When Therapeutic IgA Antibodies Might Come of Age

Pharmacology. 2021;106(1-2):9-19. doi: 10.1159/000510251. Epub 2020 Sep 18.

Abstract

Background: Extensive efforts have been made in optimizing monoclonal immunoglobulin (Ig)G antibodies for use in clinical practice. Accumulating evidence suggests that IgA or anti-FcαRI could also represent an exciting avenue toward novel therapeutic strategies.

Summary: Here, we underline that IgA is more effective in recruiting neutrophils for tumor cell killing and is potently active against several pathogens, including rotavirus, poliovirus, influenza virus, and SARS-CoV-2. IgA could also be used to modulate excessive immune responses in inflammatory diseases. Furthermore, secretory IgA is emerging as a major regulator of gut microbiota, which impacts intestinal homeostasis and global health as well. As such, IgA could be used to promote a healthy microbiota in a therapeutic setting. Key messages: IgA combines multifaceted functions that can be desirable for immunotherapy.

Keywords: Bioengineering; Immunoglobulin A; Primary antibody deficiency; Therapeutic antibody.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / therapeutic use
  • Antibodies, Monoclonal / adverse effects
  • Antibodies, Monoclonal / therapeutic use*
  • Antineoplastic Agents, Immunological / therapeutic use
  • Antiviral Agents / adverse effects
  • Antiviral Agents / therapeutic use*
  • COVID-19 / immunology
  • COVID-19 / virology
  • COVID-19 Drug Treatment*
  • Host-Pathogen Interactions
  • Humans
  • Immunoglobulin A / adverse effects
  • Immunoglobulin A / therapeutic use*
  • Immunotherapy* / adverse effects
  • Inflammation / drug therapy
  • Inflammation / immunology
  • Mice
  • Neoplasms / drug therapy
  • Neoplasms / immunology
  • SARS-CoV-2 / immunology*

Substances

  • Anti-Inflammatory Agents
  • Antibodies, Monoclonal
  • Antineoplastic Agents, Immunological
  • Antiviral Agents
  • Immunoglobulin A