Evidence map›Paper›PMID 42233599›Full record

ArticlemAbs2026

The double-edged nature of antibody bivalency: mathematical and experimental analysis of cell surface antigen occupancy and opsonization.

Luke Heirene, James Lodge, Marina Fedorova, Ross Gauntlett, Joanna Cordy, Zahra Rattray, Helen Byrne, Eamonn Gaffney, James W T Yates

Erratum issuedAbstract read
In one paragraph

Article in mAbs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Luke HeireneMathematical Institute, University of Oxford, Oxford, United Kingdom.ORCID 0009-0000-2845-7860
James LodgeLarge Molecule Research, GSK, Stevenage, United Kingdom.ORCID 0000-0003-0663-6264
Marina FedorovaLarge Molecule Research, GSK, Stevenage, United Kingdom.
Ross GauntlettLarge Molecule Research, GSK, Stevenage, United Kingdom.
Joanna CordyLarge Molecule Research, GSK, Stevenage, United Kingdom.
Zahra RattrayStrathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, United Kingdom.ORCID 0000-0002-8371-8549
Helen ByrneMathematical Institute, University of Oxford, Oxford, United Kingdom.
Eamonn GaffneyMathematical Institute, University of Oxford, Oxford, United Kingdom.
James W T YatesDMPK, Preclinical Sciences, GSK, Stevenage, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Monoclonal antibodies are bivalent molecules and are thus able to engage two antigens concurrently, a property termed avidity. The therapeutic efficacy of an antibody drug can be broadly defined as a consequence of either antigen occupancy or target cell opsonization. Therefore, depending on the intended mechanism of action, avid engagement of a therapeutic antibody may be desirable in order to attain high antigen occupancy and consequent antagonism. In some cases, such as target cell opsonization and Fc-mediated cytotoxicity, avidity may limit efficacy when antigens are occupied with fewer antibodies per cell. In this study, we utilized a mathematical model of antibody-antigen binding to identify conditions under which avidity hinders or enhances therapeutic potential. We calibrated the model with

Indexed as

Antibodies, MonoclonalAntibody AffinityAntigens, SurfaceModels, ImmunologicalOpsonin ProteinsAnimalsHumansAntibodies, MonoclonalAntigens, SurfaceOpsonin ProteinsAntibodyavidityflow cytometrymathematical model

Identifiers

PMID42233599
PMCPMC13240941

What OpenQuestion holds

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LicenceCC BY
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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.