Clinical Reviews in Allergy & Immunology

, Volume 29, Issue 3, pp 213–217 | Cite as

Toward molecular targeting with specific intravenous immunoglobulin preparation

  • Miri Blank
  • Israel Nur
  • Orgad Toub
  • Anabel Maor
  • Yehuda Shoenfeld


Intravenous immunoglobulin (IVIg) is used successfully for therapy of inflammatory and autoimmune diseases, especially in cases of conventional therapy resistance. Within the broad spectrum of immunomoregulatory activities of IVIg in vitro and in vivo, the anti-idiotypic activity neutralizing the related idiotypes is one of the main mechanisms. Futhermore, IVIg addresses integrins associated with inflammation and immune response thrombosis, such as the RGD (Arg-Gly-Asp) motif, expressed on a large number of cell surface and matrix proteins. In addition, during the last years, anti-Fas activity of IVIg was reported.

We fractionated IVIg specific preparation (sIVIg) based on the multispecificites of the IVIg compound. We have generated an IVIg fraction that will show specific activity for lupus idiotypes in vitro. In NZBxW.F1 mice, results showed 200 times more beneficial effect. Using a peptide phage display library technology, we have identified a panel of lupus-related synthetic idiotypes that are mimetics of the idiotypes presented in patients with systemic lupus erythematosus. A column composed of these synthetic lupus-related idiotypes was used to prepare a large amount lupus-specific IVIg. Using the same approach, we prepared anti-anti-β-2-glycoprotein-I (β2GPI) specific IVIg for antiphospholipid syndrome (APS). This APS-specific IVIg reduced the fetal loss induced by anti-β2GPI antibodies by improving the implantation process in a mouse model. Others prepared specific preparation of IVIg to RGD or for Fas.

The molecular targeting with specific IVIg may be used for therapeutical purposes, using a smaller amount of IVIg, and targeting more specifically autoimmune diseases, thrombosis, or inflammatory condition.

Index Entries

IVIg anti-idiotype SLE animal model RGD Fas 


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Copyright information

© Humana Press Inc 2005

Authors and Affiliations

  • Miri Blank
    • 1
    • 2
  • Israel Nur
    • 3
  • Orgad Toub
    • 3
  • Anabel Maor
    • 1
    • 2
  • Yehuda Shoenfeld
    • 1
    • 4
    • 2
  1. 1.Department of Medicine ‘B’ and The Center for Autoimmune DiseasesSheba Medical CenterTel-HashomerIsrael
  2. 2.The Sackler School of MedicineTel Aviv UniversityTel AvivIsrael
  3. 3.OMRIX Biopharmaceuticals Inc.Nes-ZionaIsrael
  4. 4.Incumbent of the Laura Schwarz-Kipp Chair for Research of Autoimmune DiseasesTel Aviv UniversityTel AvivIsrael

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