2018
DOI: 10.1038/s42003-018-0149-9
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Engineered hexavalent Fc proteins with enhanced Fc-gamma receptor avidity provide insights into immune-complex interactions

Abstract: Autoantibody-mediated diseases are currently treated with intravenous immunoglobulin, which is thought to act in part via blockade of Fc gamma receptors, thereby inhibiting autoantibody effector functions and subsequent pathology. We aimed to develop recombinant molecules with enhanced Fc receptor avidity and thus increased potency over intravenous immunoglobulin. Here we describe the molecular engineering of human Fc hexamers and explore their therapeutic and safety profiles. We show Fc hexamers were more pot… Show more

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Cited by 20 publications
(27 citation statements)
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“…If any lessons are to be learned, it is that each antibody must be thoroughly evaluated using systems that recapitulate as closely as possible endogenous immune system components. One striking example of this tenet is the observation that the efficacy of a hexameric IgG1 Fc increased when neutrophils and platelets were incorporated in an in-vitro assay with PBMCs (165). Moreover, soluble complement components can also bind the immune complex to affect the immune response as reported in few studies described above (130, 148, 149).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…If any lessons are to be learned, it is that each antibody must be thoroughly evaluated using systems that recapitulate as closely as possible endogenous immune system components. One striking example of this tenet is the observation that the efficacy of a hexameric IgG1 Fc increased when neutrophils and platelets were incorporated in an in-vitro assay with PBMCs (165). Moreover, soluble complement components can also bind the immune complex to affect the immune response as reported in few studies described above (130, 148, 149).…”
Section: Discussionmentioning
confidence: 99%
“…The use of different IgG subclasses in designed immune complexes can also impact potential therapeutic use. Incubation of a hexameric IgG1 Fc construct, discussed above as an inhibitor of phagocytosis, elicited the release of higher cytokine levels in whole blood when compared to PBMCs, likely due to CD16b engagement on neutrophils (not present in PBMCs) (165). Furthermore, the hexameric IgG1 Fc construct also triggered release of cytokines from platelets through a CD32a-dependent interaction.…”
Section: How Multivalency Impacts Igg-fcγr Interactionsmentioning
confidence: 99%
“…Many groups have postulated that multivalent Fc constructs have potential for the treatment of immune conditions involving pathogenic Abs (2, 5, 37, 38), and a recent study has shown that hexavalent Fcs can block FcγRs leading to their downmodulation and prolonged disruption of FcγR effector functions both in vitro and in vivo (39, 40). Hexameric Fcs have also been shown to inhibit platelet phagocytosis in mouse models of idiopathic thrombocytopenic purpura (33, 39, 41).…”
Section: Discussionmentioning
confidence: 99%
“…The ADCC and CDC activities of the anti-OX40 antibody with the E345R mutation were affected by the choice of IgG subtypes [362]. With so many oligomeric Ab targets, there are continuing applications of hexameric therapeutic Abs that can affect downstream signaling events [328,329,363].…”
Section: Avidity Modulationmentioning
confidence: 99%