for biology · 2025
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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

9 authors at 3 institutions in 1 country.

Jonathan J PinneyCenter for Vaccine Biology and Immunology and.
Fátima Rivera-EscaleraCenter for Vaccine Biology and Immunology and.
Charles C ChuDivision of Hematology/Oncology, University of Rochester, Rochester, NY.
Hannah E WhiteheadCenter for Vaccine Biology and Immunology and.
Karl R VanDerMeidDivision of Hematology/Oncology, University of Rochester, Rochester, NY.
Ashley M NelsonDepartment of Microbiology and Immunology, University of Rochester, Rochester, NY.
Michelle C BarbeauDepartment of Experimental Pathology, University of Virginia, Charlottesville, VA.
Clive S ZentDivision of Hematology/Oncology, University of Rochester, Rochester, NY.
Michael R ElliottCenter for Vaccine Biology and Immunology and.
University of Rochester Medical Center · USUniversity of Rochester · USUniversity of Virginia · US

Funding

The T32 Predoctoral Training Program in Immunology (PTPI)T32AI007285 · NIAID · UNIVERSITY OF ROCHESTER · PI Scott Andrew Gerber, JACQUES Robert · 1986 to 2026
$7.6M
Immunoregulatory role of CD73 in efferocytosisR01AI114554 · NIAID · UNIVERSITY OF VIRGINIA · PI ELLIOTT, MICHAEL RUSTY · 2015 to 2019
$2.5M
Macrophage regulation of the erythronR01DK119285 · NIDDK · UNIVERSITY OF ROCHESTER · PI ELLIOTT, MICHAEL RUSTY, PALIS, JAMES · 2019 to 2023
$2.3M
Macrophage regulation of the erythronR56DK119285 · NIDDK · UNIVERSITY OF ROCHESTER · PI ELLIOTT, MICHAEL RUSTY, PALIS, JAMES · 2018 to 2018
$100k
NIAID NIH HHS R01 AI114554NIAID NIH HHS T32 AI007285NIDDK NIH HHS R01 DK119285NIDDK NIH HHS R56 DK119285
6 · The paper itself

Abstract

Macrophage antibody (Ab)-dependent cellular phagocytosis (ADCP) is a major cytotoxic mechanism for both therapeutic unconjugated monoclonal Abs (mAbs) such as rituximab and Ab-induced hemolytic anemia and immune thrombocytopenia. Here, we studied the mechanisms controlling the rate and capacity of macrophages to carry out ADCP in settings of high target/effector cell ratios, such as those seen in patients with circulating tumor burden in leukemic phase disease. Using quantitative live-cell imaging of primary human and mouse macrophages, we found that, upon initial challenge with mAb-opsonized lymphocytes, macrophages underwent a brief burst (<1 hour) of rapid phagocytosis, which was then invariably followed by a sharp reduction in phagocytic activity that could persist for days. This previously unknown refractory period of ADCP, or hypophagia, was observed in all macrophage, mAb, and target cell conditions tested in vitro and was also seen in vivo in Kupffer cells from mice induced to undergo successive rounds of αCD20 mAb-dependent clearance of circulating B cells. Importantly, hypophagia had no effect on Ab-independent phagocytosis and did not alter macrophage viability. In mechanistic studies, we found that the rapid loss of activating Fc receptors from the surface and their subsequent proteolytic degradation were the primary mechanisms responsible for the loss of ADCP activity in hypophagia. These data suggest hypophagia is a critical limiting step in macrophage-mediated clearance of cells via ADCP, and understanding such limitations to innate immune system cytotoxic capacity will aid in the development of mAb regimens that could optimize ADCP and improve patient outcome.

Indexed as

PhagocytosisAnimalsAntibodies, MonoclonalAntibody-Dependent Cell CytotoxicityFemaleImmunity, InnateMacrophagesMaleMiceMice, Inbred C57BLPhagocytesRituximabAntibodies, MonoclonalRituximab

Identifiers

PMID32556153
PMCPMC7596847
OpenAlexW3036325330

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.