Evidence map›Paper›PMID 33691139›Full record

ArticleCell2021

Human neutralizing antibodies against SARS-CoV-2 require intact Fc effector functions for optimal therapeutic protection.

Emma S Winkler, Pavlo Gilchuk, Jinsheng Yu, Adam L Bailey, Rita E Chen, Zhenlu Chong, Seth J Zost, Hyesun Jang, Ying Huang, James D Allen and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 285 papers.

0numbers the graph read from it
0cells of the map it votes in
285citing papers in PubMed
22.4field-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

285 citing papers in PubMed, 384 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 4 institutions in 2 countries.

Emma S WinklerDepartment of Medicine, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA; Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA.
Pavlo GilchukVanderbilt Vaccine Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Jinsheng YuDepartment of Genetics, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA.
Adam L BaileyDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA.
Rita E ChenDepartment of Medicine, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA; Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA.
Zhenlu ChongDepartment of Medicine, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA.
Seth J ZostVanderbilt Vaccine Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Hyesun JangCenter for Vaccines and Immunology, University of Georgia, Athens, GA 30605, USA.
Ying HuangCenter for Vaccines and Immunology, University of Georgia, Athens, GA 30605, USA.
James D AllenCenter for Vaccines and Immunology, University of Georgia, Athens, GA 30605, USA.
James Brett CaseDepartment of Medicine, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA.
Rachel E SuttonVanderbilt Vaccine Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Robert H CarnahanVanderbilt Vaccine Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Tamarand L DarlingDepartment of Medicine, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA.
Adrianus C M BoonDepartment of Medicine, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA; Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA; Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA.
Matthias MackDepartment of Internal Medicine II, University Hospital Regensburg, 93053 Regensburg, Germany.
Richard D HeadDepartment of Genetics, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA.
Ted M RossCenter for Vaccines and Immunology, University of Georgia, Athens, GA 30605, USA.
James E CroweVanderbilt Vaccine Center, Vanderbilt University Medical Center, Nashville, TN 37232, USA; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37232, USA; Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232, USA. Electronic address: james.crowe@vumc.org.
Michael S DiamondDepartment of Medicine, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA; Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA; Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA; The Andrew M. and Jane M. Bursky Center for Human Immunology and Immunotherapy Programs, Washington University School of Medicine, St. Louis, St. Louis, MO 63110, USA. Electronic address: diamond@wusm.wustl.edu.
Washington University in St. Louis · USVanderbilt University Medical Center · USUniversity of Georgia · USUniversity Hospital Regensburg · DE

Funding

TRAINING PROGRAM IN IMMUNOLOGY AND IMMUNOGENETICST32AI007163 · NIAID · WASHINGTON UNIVERSITY · PI Kenneth M Murphy, Kodi S Ravichandran · 1985 to 2026
$14.8M
COVID Supplement B Cell Epitope Discovery and Mechanisms of Antibody Protection.75N93019C00062 · NIAID · WASHINGTON UNIVERSITY · PI FREMONT, DAVED · 2019 to 2023
$11.7M
B-CELL EPITOPE DISCOVERY AND MECHANISMS OF ANTIBODY PROTECTION: Modification for SARS-CoV2 Research75N93019C00074 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CROWE, JAMES E · 2019 to 2024
$10.2M
Washington University Rheumatic DiseasesResearch Resource-based CenterP30AR073752 · NIAMS · WASHINGTON UNIVERSITY · PI Christine T. Pham · 2018 to 2026
$7.6M
Human antibody-based countermeasures against the Wuhan Coronavirus SARS-CoV-2R01AI157155 · NIAID · WASHINGTON UNIVERSITY · PI BARIC, RALPH S, CROWE, JAMES E · 2020 to 2024
$6.0M
Regulation of Antiviral Responses in Plasmacytoid Dendritic Cells to Chikungunya Virus by the Gut MicrobiotaF30AI152327 · NIAID · WASHINGTON UNIVERSITY · PI WINKLER, EMMA SUENING · 2021 to 2022
$84k
NIAID NIH HHS 75N93019C00062NIAID NIH HHS 75N93019C00074NIAID NIH HHS F30 AI152327NIAID NIH HHS R01 AI157155NIAID NIH HHS T32 AI007163NIAMS NIH HHS P30 AR073752
6 · The paper itself

Abstract

SARS-CoV-2 has caused the global COVID-19 pandemic. Although passively delivered neutralizing antibodies against SARS-CoV-2 show promise in clinical trials, their mechanism of action in vivo is incompletely understood. Here, we define correlates of protection of neutralizing human monoclonal antibodies (mAbs) in SARS-CoV-2-infected animals. Whereas Fc effector functions are dispensable when representative neutralizing mAbs are administered as prophylaxis, they are required for optimal protection as therapy. When given after infection, intact mAbs reduce SARS-CoV-2 burden and lung disease in mice and hamsters better than loss-of-function Fc variant mAbs. Fc engagement of neutralizing antibodies mitigates inflammation and improves respiratory mechanics, and transcriptional profiling suggests these phenotypes are associated with diminished innate immune signaling and preserved tissue repair. Immune cell depletions establish that neutralizing mAbs require monocytes and CD8

Indexed as

Antibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralCD8-Positive T-LymphocytesCOVID-19AnimalsChlorocebus aethiopsCHO CellsCricetulusDisease Models, AnimalFemaleHumansImmunoglobulin Fc FragmentsMaleMiceMice, Inbred C57BLAntibodies, MonoclonalAntibodies, NeutralizingAntibodies, ViralImmunoglobulin Fc FragmentsantibodyCD8+ T cellseffector functionlungmonocytesmouse modelpathogenesisRNA sequencingSARS-CoV-2therapy

Identifiers

PMID33691139
PMCPMC7879018
OpenAlexW3132982761

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.