Evidence map›Paper›PMID 37419978›Full record

ArticleNature communications2023

Complement is activated by elevated IgG3 hexameric platforms and deposits C4b onto distinct antibody domains.

Leoni Abendstein, Douwe J Dijkstra, Rayman T N Tjokrodirijo, Peter A van Veelen, Leendert A Trouw, Paul J Hensbergen, Thomas H Sharp

Abstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Science advances · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Acquired drivers of C3 glomerulopathy.Clinical kidney journal · 2025
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Complement activation by IgG subclasses is governed by their ability to oligomerize upon antigen binding.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  18. Article
  19. Article
  20. Structural basis for surface activation of the classical complement cascade by the short pentraxin C-reactive protein.Proceedings of the National Academy of Sciences of the United States of America · 2024
    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

7 authors.

Leoni AbendsteinDepartment of Cell and Chemical Biology, Leiden University Medical Center, 2300 RC, Leiden, The Netherlands.ORCID 0000-0001-7634-5353
Douwe J DijkstraDepartment of Immunology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0002-2534-7575
Rayman T N TjokrodirijoCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.
Peter A van VeelenCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0002-7898-9408
Leendert A TrouwDepartment of Immunology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0001-5186-2290
Paul J HensbergenCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands.ORCID 0000-0002-3193-5445
Thomas H SharpDepartment of Cell and Chemical Biology, Leiden University Medical Center, 2300 RC, Leiden, The Netherlands. t.sharp@lumc.nl.ORCID 0000-0002-1990-2333

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IgG3 is unique among the IgG subclasses due to its extended hinge, allotypic diversity and enhanced effector functions, including highly efficient pathogen neutralisation and complement activation. It is also underrepresented as an immunotherapeutic candidate, partly due to a lack of structural information. Here, we use cryoEM to solve structures of antigen-bound IgG3 alone and in complex with complement components. These structures reveal a propensity for IgG3-Fab clustering, which is possible due to the IgG3-specific flexible upper hinge region and may maximise pathogen neutralisation by forming high-density antibody arrays. IgG3 forms elevated hexameric Fc platforms that extend above the protein corona to maximise binding to receptors and the complement C1 complex, which here adopts a unique protease conformation that may precede C1 activation. Mass spectrometry reveals that C1 deposits C4b directly onto specific IgG3 residues proximal to the Fab domains. Structural analysis shows this to be caused by the height of the C1-IgG3 complex. Together, these data provide structural insights into the role of the unique IgG3 extended hinge, which will aid the development and design of upcoming immunotherapeutics based on IgG3.

Indexed as

Complement System ProteinsImmunoglobulin GAntigensComplement ActivationComplement C1qAntigensComplement C1qComplement System ProteinsImmunoglobulin G

Identifiers

PMID37419978
PMCPMC10328927

What OpenQuestion holds

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Registered trials

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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.