PMID- 35154135 OWN - NLM STAT- MEDLINE DCOM- 20220328 LR - 20220716 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - Enhanced Immunomodulatory Effect of Intravenous Immunoglobulin by Fc Galactosylation and Nonfucosylation. PG - 818382 LID - 10.3389/fimmu.2022.818382 [doi] LID - 818382 AB - Intravenous immunoglobulin (IVIG) is used as an immunomodulatory agent in the treatment of various autoimmune/inflammatory diseases although its mechanism of action remains elusive. Recently, nonfucosylated IgG has been shown to be preferentially bound to Fcgamma receptor IIIa (FcgammaRIIIa) on circulating natural killer cells; therefore, we hypothesized that nonfucosylated IVIG may modulate immune responses through FcgammaRIIIa blockade. Here, homogeneous fucosylated or nonfucosylated glycoforms of normal polyclonal IgG bearing sialylated, galactosylated or nongalactosylated Fc oligosaccharides were generated by chemoenzymatic glycoengineering to investigate whether the IgG glycoforms can inhibit antibody-dependent cellular cytotoxicity (ADCC). Among the six IgG glycoforms, galactosylated, nonfucosylated IgG [(G2)(2)] had the highest affinity to FcgammaRIIIa and 20 times higher potency to inhibit ADCC than native IgG. A pilot study of IVIG treatment in mice with collagen antibody-induced arthritis highlighted the low-dose (G2)(2) glycoform of IVIG (0.1 g/kg) as an effective immunomodulatory agent as the 10-fold higher dose of native IVIG. These preliminary results suggest that the anti-inflammatory activity of IVIG is in part mediated via activating FcgammaR blockade by galactosylated, nonfucosylated IgG and that such nonfucosylated IgG glycoforms bound to FcgammaRs on immune cells play immunomodulatory roles in health and disease. This study provides insights into improved therapeutic strategies for autoimmune/inflammatory diseases using glycoengineered IVIG and recombinant Fc. CI - Copyright (c) 2022 Mimura, Mimura-Kimura, Saldova, Rudd and Jefferis. FAU - Mimura, Yusuke AU - Mimura Y AD - Department of Clinical Research, National Hospital Organization Yamaguchi Ube Medical Center, Ube, Japan. FAU - Mimura-Kimura, Yuka AU - Mimura-Kimura Y AD - Department of Clinical Research, National Hospital Organization Yamaguchi Ube Medical Center, Ube, Japan. FAU - Saldova, Radka AU - Saldova R AD - NIBRT GlycoScience Group, National Institute for Bioprocessing Research and Training, Dublin, Ireland. AD - UCD School of Medicine, College of Health and Agricultural Science, University College Dublin, Dublin, Ireland. FAU - Rudd, Pauline M AU - Rudd PM AD - NIBRT GlycoScience Group, National Institute for Bioprocessing Research and Training, Dublin, Ireland. AD - Bioprocessing Technology Institute, Agency for Science, Technology and Research, Centros, Singapore. FAU - Jefferis, Roy AU - Jefferis R AD - Institute of Immunology and Immunotherapy, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom. LA - eng PT - Journal Article DEP - 20220128 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (FCGR3A protein, human) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Receptors, IgG) RN - 28RYY2IV3F (Fucose) RN - 4F4X42SYQ6 (Rituximab) SB - IM EIN - Front Immunol. 2022 Apr 01;13:902018. PMID: 35432361 MH - Animals MH - Antibody-Dependent Cell Cytotoxicity/*immunology MH - Arthritis/*drug therapy MH - Fucose/immunology MH - Glycosylation MH - Humans MH - Immunoglobulins, Intravenous/*pharmacology MH - Mice MH - Pilot Projects MH - Receptors, IgG/*immunology MH - Rituximab/*pharmacology PMC - PMC8831331 OTO - NOTNLM OT - Fcgamma receptor OT - antibody-dependent cellular cytotoxicity OT - autoimmune disease OT - glycoengineering OT - intravenous immunoglobulin OT - natural killer cell OT - oligosaccharide COIS- The 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- 2022/02/15 06:00 MHDA- 2022/03/29 06:00 PMCR- 2022/01/01 CRDT- 2022/02/14 05:30 PHST- 2021/11/19 00:00 [received] PHST- 2022/01/10 00:00 [accepted] PHST- 2022/02/14 05:30 [entrez] PHST- 2022/02/15 06:00 [pubmed] PHST- 2022/03/29 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.818382 [doi] PST - epublish SO - Front Immunol. 2022 Jan 28;13:818382. doi: 10.3389/fimmu.2022.818382. eCollection 2022.