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Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism

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Item Type:Article
Title:Inebilizumab reduces neuromyelitis optica spectrum disorder risk independent of FCGR3A polymorphism
Creators Name:Kim, H.J., Aktas, O., Patterson, K.R., Korff, S., Kunchok, A., Bennett, J.L., Weinshenker, B.G., Paul, F., Hartung, H.P., Cimbora, D., Smith, M.A., Mittereder, N., Rees, W.A., She, D. and Cree, B.A.C.
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.
Keywords:Aquaporin 4, Humanized Monoclonal Antibodies, IgG Receptors, Immunoglobulin G, Neuromyelitis Optica
Source:Annals of Clinical and Translational Neurology
ISSN:2328-9503
Publisher:Wiley
Volume:10
Number:12
Page Range:2413-2420
Date:December 2023
Official Publication:https://doi.org/10.1002/acn3.51911
PubMed:View item in PubMed

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