Publications
Nature communicationsNov 2025 |
16
(
1
),
10068
DOI:
10.1038/s41467-025-65133-z

Preclinical assessment of two FcγRI-specific antibodies that competitively inhibit immune complex-FcγRI binding to suppress autoimmune responses

Holtrop, Tosca; Brandsma, Arianne M; Feitsma, Louris J; Krohn, Steffen; Moerer, Petra; van den Haak, Frederique; Versnel, Anouk; Voss, Leonie; Passchier, Elsemieke M; Nederend, Maaike; Jansen, J H Marco; van Mourik, Anouk G; Urbanus, Rolf T; van der Woude, Diane; Schutgens, Roger E G; Toes, Rene E M; Janssen, Bert J C; Lux, Anja; Budding, Kevin; Peipp, Matthias; Leusen, Jeanette H W
Product Used
Genes
Abstract
Overactivation of FcγRI by immune complexes (IC) is implicated in various autoimmune disorders and neuropathies. Currently, no effective FcγRI-specific blocking antibodies are available. Here we report preclinical data revealing two anti-FcγRI antibodies, C01 and C04, with high affinity, Fab-mediated binding within the IgG binding site on extracellular domain 2 of FcγRI. Both C01 and C04 block 90% of IgG and IC binding, and displace ~60% of pre-bound ICs without activating FcγRI, thereby minimizing the risk of aggravating inflammation. In the context of autoimmunity, C01 and C04 inhibit RA patient-derived autoantibody-IC binding to monocytes, macrophages and activated neutrophils, meanwhile they also inhibit the binding of opsonized platelets to monocytes from patients with immune thrombocytopenia. In vivo, C01 and C04 reduce IgG-dependent platelet depletion in humanized immunodeficient FcRγ-/- mice. Structural studies confirm that C01 and C04 achieve their blocking effects through Fab-mediated binding to FcγRI. Our data thus suggest that C01 and C04 may offer therapeutic potential for autoimmune disorders.
Product Used
Genes

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