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Intravenous immunoglobulin remodels innate immune cell communication and induces differential autophagy pathways in Kawasaki disease - PubMed

7 hours ago
  • #IVIG
  • #Kawasaki disease
  • #autophagy
  • Intravenous immunoglobulin (IVIG) is a first-line immunotherapy for Kawasaki disease (KD) and other inflammatory diseases.
  • IVIG induces autophagy in inflammatory innate immune cells, but its selective activation across different cell subsets was unclear.
  • Single-cell RNA sequencing revealed IVIG reshapes innate immune composition and restores immune networks in KD patients.
  • IVIG upregulates macroautophagy genes (e.g., ATG7, UVRAG) in monocytes and induces selective autophagy pathways in a cell-type-specific manner.
  • Mechanistic studies showed IVIG-induced autophagy occurs independently of Fc fragments and C-type lectin receptors.
  • IVIG's therapeutic effects in KD may involve remodeling innate immune communication and activating differential autophagy programs.