PMID- 34512662 OWN - NLM STAT- MEDLINE DCOM- 20211227 LR - 20240226 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 12 DP - 2021 TI - The Dual Targeting of FcRn and FcgammaRs via Monomeric Fc Fragments Results in Strong Inhibition of IgG-Dependent Autoimmune Pathologies. PG - 728322 LID - 10.3389/fimmu.2021.728322 [doi] LID - 728322 AB - Novel molecules that directly target the neonatal Fc receptor (FcRn) and/or Fc gamma receptors (FcgammaRs) are emerging as promising treatments for immunoglobulin G (IgG)-dependent autoimmune pathologies. Mutated Fc regions and monoclonal antibodies that target FcRn are currently in clinical development and hold promise for reducing the levels of circulating IgG. Additionally, engineered structures containing multimeric Fc regions allow the dual targeting of FcRn and FcgammaRs; however, their tolerance needs to first be validated in phase I clinical studies. Here, for the first time, we have developed a modified monomeric recombinant Fc optimized for binding to all FcRns and FcgammaRs without the drawback of possible tolerance associated with FcgammaR cross-linking. A rational approach using Fc engineering allowed the selection of LFBD192, an Fc with a combination of six mutations that exhibits improved binding to human FcRn and FcgammaR as well as mouse FcRn and FcgammaRIV. The potency of LFBD192 was compared with that of intravenous immunoglobulin (IVIg), an FcRn blocker (Fc-MST-HN), and a trimeric Fc that blocks FcRn and/or immune complex-mediated cell activation through FcgammaR without triggering an immune reaction in several in vitro tests and validated in three mouse models of autoimmune disease. CI - Copyright (c) 2021 Monnet, Jacque, de Romeuf, Fontayne, Abache, Fournier, Dupont, Derache, Engrand, Bauduin, Terrier, Seifert, Beghin, Longue, Masiello, Danino, Nogre, Raia, Dhainaut, Fauconnier, Togbe, Reitinger, Nimmerjahn, Stevens, Chtourou and Mondon. FAU - Monnet, Celine AU - Monnet C AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Jacque, Emilie AU - Jacque E AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - de Romeuf, Christophe AU - de Romeuf C AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Fontayne, Alexandre AU - Fontayne A AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Abache, Toufik AU - Abache T AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Fournier, Nathalie AU - Fournier N AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Dupont, Gilles AU - Dupont G AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Derache, Delphine AU - Derache D AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Engrand, Anais AU - Engrand A AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Bauduin, Aurelie AU - Bauduin A AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Terrier, Aurelie AU - Terrier A AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Seifert, Alexander AU - Seifert A AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Beghin, Cecile AU - Beghin C AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Longue, Alain AU - Longue A AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Masiello, Nicholas AU - Masiello N AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Danino, Laetitia AU - Danino L AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Nogre, Michel AU - Nogre M AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Raia, Anais AU - Raia A AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Dhainaut, Frederic AU - Dhainaut F AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Fauconnier, Louis AU - Fauconnier L AD - Artimmune, Orleans, France. FAU - Togbe, Dieudonnee AU - Togbe D AD - Artimmune, Orleans, France. FAU - Reitinger, Carmen AU - Reitinger C AD - Division of Genetics, Department of Biology, Friedrich-Alexander University Erlangen-Nurnberg, Erlangen, Germany. FAU - Nimmerjahn, Falk AU - Nimmerjahn F AD - Division of Genetics, Department of Biology, Friedrich-Alexander University Erlangen-Nurnberg, Erlangen, Germany. FAU - Stevens, Wil AU - Stevens W AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Chtourou, Sami AU - Chtourou S AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. FAU - Mondon, Philippe AU - Mondon P AD - LFB Biotechnologies, Innovation Department, Les Ulis, France. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210826 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Antirheumatic Agents) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (IL2 protein, human) RN - 0 (Immunoglobulin Fc Fragments) RN - 0 (Interleukin-2) RN - 0 (Receptors, Fc) RN - 0 (Receptors, IgG) RN - 80295-54-1 (Complement C5a) RN - TW3XAW0RCY (Fc receptor, neonatal) SB - IM MH - Animals MH - Antirheumatic Agents/metabolism/*pharmacology MH - Arthritis, Experimental/genetics/immunology/metabolism/*prevention & control MH - Autoimmunity/*drug effects MH - Binding, Competitive MH - Complement C5a/metabolism MH - Female MH - Histocompatibility Antigens Class I/genetics/immunology/metabolism MH - Humans MH - Immunoglobulin Fc Fragments/genetics/immunology/metabolism/*pharmacology MH - Interleukin-2/metabolism MH - Jurkat Cells MH - Kinetics MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - Mutation MH - Phagocytosis/drug effects MH - Platelet Aggregation/drug effects MH - Protein Binding MH - Protein Engineering MH - Receptors, Fc/*antagonists & inhibitors/genetics/immunology/metabolism MH - Receptors, IgG/*antagonists & inhibitors/genetics/immunology/metabolism MH - Secretory Pathway MH - Signal Transduction MH - THP-1 Cells MH - Mice PMC - PMC8427755 OTO - NOTNLM OT - Fc engineering OT - Fc fragment OT - Fc gamma receptor (FcgammaR) OT - FcRn OT - autoantibodies OT - autoimmune disease OT - immune complex (IC) COIS- Authors CM, EJ, CRe, AF, TA, NF, GD, DD, AE, AB, AT, AS, CB, AL, NM, LD, MN, AR, FD, WS, SC and PM are employees of LFB Biotechnologies, which patented the described Fc mutations. DT and LF are employees of Artimmune. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/09/14 06:00 MHDA- 2021/12/28 06:00 PMCR- 2021/01/01 CRDT- 2021/09/13 06:44 PHST- 2021/06/21 00:00 [received] PHST- 2021/08/09 00:00 [accepted] PHST- 2021/09/13 06:44 [entrez] PHST- 2021/09/14 06:00 [pubmed] PHST- 2021/12/28 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2021.728322 [doi] PST - epublish SO - Front Immunol. 2021 Aug 26;12:728322. doi: 10.3389/fimmu.2021.728322. eCollection 2021.