Evidence map›Paper›PMID 37363865›Full record

ArticleBlood2023

Antibody-mediated antigen loss switches augmented immunity to antibody-mediated immunosuppression.

Ryan P Jajosky, Kashyap R Patel, Jerry William L Allen, Patricia E Zerra, Satheesh Chonat, Diyoly Ayona, Cheryl L Maier, Dominique Morais, Shang-Chuen Wu, C John Luckey and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
6.7field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Analysis of Erythrocyte Membrane Alloantigens.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  5. Acute Incompatible Red Blood Cell Transfusion in Mice.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  6. Anemia and Transfusion in Preclinical Models of Neonatology.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  7. Flow Cytometric Examination of Galectin Binding to Red Blood Cells.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  8. Article
  9. Use of Microbial Microarrays to Define Antibody Specificity.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  10. Expression and Characterization of Blood Group Binding Lectins.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  11. Analysis of Galectin Binding to Blood Group Expressing Bacteria.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  12. Mouse Model of Hemolytic Disease of the Fetus and Newborn.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  13. The Immunology of Transfusion Medicine: Past, Present, and Future.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  14. Analysis of Biotinylated Red Blood Cells Following Transfusion.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  15. Murine Models of Transfusion-Induced Red Blood Cell Alloimmunization.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 7 institutions in 1 country.

Ryan P JajoskyDepartment of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Boston, MA.
Kashyap R PatelDepartment of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Boston, MA.
Jerry William L AllenDepartment of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Boston, MA.
Patricia E ZerraCenter for Transfusion and Cellular Therapies, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0003-3675-2725
Satheesh ChonatDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0002-5909-0800
Diyoly AyonaDepartment of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Boston, MA.ORCID 0000-0002-4874-3706
Cheryl L MaierCenter for Transfusion and Cellular Therapies, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0003-4044-2674
Dominique MoraisDepartment of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Boston, MA.ORCID 0000-0001-9747-1885
Shang-Chuen WuDepartment of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Boston, MA.ORCID 0000-0002-5284-5596
C John LuckeyDepartment of Pathology, University of Virginia, Charlottesville, VA.ORCID 0000-0002-0787-9121
Stephanie C EisenbarthDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-1244-208X
John D RobackCenter for Transfusion and Cellular Therapies, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0001-9952-2252
Ross M FasanoCenter for Transfusion and Cellular Therapies, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.
Cassandra D JosephsonCenter for Transfusion and Cellular Therapies, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.
John P ManisDepartment of Laboratory Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Li ChaiDepartment of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Boston, MA.
Jeanne E HendricksonCenter for Transfusion and Cellular Therapies, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0002-7928-3132
Krystalyn E HudsonDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York City, NY.
Connie M ArthurDepartment of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Boston, MA.
Sean R StowellDepartment of Pathology, Joint Program in Transfusion Medicine, Brigham and Women's Hospital, Boston, MA.ORCID 0000-0002-1130-9551
Brigham and Women's Hospital · USEmory University · USBoston Children's Hospital · USColumbia University Irving Medical Center · USJohns Hopkins University · USNorthwestern University · USUniversity of Virginia · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Transcription regulation in hematopoiesisP01HL095489 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI MANIS, JOHN P · 2010 to 2020
$20.1M
Novel Strategies to Improve Blood Transfusion PracticeP01HL158688 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Hongbo R Luo · 2022 to 2026
$12.9M
The Mouse Blood Center CoreP01HL132819 · NHLBI · UNIVERSITY OF VIRGINIA · PI LUCKEY, CHANCE MARION JOHN · 2017 to 2021
$12.2M
TRANSFUSION BIOLOGY AND MEDICINET32HL066987 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI JOHN P MANIS · 2001 to 2026
$10.2M
Forging Translational Glycobiologists: Intermeshing Glycoscience Training and Clinical EducationK12HL141953 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CHAIKOF, ELLIOT, CUMMINGS, RICHARD D · 2018 to 2022
$4.8M
Examination of Initiating Factors that Regulate Red Blood Cell AlloimmunizationR01HL135575 · NHLBI · EMORY UNIVERSITY · PI Sean R Stowell · 2017 to 2026
$2.8M
Examining Immune Circuits Responsible for Anamnestic RBC AlloimmunizationR01HL165975 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI STOWELL, SEAN R · 2022 to 2025
$2.4M
Examining the Mechanisms of RBC Alloimmunization HyperrespondersR01HL154034 · NHLBI · EMORY UNIVERSITY · PI ARTHUR, CONNIE M · 2020 to 2024
$2.1M
Hyperglycemia and MicroRNA Dysregulation of Inflammation in AtherosclerosisR01HL133575 · NHLBI · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI RAFFAI, ROBERT · 2016 to 2019
$1.5M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K12 HL141953NHLBI NIH HHS P01 HL095489NHLBI NIH HHS P01 HL132819NHLBI NIH HHS P01 HL158688NHLBI NIH HHS R01 HL133575NHLBI NIH HHS R01 HL135575NHLBI NIH HHS R01 HL154034NHLBI NIH HHS R01 HL165975NHLBI NIH HHS T32 HL066987
6 · The paper itself

Abstract

Antibodies against fetal red blood cell (RBC) antigens can cause hemolytic disease of the fetus and newborn (HDFN). Reductions in HDFN due to anti-RhD antibodies have been achieved through use of Rh immune globulin (RhIg), a polyclonal antibody preparation that causes antibody-mediated immunosuppression (AMIS), thereby preventing maternal immune responses against fetal RBCs. Despite the success of RhIg, it is only effective against 1 alloantigen. The lack of similar interventions that mitigate immune responses toward other RBC alloantigens reflects an incomplete understanding of AMIS mechanisms. AMIS has been previously attributed to rapid antibody-mediated RBC removal, resulting in B-cell ignorance of the RBC alloantigen. However, our data demonstrate that antibody-mediated RBC removal can enhance de novo alloimmunization. In contrast, inclusion of antibodies that possess the ability to rapidly remove the target antigen in the absence of detectable RBC clearance can convert an augmented antibody response to AMIS. These results suggest that the ability of antibodies to remove target antigens from the RBC surface can trigger AMIS in situations in which enhanced immunity may otherwise occur. In doing so, these results hold promise in identifying key antibody characteristics that can drive AMIS, thereby facilitating the design of AMIS approaches toward other RBC antigens to eliminate all forms of HDFN.

Indexed as

Erythroblastosis, FetalErythrocytesAntibodiesFemaleHumansImmune ToleranceImmunosuppression TherapyInfant, NewbornIsoantibodiesIsoantigensRho(D) Immune GlobulinAntibodiesIsoantibodiesIsoantigensRho(D) Immune Globulin

Identifiers

PMID37363865
PMCPMC10541552
OpenAlexW4382055336

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.