Evidence map›Paper›PMID 41683705›Full record

ArticleInternational journal of molecular sciences2026

Recombinant Human IgG1-Hexamer Reduces Pathogenic Autoantibodies in the K/BxN Mouse Model of Arthritis Independent of FcRn.

Bonnie J B Lewis, Ruqayyah J Almizraq, Selena Cen, Beth Binnington, Kayluz Frias Boligan, Rolf Spirig, Fabian Käsermann, Shannon E Dunn, Donald R Branch

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Bonnie J B LewisCentre for Innovation, Canadian Blood Services, Keenan Research Centre, 30 Bond Street, Toronto, ON M5B 1W8, Canada.
Ruqayyah J AlmizraqCentre for Innovation, Canadian Blood Services, Keenan Research Centre, 30 Bond Street, Toronto, ON M5B 1W8, Canada.
Selena CenCentre for Innovation, Canadian Blood Services, Keenan Research Centre, 30 Bond Street, Toronto, ON M5B 1W8, Canada.
Beth BinningtonCentre for Innovation, Canadian Blood Services, Keenan Research Centre, 30 Bond Street, Toronto, ON M5B 1W8, Canada.
Kayluz Frias BoliganCentre for Innovation, Canadian Blood Services, Keenan Research Centre, 30 Bond Street, Toronto, ON M5B 1W8, Canada.
Rolf SpirigCSL Behring Biologics Research Center, 3014 Bern, Switzerland.
Fabian KäsermannCSL Behring Biologics Research Center, 3014 Bern, Switzerland.ORCID 0000-0002-4255-9350
Shannon E DunnSunnybrook Research Institute, 2075 Bayview Street, North York, ON M4M 2M5, Canada.ORCID 0000-0002-6878-0563
Donald R BranchCentre for Innovation, Canadian Blood Services, Keenan Research Centre, 30 Bond Street, Toronto, ON M5B 1W8, Canada.ORCID 0000-0002-8974-2451

Funding

CSL Behring Bern no. 108145
6 · The paper itself

Abstract

Arthritis in K/BxN mice is provoked by pathogenic autoantibodies to glucose-6-phosphate isomerase (G6PI), which is a ubiquitously expressed enzyme that is present in cells, in the circulation and on articular cartilage. When G6PI autoantibodies (auto-Abs) deposit on the articular cartilage of K/BxN mice, arthritis ensues due to the activation of various components of the innate immune system. Recent studies have investigated the in vivo efficacy of recombinant fragment-crystallizable (Fc) protein-based therapeutics. Many recombinant Fc proteins evaluated provide protection against inflammation in mouse models of arthritis, such as the K/BxN serum-transfer model. More recently, rFc-µTP-L309C, a recombinant human IgG1-Fc with an additional point mutation at position L309C fused to the human IgM tailpiece to form a hexamer, has been shown to ameliorate the arthritis in K/BxN mice. Additional studies have shown that rFc-µTP-L309C has multiple effects that work together to ameliorate the arthritis, including inhibition of neutrophil migration into the joint, inhibition of IL-1β production, downregulation of Th1 and Th17 cells, and increases in T regulatory cells and synovial fluid IL-10. In this work, rFc-µTP-L309C was shown to effectively prevent arthritis in the K/BxN serum-transfer model, significantly downregulate inflammatory cytokines/chemokines, and ameliorate the arthritis in the endogenous K/BxN model. This amelioration of the arthritis was associated with a significant decrease in autoantibody levels, which was independent of the neonatal Fc receptor (FcRn). rFc-µTP-L309C was shown to specifically inhibit G6PI autoantibody secretion from B-cells with a concomitant increase in TGFβ and decrease in B-cell activating factor (BAFF). These new findings suggest that rFc-µTP-L309C may provide a therapeutic benefit for other antibody-mediated autoimmune diseases through its effects on B-cells.

Indexed as

ArthritisArthritis, ExperimentalAutoantibodiesHistocompatibility Antigens Class IImmunoglobulin GReceptors, FcAnimalsDisease Models, AnimalGlucose-6-Phosphate IsomeraseHumansMiceRecombinant ProteinsAutoantibodiesFc receptor, neonatalGlucose-6-Phosphate IsomeraseHistocompatibility Antigens Class IImmunoglobulin GReceptors, FcRecombinant ProteinsantibodiesarthritisautoimmunityB cellsFcγ receptorhuman recombinant Fc hexamerK/BxN mouseneonatal Fc receptor

Identifiers

PMID41683705
PMCPMC12897602

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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.