Evidence map›Paper›PMID 40156757›Full record

ReviewBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy2025

Targeting the Neonatal Fc Receptor in Autoimmune Diseases: Pipeline and Progress.

Torleif Tollefsrud Gjølberg, Simone Mester, Gaia Calamera, Jenny Skjermo Telstad, Inger Sandlie, Jan Terje Andersen

Abstract readReview
In one paragraph

Review in BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Review
  2. Targeting FcRn for immunomodulation: a promising therapy in autoimmune inflammatory rheumatic diseases.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  3. Polypharmacology of S-1117, an Fc-fused IgG-selective degrading enzyme, for chronic treatment of autoantibody-mediated diseases.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Evaluation of Immune Functions in Transfusion-Dependent Thalassemia Patients with AlloimmunizationTurkish journal of haematology : official journal of Turkish Society of Haematology · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Torleif Tollefsrud GjølbergAuthera AS, 0349, Oslo, Norway. torleif@authera.bio.ORCID https://orcid.org/0000-0002-1719-7677
Simone MesterAuthera AS, 0349, Oslo, Norway.ORCID https://orcid.org/0000-0002-5751-063X
Gaia CalameraAuthera AS, 0349, Oslo, Norway.ORCID https://orcid.org/0000-0003-0689-8387
Jenny Skjermo TelstadAuthera AS, 0349, Oslo, Norway.
Inger SandlieDepartment of Biosciences, University of Oslo, 0316, Oslo, Norway.ORCID https://orcid.org/0009-0005-8063-0145
Jan Terje AndersenDepartment of Pharmacology, Institute of Clinical Medicine, University of Oslo, 0372, Oslo, Norway. j.t.andersen@medisin.uio.no.ORCID http://orcid.org/0000-0003-1710-1628

Funding

Norges Forskningsråd 332727Norges Forskningsråd 333902Novo Nordisk Foundation 0090894
6 · The paper itself

Abstract

Autoimmune diseases are highly prevalent and affect people at all ages, women more often than men. The most prominent immunological manifestation is the production of antibodies directed against self-antigens. In many cases, these antibodies (Abs) drive the pathogenesis by attacking the body's own healthy cells, causing serious health problems that may be life threatening. Most autoantibodies are of the immunoglobulin G (IgG) isotype, which has a long plasma half-life and potent effector functions. Thus, there is a need for specific treatment options that rapidly eliminate these pathogenic IgG auto-Abs. In this review, we discuss how the neonatal Fc receptor (FcRn) acts as a regulator of the high levels of not only IgG Abs, but also albumin, by rescuing both these soluble proteins from cellular catabolism, and how a molecular and cellular understanding of this complex biology has spurred an intense interest in the development of FcRn-targeting strategies for the treatment of IgG-driven autoimmune diseases. We find that this emerging therapeutic class demonstrates efficacy within several autoimmune diseases with distinct pathophysiology. This offers hope for both new therapeutic avenues for highly prevalent diseases currently treated by other means, and rare diseases with no approved therapies to date. In addition, we elaborate on studies that have led to approval of the first FcRn antagonists, the clinical progress and structural design of molecules in the pipeline, their position in the overall therapeutic landscape of autoimmunity, the design of next-generation antagonists as well as the use of this receptor-targeting principle for other therapeutic applications.

Indexed as

Autoimmune DiseasesHistocompatibility Antigens Class IReceptors, FcAnimalsAutoantibodiesHumansImmunoglobulin GAutoantibodiesFc receptor, neonatalHistocompatibility Antigens Class IImmunoglobulin GReceptors, Fc

Identifiers

PMID40156757
PMCPMC12031853

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.