Evidence map›Paper›PMID 32765523›Full record

ArticleFrontiers in immunology2020

IgG Subclass Determines Suppression Versus Enhancement of Humoral Alloimmunity to Kell RBC Antigens in Mice.

Paurvi Shinde, Heather L Howie, Tamara C Stegmann, Ariel M Hay, Hayley R Waterman, Zoltan Szittner, Arthur E H Bentlage, Linda Kapp, Suzanne N Lissenberg-Thunnissen, Gillian Dekkers and 7 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 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
1.6field-weighted citation impact, top 14% 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, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Analysis of Biotinylated Red Blood Cells Following Transfusion.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  4. The Immunology of Transfusion Medicine: Past, Present, and Future.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  5. Murine Models of Transfusion-Induced Red Blood Cell Alloimmunization.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  6. Article
  7. Article
  8. Anemia and Transfusion in Preclinical Models of Neonatology.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  9. Acute Incompatible Red Blood Cell Transfusion in Mice.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  10. Analysis of Erythrocyte Membrane Alloantigens.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. B Cell Responses to the Placenta and Fetus.Annual review of pathology · 2025
    Review
  17. Article
  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

17 authors at 6 institutions in 2 countries.

Paurvi ShindeBloodworks Northwest Research Institute, Seattle, WA, United States.
Heather L HowieDepartment of Pathology, Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United States.
Tamara C StegmannSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Ariel M HayDepartment of Pathology, Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United States.
Hayley R WatermanBloodworks Northwest Research Institute, Seattle, WA, United States.
Zoltan SzittnerSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Arthur E H BentlageSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Linda KappBloodworks Northwest Research Institute, Seattle, WA, United States.
Suzanne N Lissenberg-ThunnissenSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Gillian DekkersSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Richard B M SchasfoortMedical Cell Biophysics Group, MIRA Institute, University of Twente, Enschede, Netherlands.
Sarah J RatcliffeDepartment of Pathology, Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United States.
Mark E SmolkinDepartment of Pathology, Carter Immunology Center, University of Virginia School of Medicine, Charlottesville, VA, United States.
Gestur VidarssonSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
C Ellen van der SchootSanquin Research and Landsteiner Laboratory, Department of Experimental Immunohematology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Krystalyn E HudsonDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, United States.
James C ZimringBloodworks Northwest Research Institute, Seattle, WA, United States.
Sanquin · NLBloodworks Northwest · USUniversity of Virginia · USAcademic Medical Center · NLColumbia University Irving Medical Center · USUniversity of Twente · NL

Funding

The Mouse Blood Center CoreP01HL132819 · NHLBI · UNIVERSITY OF VIRGINIA · PI LUCKEY, CHANCE MARION JOHN · 2017 to 2021
$12.2M
The Impact of Oxidative Stress on Erythocyte BiologyR01HL148151 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI D'ALESSANDRO, ANGELO, KARAFIN, MATTHEW S · 2019 to 2022
$8.9M
Regulation of RBC Alloimmunization by Naturally Occurring and Adaptive AntibodiesR01HL135248 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HUDSON, KRYSTALYN E · 2017 to 2021
$1.9M
NHLBI NIH HHS P01 HL132819NHLBI NIH HHS R01 HL135248NHLBI NIH HHS R01 HL148151
6 · The paper itself

Abstract

It has long been appreciated that immunoglobulins are not just the effector endpoint of humoral immunity, but rather have a complex role in regulating antibody responses themselves. Donor derived anti-RhD IgG has been used for over 50 years as an immunoprophylactic to prevent maternal alloimmunization to RhD. Although anti-RhD has dramatically decreased rates of hemolytic disease of the fetus and newborn (for the RhD alloantigen), anti-RhD also fails in some cases, and can even paradoxically enhance immune responses in some circumstances. Attempts to generate a monoclonal anti-RhD have largely failed, with some monoclonals suppressing less than donor derived anti-RhD and others enhancing immunity. These difficulties likely result, in part, because the mechanism of anti-RhD remains unclear. However, substantial evidence exists to reject the common explanations of simple clearance of RhD + RBCs or masking of antigen. Donor derived anti-RhD is a mixture of 4 different IgG subtypes. To the best of our knowledge an analysis of the role different IgG subtypes play in immunoregulation has not been carried out; and, only IgG1 and IgG3 have been tested as monoclonals. Multiple attempts to elicit alloimmune responses to human RhD epitopes in mice have failed. To circumvent this limitation, we utilize a tractable animal model of RBC alloimmunization using the human Kell glycoprotein as an antigen to test the effect of IgG subtype on immunoregulation by antibodies to RBC alloantigens. We report that the ability of an anti-RBC IgG to enhance, suppress (at the level of IgM responses), or have no effect is a function of the IgG subclass in this model system.

Indexed as

Immunity, HumoralImmunomodulationAnimalsAntibodies, MonoclonalAntibody-Dependent Cell CytotoxicityErythrocytesImmunization, PassiveImmunoglobulin GIsoantibodiesIsoantigensMiceMice, KnockoutReceptors, FcAntibodies, MonoclonalImmunoglobulin GIsoantibodiesIsoantigensReceptors, FcalloimmunityantibodyIgG subclassimmune regulationred blood cell

Identifiers

PMID32765523
PMCPMC7378678
OpenAlexW3043655495

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.