Evidence map›Paper›PMID 33586678›Full record

ArticleThe Journal of clinical investigation2021

Monoclonal antibodies targeting nonstructural viral antigens can activate ADCC against human cytomegalovirus.

Virginia-Maria Vlahava, Isa Murrell, Lihui Zhuang, Rebecca J Aicheler, Eleanor Lim, Kelly L Miners, Kristin Ladell, Nicolás M Suárez, David A Price, Andrew J Davison and 5 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. The immune response to human cytomegalovirus: impact of age, co-morbidities and the significance of anti-viral activity assessment.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. A vaccine against cytomegalovirus: how close are we?The Journal of clinical investigation · 2025
    Article
  14. Article
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  18. Article
  19. Review
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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

15 authors at 4 institutions in 1 country.

Virginia-Maria VlahavaDivision of Infection and Immunology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Isa MurrellDivision of Infection and Immunology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Lihui ZhuangDivision of Infection and Immunology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Rebecca J AichelerCardiff Metropolitan University, Cardiff, United Kingdom.
Eleanor LimDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Kelly L MinersDivision of Infection and Immunology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Kristin LadellDivision of Infection and Immunology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Nicolás M SuárezUniversity of Glasgow-MRC Centre for Virus Research, Glasgow, United Kingdom.
David A PriceDivision of Infection and Immunology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Andrew J DavisonUniversity of Glasgow-MRC Centre for Virus Research, Glasgow, United Kingdom.
Gavin Wg WilkinsonDivision of Infection and Immunology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Mark R WillsDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Michael P WeekesCambridge Institute for Medical Research, University of Cambridge, Cambridge, United Kingdom.
Eddie Cy WangDivision of Infection and Immunology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Richard J StantonDivision of Infection and Immunology, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Cardiff University · GBUniversity of Cambridge · GBMRC University of Glasgow Centre for Virus Research · GBCardiff Metropolitan University · GB

Funding

Medical Research Council MC_PC_16041Medical Research Council MC_UU_12014/3Medical Research Council MR/L008734/1Medical Research Council MR/P001602/1Medical Research Council MR/S00081X/1Medical Research Council MR/S00971X/1Medical Research Council MR/V000489/1Wellcome TrustWellcome Trust 100326/Z/12/ZWellcome Trust 108070/Z/15/ZWellcome Trust 204870/Z/16/Z
6 · The paper itself

Abstract

Human cytomegalovirus (HCMV) is a ubiquitous pathogen that causes severe disease following congenital infection and in immunocompromised individuals. No vaccines are licensed, and there are limited treatment options. We now show that the addition of anti-HCMV antibodies (Abs) can activate NK cells prior to the production of new virions, through Ab-dependent cellular cytotoxicity (ADCC), overcoming viral immune evasins. Quantitative proteomics defined the most abundant HCMV proteins on the cell surface, and we screened these targets to identify the viral antigens responsible for activating ADCC. Surprisingly, these were not structural glycoproteins; instead, the immune evasins US28, RL11, UL5, UL141, and UL16 each individually primed ADCC. We isolated human monoclonal Abs (mAbs) specific for UL16 or UL141 from a seropositive donor and optimized them for ADCC. Cloned Abs targeting a single antigen (UL141) were sufficient to mediate ADCC against HCMV-infected cells, even at low concentrations. Collectively, these findings validated an unbiased methodological approach to the identification of immunodominant viral antigens, providing a pathway toward an immunotherapeutic strategy against HCMV and potentially other pathogens.

Indexed as

Antibodies, MonoclonalAntibodies, ViralAntibody-Dependent Cell CytotoxicityAntigens, ViralCell Line, TransformedCytomegalovirusCytomegalovirus InfectionsHumansViral Nonstructural ProteinsVirus ActivationAntibodies, MonoclonalAntibodies, ViralAntigens, ViralViral Nonstructural ProteinsImmunologyNK cellsProteomicsVirology

Identifiers

PMID33586678
PMCPMC7880312
OpenAlexW3132891421

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.