Elucidating the interplay between IgG-Fc valency and FcγR activation for the design of immune complex inhibitors.

Journal: Science Translational Medicine
Published:
Abstract

Autoantibody immune complex (IC) activation of Fcγ receptors (FcγRs) is a common pathogenic hallmark of multiple autoimmune diseases. Given that the IC structural features that elicit FcγR activation are poorly understood and the FcγR system is highly complex, few therapeutics can directly block these processes without inadvertently activating the FcγR system. To address these issues, the structure activity relationships of an engineered panel of multivalent Fc constructs were evaluated using sensitive FcγR binding and signaling cellular assays. These studies identified an Fc valency with avid binding to FcγRs but without activation of immune cell effector functions. These observations directed the design of a potent trivalent immunoglobulin G-Fc molecule that broadly inhibited IC-driven processes in a variety of immune cells expressing FcγRs. The Fc trimer, Fc3Y, was highly efficacious in three different animal models of autoimmune diseases. This recombinant molecule may represent an effective therapeutic candidate for FcγR-mediated autoimmune diseases.

Authors
Daniel Ortiz, Jonathan Lansing, Laura Rutitzky, Elma Kurtagic, Thomas Prod'homme, Amit Choudhury, Nathaniel Washburn, Naveen Bhatnagar, Christopher Beneduce, Kimberly Holte, Robert Prenovitz, Matthew Child, Jason Killough, Steven Tyler, Julia Brown, Stephanie Nguyen, Inessa Schwab, Maurice Hains, Robin Meccariello, Lynn Markowitz, Jing Wang, Radouane Zouaoui, Allison Simpson, Birgit Schultes, Ishan Capila, Leona Ling, Falk Nimmerjahn, Anthony Manning, Carlos Bosques