PMID- 23411799 OWN - NLM STAT- MEDLINE DCOM- 20130418 LR - 20221109 IS - 1474-1741 (Electronic) IS - 1474-1733 (Linking) VI - 13 IP - 3 DP - 2013 Mar TI - Intravenous immunoglobulin therapy: how does IgG modulate the immune system? PG - 176-89 LID - 10.1038/nri3401 [doi] AB - Intravenous immunoglobulin (IVIG) preparations comprise pooled IgG antibodies from the serum of thousands of donors and were initially used as an IgG replacement therapy in immunocompromised patients. Since the discovery, more than 30 years ago, that IVIG therapy can ameliorate immune thrombocytopenia, the use of IVIG preparations has been extended to a wide range of autoimmune and inflammatory diseases. Despite the broad efficacy of IVIG therapy, its modes of action remain unclear. In this Review, we cover the recent insights into the molecular and cellular pathways that are involved in IVIG-mediated immunosuppression, with a particular focus on IVIG as a therapy for IgG-dependent autoimmune diseases. FAU - Schwab, Inessa AU - Schwab I AD - Institute of Genetics, Department of Biology, University of Erlangen-Nurnberg, Erwin-Rommelstrasse 3, 91058 Erlangen, Germany. FAU - Nimmerjahn, Falk AU - Nimmerjahn F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20130215 PL - England TA - Nat Rev Immunol JT - Nature reviews. Immunology JID - 101124169 RN - 0 (Autoantibodies) RN - 0 (Cell Adhesion Molecules) RN - 0 (DC-specific ICAM-3 grabbing nonintegrin) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Immunoglobulin Fc Fragments) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulin Variable Region) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Lectins, C-Type) RN - 0 (Receptors, Cell Surface) RN - 0 (Receptors, Fc) RN - 0 (Receptors, IgG) RN - GZP2782OP0 (N-Acetylneuraminic Acid) RN - TW3XAW0RCY (Fc receptor, neonatal) SB - IM CIN - Nat Rev Immunol. 2014 May;14(5):349. PMID: 24762828 CIN - Nat Rev Immunol. 2014 May;14(5):349. PMID: 24762829 MH - Animals MH - Autoantibodies/immunology MH - Autoimmune Diseases/immunology/therapy MH - Cell Adhesion Molecules/immunology MH - Clinical Trials as Topic MH - Disease Models, Animal MH - Glycosylation MH - Histocompatibility Antigens Class I/immunology MH - Humans MH - Immunocompromised Host MH - Immunoglobulin Fc Fragments/immunology MH - Immunoglobulin G/immunology/pharmacology/*therapeutic use MH - Immunoglobulin Variable Region/immunology MH - Immunoglobulins, Intravenous/pharmacology/*therapeutic use MH - Immunomodulation/*drug effects/immunology MH - *Immunosuppression Therapy MH - Inflammation/immunology/therapy MH - Lectins, C-Type/immunology MH - Lymphocyte Subsets/immunology MH - Mice MH - Models, Molecular MH - N-Acetylneuraminic Acid/immunology MH - Protein Conformation MH - Protein Processing, Post-Translational MH - Receptors, Cell Surface/immunology MH - Receptors, Fc/immunology MH - Receptors, IgG/chemistry/classification/immunology EDAT- 2013/02/16 06:00 MHDA- 2013/04/20 06:00 CRDT- 2013/02/16 06:00 PHST- 2013/02/16 06:00 [entrez] PHST- 2013/02/16 06:00 [pubmed] PHST- 2013/04/20 06:00 [medline] AID - nri3401 [pii] AID - 10.1038/nri3401 [doi] PST - ppublish SO - Nat Rev Immunol. 2013 Mar;13(3):176-89. doi: 10.1038/nri3401. Epub 2013 Feb 15.