Evidence map›Paper›PMID 41112287›Full record

ReviewFrontiers in immunology2025

From promise to practice: evaluating the clinical impact of FcRn inhibition in IgG-mediated autoimmune rheumatic diseases.

Chu Wei Yang, Ting Xia, Qing Tan, Li Gang Jie, Ai Ju Lou, Xiao Xiao Li, Maierhaba Maitiyaer, Wen Hui Huang, Yu Zheng, Shui Lian Yu

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. 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

10 authors.

Chu Wei Yang *Department of Rheumatology, The Second Affiliated Hospital, Guangzhou Medicial University, Guangzhou, Guangdong, China.
Ting Xia *Department of Breast Surgery, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Qing TanDepartment of Rheumatology, The Second Affiliated Hospital, Guangzhou Medicial University, Guangzhou, Guangdong, China.
Li Gang JieDepartment of Rheumatology and Clinical Immunology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Ai Ju LouDepartment of Rheumatology, Liwan Central Hospital of Guangzhou, Guangzhou, Guangdong, China.
Xiao Xiao LiDepartment of Rheumatology, The Second Affiliated Hospital, Guangzhou Medicial University, Guangzhou, Guangdong, China.
Maierhaba MaitiyaerDepartment of Rheumatology, The Second Affiliated Hospital, Guangzhou Medicial University, Guangzhou, Guangdong, China.
Wen Hui HuangDepartment of Rheumatology, The Second Affiliated Hospital, Guangzhou Medicial University, Guangzhou, Guangdong, China.
Yu Zheng *Department of Urology, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Shui Lian Yu *Department of Rheumatology, The Second Affiliated Hospital, Guangzhou Medicial University, Guangzhou, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The neonatal Fragment Crystallizable receptor (FcRn) plays a central role in maintaining immunoglobulin (Ig) G homeostasis by protecting IgG from lysosomal degradation and regulating its transcytosis. In recent years, pharmacological inhibition of FcRn has emerged as a promising therapeutic strategy for IgG-mediated aumhctoimmune diseases, including systemic lupus erythematosus, rheumatoid arthritis, anti-Neutrophil Cytoplasmic Antibodies (ANCA) -associated vasculitis, and others. By accelerating the catabolism of circulating IgG, FcRn inhibitors effectively reduced pathogenic autoantibody levels without broadly suppressing other immune components. Several FcRn-targeting agents, such as efgartigimod, rozanolixizumab, and nipocalimab, have demonstrated favorable safety and efficacy profiles in clinical trials and are now approved or under investigation for multiple indications. This review also explored personalized therapeutic approaches, combination strategies, and the future landscape of FcRn-targeted drug development. While FcRn inhibition offered a paradigm shift in managing antibody-driven diseases, long-term safety and patient stratification remain key challenges for future research.

Indexed as

Autoimmune DiseasesHistocompatibility Antigens Class IImmunoglobulin GReceptors, FcRheumatic DiseasesAnimalsHumansFc receptor, neonatalHistocompatibility Antigens Class IImmunoglobulin GReceptors, Fcautoimmune diseasesefgartigimodFcRn inhibitorsIgG homeostasisneonatal Fc receptor

Identifiers

PMID41112287
PMCPMC12527857

What OpenQuestion holds

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LicenceCC BY
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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.