Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism

被引:5
作者
Kim, Ho Jin [1 ]
Aktas, Orhan [2 ]
Patterson, Kristina R. [3 ]
Korff, Schaun [3 ]
Kunchok, Amy [4 ]
Bennett, Jeffrey L. [5 ,6 ]
Weinshenker, Brian G. [7 ]
Paul, Friedemann [8 ,9 ,10 ,11 ]
Hartung, Hans-Peter [2 ,12 ,13 ,14 ]
Cimbora, Daniel [3 ]
Smith, Michael A. [3 ]
Mittereder, Nanette [3 ]
Rees, William A. [3 ]
She, Dewei [3 ]
Cree, Bruce A. C. [15 ]
机构
[1] Natl Canc Ctr, Res Inst & Hosp, Dept Neurol, Goyang, South Korea
[2] Heinrich Heine Univ Dusseldorf, Med Fac, Dusseldorf, Germany
[3] Horizon Therapeut, Deerfield, IL USA
[4] Cleveland Clin, Mellen Ctr Multiple Sclerosis, Dept Neurol, Cleveland, OH USA
[5] Univ Colorado, Sch Med, Dept Neurol, Program Neurosci, Anschutz Med Campus, Aurora, CO USA
[6] Univ Colorado, Dept Neurol, Program Immunol, Sch Med, Anschutz Med Campus, Aurora, CO USA
[7] Univ Virginia, Dept Neurol, Charlottesville, VA USA
[8] Max Delbruck Ctr Mol Med, Expt & Clin Res Ctr, Berlin, Germany
[9] Charite Univ Med Berlin, Berlin, Germany
[10] Free Univ Berlin, Berlin, Germany
[11] Humboldt Univ, Berlin, Germany
[12] Univ Sydney, Brain & Mind Ctr, Sydney, NSW, Australia
[13] Med Univ Vienna, Dept Neurol, Vienna, Austria
[14] Palacky Univ Olomouc, Dept Neurol, Olomouc, Czech Republic
[15] Univ Calif San Francisco, UCSF Weill Inst Neurosci, Dept Neurol, San Francisco, CA 94143 USA
来源
ANNALS OF CLINICAL AND TRANSLATIONAL NEUROLOGY | 2023年 / 10卷 / 12期
关键词
FC-GAMMA-RIIIA; TREATMENT OUTCOMES; RITUXIMAB; ANTIBODY; BINDING; DESIGN;
D O I
10.1002/acn3.51911
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Inebilizumab, a humanized, glycoengineered, IgG1 monoclonal antibody that depletes CD19+ B-cells, is approved to treat aquaporin 4 (AQP4) IgG-seropositive neuromyelitis optica spectrum disorder (NMOSD). Inebilizumab is afucosylated and engineered for enhanced affinity to Fc receptor III-A (FCGR3A) receptors on natural killer cells to maximize antibody-dependent cellular cytotoxicity. Previously, the F allele polymorphism at amino acid 158 of the FCGR3A gene (F158) was shown to decrease IgG-binding affinity and reduce rituximab (anti-CD20) efficacy for NMOSD attack prevention. In contrast, our current findings from inebilizumab-treated NMOSD patients indicate similar clinical outcomes between those with F158 and V158 allele genotypes.
引用
收藏
页码:2413 / 2420
页数:8
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