PMID- 26925256 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20210203 LR - 20220408 IS - 2095-9907 (Print) IS - 2059-3635 (Electronic) IS - 2059-3635 (Linking) VI - 1 DP - 2016 TI - Intravenous immune globulin suppresses angiogenesis in mice and humans. PG - 15002- LID - 15002 [pii] AB - Human intravenous immune globulin (IVIg), a purified IgG fraction composed of ~ 60% IgG1 and obtained from the pooled plasma of thousands of donors, is clinically used for a wide range of diseases. The biological actions of IVIg are incompletely understood and have been attributed both to the polyclonal antibodies therein and also to their IgG (IgG) Fc regions. Recently, we demonstrated that multiple therapeutic human IgG1 antibodies suppress angiogenesis in a target-independent manner via FcgammaRI, a high-affinity receptor for IgG1. Here we show that IVIg possesses similar anti-angiogenic activity and inhibited blood vessel growth in five different mouse models of prevalent human diseases, namely, neovascular age-related macular degeneration, corneal neovascularization, colorectal cancer, fibrosarcoma and peripheral arterial ischemic disease. Angioinhibition was mediated by the Fc region of IVIg, required FcgammaRI and had similar potency in transgenic mice expressing human FcgammaRs. Finally, IVIg therapy administered to humans for the treatment of inflammatory or autoimmune diseases reduced kidney and muscle blood vessel densities. These data place IVIg, an agent approved by the US Food and Drug Administration, as a novel angioinhibitory drug in doses that are currently administered in the clinical setting. In addition, they raise the possibility of an unintended effect of IVIg on blood vessels. FAU - Yasuma, Reo AU - Yasuma R AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA; Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Cicatiello, Valeria AU - Cicatiello V AD - Angiogenesis Lab, Institute of Genetics and Biophysics-CNR, Naples, Italy; Bio-Ker, MultiMedica Group, Naples, Italy. FAU - Mizutani, Takeshi AU - Mizutani T AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA. FAU - Tudisco, Laura AU - Tudisco L AD - Angiogenesis Lab, Institute of Genetics and Biophysics-CNR, Naples, Italy. FAU - Kim, Younghee AU - Kim Y AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA. FAU - Tarallo, Valeria AU - Tarallo V AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA; Angiogenesis Lab, Institute of Genetics and Biophysics-CNR, Naples, Italy. FAU - Bogdanovich, Sasha AU - Bogdanovich S AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA. FAU - Hirano, Yoshio AU - Hirano Y AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA. FAU - Kerur, Nagaraj AU - Kerur N AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA. FAU - Li, Shengjian AU - Li S AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA. FAU - Yasuma, Tetsuhiro AU - Yasuma T AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA. FAU - Fowler, Benjamin J AU - Fowler BJ AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA; Department of Physiology, University of Kentucky, Lexington, KY, USA. FAU - Wright, Charles B AU - Wright CB AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA. FAU - Apicella, Ivana AU - Apicella I AD - Angiogenesis Lab, Institute of Genetics and Biophysics-CNR, Naples, Italy. FAU - Greco, Adelaide AU - Greco A AD - Department of Advanced Biomedical Sciences, University of Naples 'Federico II', Naples, Italy; CEINGE-Biotecnologie Avanzate, s.c. ar.l., Naples, Italy. FAU - Brunetti, Arturo AU - Brunetti A AD - Department of Advanced Biomedical Sciences, University of Naples 'Federico II', Naples, Italy; CEINGE-Biotecnologie Avanzate, s.c. ar.l., Naples, Italy. FAU - Ambati, Balamurali K AU - Ambati BK AD - Department of Ophthalmology and Visual Sciences, Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USA; Department of Ophthalmology, Veterans Affairs Salt Lake City Healthcare System, Salt Lake City, UT, USA. FAU - Helmers, Sevim Barbasso AU - Helmers SB AD - Rheumatology Unit, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden. FAU - Lundberg, Ingrid E AU - Lundberg IE AD - Rheumatology Unit, Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden. FAU - Viklicky, Ondrej AU - Viklicky O AD - Department of Nephrology, Institute for Clinical and Experimental Medicine, Prague 4, Czech Republic. FAU - Leusen, Jeanette Hw AU - Leusen JH AD - Immunotherapy Laboratory, Laboratory for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Verbeek, J Sjef AU - Verbeek JS AD - Department of Human Genetics, Leiden University Medical Center, Leiden, The Netherlands. FAU - Gelfand, Bradley D AU - Gelfand BD AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA; Department of Biomedical Engineering, University of Kentucky, Lexington, KY, USA; Department of Microbiology, Immunology, and Molecular Genetics, University of Kentucky, Lexington, KY, USA. FAU - Bastos-Carvalho, Ana AU - Bastos-Carvalho A AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA. FAU - De Falco, Sandro AU - De Falco S AD - Angiogenesis Lab, Institute of Genetics and Biophysics-CNR, Naples, Italy; IRCCS MultiMedica, Milano, Italy. FAU - Ambati, Jayakrishna AU - Ambati J AD - Department of Ophthalmology and Visual Sciences, University of Kentucky, Lexington, KY, USA; Department of Physiology, University of Kentucky, Lexington, KY, USA. LA - eng GR - R01 EY017182/EY/NEI NIH HHS/United States GR - R00 EY024336/EY/NEI NIH HHS/United States GR - R01 EY018350/EY/NEI NIH HHS/United States GR - K99 EY024336/EY/NEI NIH HHS/United States GR - UL1 RR033173/RR/NCRR NIH HHS/United States GR - R01 EY018836/EY/NEI NIH HHS/United States GR - R01 EY020672/EY/NEI NIH HHS/United States GR - T32 HL091812/HL/NHLBI NIH HHS/United States GR - R01 EY024068/EY/NEI NIH HHS/United States GR - R01 EY017950/EY/NEI NIH HHS/United States GR - DP1 GM114862/GM/NIGMS NIH HHS/United States GR - R01 EY022238/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20160128 PL - England TA - Signal Transduct Target Ther JT - Signal transduction and targeted therapy JID - 101676423 PMC - PMC4768485 MID - NIHMS756665 COIS- JA is a co-founder of iVeena Holdings, iVeena Pharmaceuticals, iVeena Delivery Systems and Inflammasome Therapeutics, and has received honoraria from Allergan and research funding from Olix Pharmaceuticals unrelated to this work. JA and SDeF are named as inventors on patent applications filed by the University of Kentucky relating to the technology described in this work. EDAT- 2016/03/01 06:00 MHDA- 2016/03/01 06:01 PMCR- 2016/01/28 CRDT- 2016/03/01 06:00 PHST- 2016/03/01 06:00 [entrez] PHST- 2016/03/01 06:00 [pubmed] PHST- 2016/03/01 06:01 [medline] PHST- 2016/01/28 00:00 [pmc-release] AID - 15002 [pii] AID - 10.1038/sigtrans.2015.2 [doi] PST - ppublish SO - Signal Transduct Target Ther. 2016;1:15002-. doi: 10.1038/sigtrans.2015.2. Epub 2016 Jan 28.