2018
DOI: 10.1093/infdis/jiy328
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Anti-Influenza Hyperimmune Immunoglobulin Enhances Fc-Functional Antibody Immunity During Human Influenza Infection

Abstract: Flu-IVIG contains antibodies with Fc-mediated functions against influenza virus, and passive transfer of Flu-IVIG increases anti-influenza Fc-functional antibodies in the plasma of influenza-infected subjects. Enhancement of Fc-functional antibodies to a diverse range of influenza strains suggests that Flu-IVIG infusion could prove useful in the context of novel influenza virus infections, when there may be minimal or no neutralizing antibodies in the Flu-IVIG preparation.

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Cited by 8 publications
(14 citation statements)
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References 40 publications
(53 reference statements)
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“…10A, 10B). We used clinically available IVIG as a positive control because IVIG is known to contain high concentrations of IgG Abs against a diverse range of influenza HAs (36).…”
Section: Resultsmentioning
confidence: 99%
“…10A, 10B). We used clinically available IVIG as a positive control because IVIG is known to contain high concentrations of IgG Abs against a diverse range of influenza HAs (36).…”
Section: Resultsmentioning
confidence: 99%
“…Here we provide evidence that anti-cluster A and anti-CoRBS Abs collaborate in engaging the dimeric form of the Fc␥RIIIa receptor when bound to the cognate epitopes within the same monomeric gp120. We utilized a novel probe, a covalent Fc␥RIIIa dimer, as a surrogate of Fc␥RIIIa present on effector cells (11,37,39,40,61) and showed that sequential binding of antibodies specific for these two CD4i epitope targets is required for effective receptor engagement and potent ADCC. Recent structural studies defined the Env epitopes recognized by anticluster A and anti-CoRBS Abs at the atomic level and mapped the cluster A epitope region to the C1-C2 regions of the gp120 inner domain in its CD4-bound conformation (12,32,33,62) and CoRBS to the bridging sheet and the base of the V3 loop of the CD4-triggered gp120 (63-65).…”
Section: Discussionmentioning
confidence: 99%
“…While it was demonstrated that anti-CoRBS Abs facilitate the binding of anti-cluster A Abs to Env (29), it is still not known whether these two families of Abs also coordinate for Fc␥R engagement. Here we took advantage of the availability of a recently characterized dimeric recombinant soluble Fc␥RIIIa protein (11,(37)(38)(39)(40) to evaluate whether these two families of anti-Env Abs coordinate for Fc␥R engagement and ADCC responses.…”
mentioning
confidence: 99%
“…Humans who recovered from severe influenza infections (H7N9 and seasonal) had higher levels of FcγR‐binding antibodies against the homologous infecting strain and heterosubtypic influenza A viruses . Cross‐reactive ADCC‐mediating antibodies may be generated more rapidly than NAbs following natural influenza infection . As influenza is an acute infection, the early production of cross‐reactive Fc‐functional antibodies could be critically important in controlling infection prior to the generation of strain‐specific NAbs (Figure ).…”
Section: Fc‐mediated Antibody Functions In Human Influenza Vaccinatiomentioning
confidence: 99%
“…Antibody‐based therapies represent a promising treatment option for patients hospitalized with severe influenza. A small pilot study ( n = 24) showed that infusion of an influenza‐enriched IVIG (Flu‐IVIG) increased serum ADCC activity in patients with severe influenza infections . A larger clinical trial ( n = 308) carried out by the same INSIGHT group revealed that high titers of HAI antibodies in Flu‐IVIG‐infused patients were, overall, not associated with improved clinical outcomes .…”
Section: Fc‐mediated Antibody Functions In Human Influenza Vaccinatiomentioning
confidence: 99%