Antibody diversity in IVIG: Therapeutic opportunities for novel immunotherapeutic drugs

Significant progress has been made in the elucidation of human antibody repertoires. Furthermore, non-canonical functions of antibodies have been identified that reach beyond classical functions linked to protection from pathogens. Polyclonal immunoglobulin preparations such as IVIG and SCIG represe...

Full description

Bibliographic Details
Main Authors: Stephan von Gunten, Christoph Schneider, Lejla Imamovic, Guy Gorochov
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1166821/full
_version_ 1797857821095624704
author Stephan von Gunten
Christoph Schneider
Lejla Imamovic
Guy Gorochov
author_facet Stephan von Gunten
Christoph Schneider
Lejla Imamovic
Guy Gorochov
author_sort Stephan von Gunten
collection DOAJ
description Significant progress has been made in the elucidation of human antibody repertoires. Furthermore, non-canonical functions of antibodies have been identified that reach beyond classical functions linked to protection from pathogens. Polyclonal immunoglobulin preparations such as IVIG and SCIG represent the IgG repertoire of the donor population and will likely remain the cornerstone of antibody replacement therapy in immunodeficiencies. However, novel evidence suggests that pooled IgA might promote orthobiotic microbial colonization in gut dysbiosis linked to mucosal IgA immunodeficiency. Plasma-derived polyclonal IgG and IgA exhibit immunoregulatory effects by a diversity of different mechanisms, which have inspired the development of novel drugs. Here we highlight recent insights into IgG and IgA repertoires and discuss potential implications for polyclonal immunoglobulin therapy and inspired drugs.
first_indexed 2024-04-09T21:03:01Z
format Article
id doaj.art-5d056e09d20947eeb7d7f2d3a920703b
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-04-09T21:03:01Z
publishDate 2023-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-5d056e09d20947eeb7d7f2d3a920703b2023-03-29T06:15:23ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-03-011410.3389/fimmu.2023.11668211166821Antibody diversity in IVIG: Therapeutic opportunities for novel immunotherapeutic drugsStephan von Gunten0Christoph Schneider1Lejla Imamovic2Guy Gorochov3Institute of Pharmacology, University of Bern, Bern, SwitzerlandInstitute of Pharmacology, University of Bern, Bern, SwitzerlandSorbonne Université, Inserm, Assistance Publique Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière Hospital, Paris, FranceSorbonne Université, Inserm, Assistance Publique Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière Hospital, Paris, FranceSignificant progress has been made in the elucidation of human antibody repertoires. Furthermore, non-canonical functions of antibodies have been identified that reach beyond classical functions linked to protection from pathogens. Polyclonal immunoglobulin preparations such as IVIG and SCIG represent the IgG repertoire of the donor population and will likely remain the cornerstone of antibody replacement therapy in immunodeficiencies. However, novel evidence suggests that pooled IgA might promote orthobiotic microbial colonization in gut dysbiosis linked to mucosal IgA immunodeficiency. Plasma-derived polyclonal IgG and IgA exhibit immunoregulatory effects by a diversity of different mechanisms, which have inspired the development of novel drugs. Here we highlight recent insights into IgG and IgA repertoires and discuss potential implications for polyclonal immunoglobulin therapy and inspired drugs.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1166821/fullantibodiesintravenous immune globulin (IVIg)subcutaneous immunoglobulinIgAimmunotherapy
spellingShingle Stephan von Gunten
Christoph Schneider
Lejla Imamovic
Guy Gorochov
Antibody diversity in IVIG: Therapeutic opportunities for novel immunotherapeutic drugs
Frontiers in Immunology
antibodies
intravenous immune globulin (IVIg)
subcutaneous immunoglobulin
IgA
immunotherapy
title Antibody diversity in IVIG: Therapeutic opportunities for novel immunotherapeutic drugs
title_full Antibody diversity in IVIG: Therapeutic opportunities for novel immunotherapeutic drugs
title_fullStr Antibody diversity in IVIG: Therapeutic opportunities for novel immunotherapeutic drugs
title_full_unstemmed Antibody diversity in IVIG: Therapeutic opportunities for novel immunotherapeutic drugs
title_short Antibody diversity in IVIG: Therapeutic opportunities for novel immunotherapeutic drugs
title_sort antibody diversity in ivig therapeutic opportunities for novel immunotherapeutic drugs
topic antibodies
intravenous immune globulin (IVIg)
subcutaneous immunoglobulin
IgA
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1166821/full
work_keys_str_mv AT stephanvongunten antibodydiversityinivigtherapeuticopportunitiesfornovelimmunotherapeuticdrugs
AT christophschneider antibodydiversityinivigtherapeuticopportunitiesfornovelimmunotherapeuticdrugs
AT lejlaimamovic antibodydiversityinivigtherapeuticopportunitiesfornovelimmunotherapeuticdrugs
AT guygorochov antibodydiversityinivigtherapeuticopportunitiesfornovelimmunotherapeuticdrugs