Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism

Abstract 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 (...

Full description

Bibliographic Details
Main Authors: Ho Jin Kim, Orhan Aktas, Kristina R. Patterson, Schaun Korff, Amy Kunchok, Jeffrey L. Bennett, Brian G. Weinshenker, Friedemann Paul, Hans‐Peter Hartung, Daniel Cimbora, Michael A. Smith, Nanette Mittereder, William A. Rees, Dewei She, Bruce A. C. Cree
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Annals of Clinical and Translational Neurology
Online Access:https://doi.org/10.1002/acn3.51911
_version_ 1797389793859993600
author Ho Jin Kim
Orhan Aktas
Kristina R. Patterson
Schaun Korff
Amy Kunchok
Jeffrey L. Bennett
Brian G. Weinshenker
Friedemann Paul
Hans‐Peter Hartung
Daniel Cimbora
Michael A. Smith
Nanette Mittereder
William A. Rees
Dewei She
Bruce A. C. Cree
author_facet Ho Jin Kim
Orhan Aktas
Kristina R. Patterson
Schaun Korff
Amy Kunchok
Jeffrey L. Bennett
Brian G. Weinshenker
Friedemann Paul
Hans‐Peter Hartung
Daniel Cimbora
Michael A. Smith
Nanette Mittereder
William A. Rees
Dewei She
Bruce A. C. Cree
author_sort Ho Jin Kim
collection DOAJ
description Abstract 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.
first_indexed 2024-03-08T23:01:09Z
format Article
id doaj.art-117e79e5e7134a03b6b3f3c65a13a5f5
institution Directory Open Access Journal
issn 2328-9503
language English
last_indexed 2024-03-08T23:01:09Z
publishDate 2023-12-01
publisher Wiley
record_format Article
series Annals of Clinical and Translational Neurology
spelling doaj.art-117e79e5e7134a03b6b3f3c65a13a5f52023-12-15T16:39:24ZengWileyAnnals of Clinical and Translational Neurology2328-95032023-12-0110122413242010.1002/acn3.51911Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphismHo Jin Kim0Orhan Aktas1Kristina R. Patterson2Schaun Korff3Amy Kunchok4Jeffrey L. Bennett5Brian G. Weinshenker6Friedemann Paul7Hans‐Peter Hartung8Daniel Cimbora9Michael A. Smith10Nanette Mittereder11William A. Rees12Dewei She13Bruce A. C. Cree14Department of Neurology Research Institute and Hospital of National Cancer Center Goyang South KoreaMedical Faculty Heinrich Heine University Düsseldorf Düsseldorf GermanyHorizon Therapeutics Illinois Deerfield USAHorizon Therapeutics Illinois Deerfield USADepartment of Neurology Mellen Center for Multiple Sclerosis, Cleveland Clinic Ohio Cleveland USADepartment of Neurology, Programs in Neuroscience and Immunology University of Colorado School of Medicine, Anschutz Medical Campus Colorado Aurora USADepartment of Neurology University of Virginia Virginia Charlottesville USAExperimental and Clinical Research Center, Max Delbrück Center for Molecular Medicine and Charité Universitätsmedizin Berlin, Corporate Member of Freie Universitat Berlin and Humboldt‐Universitat zu Berlin Berlin GermanyMedical Faculty Heinrich Heine University Düsseldorf Düsseldorf GermanyHorizon Therapeutics Illinois Deerfield USAHorizon Therapeutics Illinois Deerfield USAHorizon Therapeutics Illinois Deerfield USAHorizon Therapeutics Illinois Deerfield USAHorizon Therapeutics Illinois Deerfield USADepartment of Neurology, UCSF Weill Institute for Neurosciences University of California San Francisco California San Francisco USAAbstract 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.https://doi.org/10.1002/acn3.51911
spellingShingle Ho Jin Kim
Orhan Aktas
Kristina R. Patterson
Schaun Korff
Amy Kunchok
Jeffrey L. Bennett
Brian G. Weinshenker
Friedemann Paul
Hans‐Peter Hartung
Daniel Cimbora
Michael A. Smith
Nanette Mittereder
William A. Rees
Dewei She
Bruce A. C. Cree
Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism
Annals of Clinical and Translational Neurology
title Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism
title_full Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism
title_fullStr Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism
title_full_unstemmed Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism
title_short Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism
title_sort inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of fcgr3a polymorphism
url https://doi.org/10.1002/acn3.51911
work_keys_str_mv AT hojinkim inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT orhanaktas inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT kristinarpatterson inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT schaunkorff inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT amykunchok inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT jeffreylbennett inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT briangweinshenker inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT friedemannpaul inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT hanspeterhartung inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT danielcimbora inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT michaelasmith inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT nanettemittereder inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT williamarees inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT deweishe inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism
AT bruceaccree inebilizumabreducesneuromyelitisopticaspectrumdisorderriskindependentoffcgr3apolymorphism