Evidence map›Paper›PMID 33777014›Full record

ArticleFrontiers in immunology2021

Antibodies to Low-Copy Number RBC Alloantigen Convert a Tolerogenic Stimulus to an Immunogenic Stimulus in Mice.

Arijita Jash, Chomkan Usaneerungrueng, Heather L Howie, Annie Qiu, Chance John Luckey, James C Zimring, Krystalyn E Hudson

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

24 citing papers in PubMed, 16 citations in OpenAlex.

  1. Murine Models of Transfusion-Induced Red Blood Cell Alloimmunization.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  2. Analysis of Erythrocyte Membrane Alloantigens.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  3. Acute Incompatible Red Blood Cell Transfusion in Mice.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  4. Anemia and Transfusion in Preclinical Models of Neonatology.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  5. Red Blood Cell Storage and Post-transfusion Recovery.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  6. Expression and Characterization of Blood Group Binding Lectins.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  7. Article
  8. Article
  9. Mouse Model of Hemolytic Disease of the Fetus and Newborn.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  10. The Immunology of Transfusion Medicine: Past, Present, and Future.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  11. Analysis of Biotinylated Red Blood Cells Following Transfusion.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  12. Article
  13. Article
  14. Research progress in RBC alloimmunization.Frontiers in immunology · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
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

7 authors at 4 institutions in 1 country.

Arijita JashDepartment of Pathology and Carter Immunology Center, University of Virginia, Charlottesville, VA, United States.
Chomkan UsaneerungruengBloodworks NW Research Institute, Seattle, WA, United States.
Heather L HowieDepartment of Pathology and Carter Immunology Center, University of Virginia, Charlottesville, VA, United States.
Annie QiuDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, United States.
Chance John LuckeyDepartment of Pathology and Carter Immunology Center, University of Virginia, Charlottesville, VA, United States.
James C ZimringDepartment of Pathology and Carter Immunology Center, University of Virginia, Charlottesville, VA, United States.
Krystalyn E HudsonDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, United States.
Carter Center · USColumbia University Irving Medical Center · USUniversity of Virginia · USBloodworks Northwest · US

Funding

The Mouse Blood Center CoreP01HL132819 · NHLBI · UNIVERSITY OF VIRGINIA · PI ZIMRING, JAMES C. · 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

Red blood cells expressing alloantigens are well known to be capable of inducing robust humoral alloantibody responses both in transfusion and pregnancy. However, the majority of transfusion recipients and pregnant women never make alloantibodies, even after repeat exposure to foreign RBCs. More recently, RBCs have been used as a cellular therapeutic-very much like transfusion, engineered RBCs are highly immunogenic in some cases but not others. In animal models of both transfusion and RBC based therapeutics, RBCs that do not induce an immune response also cause tolerance. Despite a robust phenomenology, the mechanisms of what regulates immunity vs. tolerance to RBCs remains unclear. However, it has been reported that copy number of alloantigens on the RBCs is a critical factor, with a very low copy number causing non-responsiveness (in both humans and mice) and also leading to tolerance in mice. Recently, we reported that an IgG2c specific for an RBC antigen can substantially enhance the humoral immune response upon transfusion of RBCs expressing that antigen. Herein, we report that an IgG2c converts RBCs with low antigen copy number from a tolerogenic to an immunogenic stimulus. These findings report the first known stimulus that induces humoral alloimmunization to a low copy number RBC alloantigen and identify a previously undescribed molecular switch that has the ability to affect responder vs. non-responder phenotypes of transfusion recipients.

Indexed as

Gene DosageImmune ToleranceImmunity, HumoralAnimalsDNA Copy Number VariationsEpitopesErythrocytesErythrocyte TransfusionFemaleImmunoglobulin GIsoantibodiesIsoantigensMiceMice, Inbred C57BLMice, TransgenicEpitopesImmunoglobulin GIsoantibodiesIsoantigensalloantibodyalloimmunizationantibody-mediated enhancementred blood celltolerance

Identifiers

PMID33777014
PMCPMC7994621
OpenAlexW3136889754

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.