PMID- 24401277 OWN - NLM STAT- MEDLINE DCOM- 20140407 LR - 20211021 IS - 1558-8238 (Electronic) IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 124 IP - 2 DP - 2014 Feb TI - Human IgG Fc domain engineering enhances antitoxin neutralizing antibody activity. PG - 725-9 LID - 72676 [pii] LID - 10.1172/JCI72676 [doi] AB - The effector activity of antibodies is dependent on engagement with Fcgamma receptors (FcgammaRs) and activation of the associated intracellular signaling pathways. Preclinical evaluation of therapeutic humanized or chimeric mAbs to study the interactions of their Fc regions with FcgammaRs is hampered by substantial structural and functional FcgammaR diversity among species. In this report, we used mice expressing only human FcgammaRs to evaluate the contribution of FcgammaR-mediated pathways to the neutralizing activity of an anti-anthrax toxin chimeric mAb. We observed that the protective activity of this mAb was highly dependent upon FcgammaR engagement, with minimal protection against anthrax toxin observed in FcgammaR-deficient mice following mAb administration. We generated anti-anthrax toxin mAbs with specific Fc domain variants with selectively enhanced affinity for particular human FcgammaRs and assessed their activity in FcgammaR-humanized mice. We determined that Fc domain variants that were capable of selectively engaging activating FcgammaRs substantially enhanced the in vitro and in vivo activity of anthrax toxin-neutralizing antibodies. These findings indicate that the application of Fc domain engineering is a feasible strategy to enhance toxin-neutralizing activity and suggest that engineered antitoxin antibodies will have improved therapeutic efficacy. FAU - Bournazos, Stylianos AU - Bournazos S FAU - Chow, Siu-Kei AU - Chow SK FAU - Abboud, Nareen AU - Abboud N FAU - Casadevall, Arturo AU - Casadevall A FAU - Ravetch, Jeffrey V AU - Ravetch JV LA - eng GR - U54 AI057158/AI/NIAID NIH HHS/United States GR - 5U54AI057158/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140109 PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Neutralizing) RN - 0 (Antigens, Bacterial) RN - 0 (Antitoxins) RN - 0 (Bacterial Toxins) RN - 0 (Immunoglobulin G) RN - 0 (Receptors, IgG) RN - 0 (Recombinant Proteins) RN - 0 (anthrax toxin) SB - IM MH - Animals MH - Anthrax/therapy MH - Antibodies, Monoclonal/chemistry MH - Antibodies, Neutralizing/*chemistry MH - Antibody-Dependent Cell Cytotoxicity/immunology MH - Antigens, Bacterial/chemistry MH - Antitoxins/chemistry MH - Bacterial Toxins/chemistry MH - Enzyme-Linked Immunosorbent Assay MH - HEK293 Cells MH - Humans MH - Immunoglobulin G/*chemistry MH - Inhibitory Concentration 50 MH - Mice MH - Mice, Transgenic MH - Protein Engineering MH - Protein Structure, Tertiary MH - Receptors, IgG/*chemistry MH - Recombinant Proteins/chemistry MH - Signal Transduction MH - Surface Plasmon Resonance PMC - PMC3904629 EDAT- 2014/01/10 06:00 MHDA- 2014/04/08 06:00 PMCR- 2014/01/09 CRDT- 2014/01/10 06:00 PHST- 2013/08/12 00:00 [received] PHST- 2013/10/30 00:00 [accepted] PHST- 2014/01/10 06:00 [entrez] PHST- 2014/01/10 06:00 [pubmed] PHST- 2014/04/08 06:00 [medline] PHST- 2014/01/09 00:00 [pmc-release] AID - 72676 [pii] AID - 10.1172/JCI72676 [doi] PST - ppublish SO - J Clin Invest. 2014 Feb;124(2):725-9. doi: 10.1172/JCI72676. Epub 2014 Jan 9.