Division of Gastroenterology, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
J Clin Immunol. 2013 Jan;33 Suppl 1(Suppl 1):S9-17. doi: 10.1007/s10875-012-9768-y. Epub 2012 Sep 5.
Careful regulation of the body's immunoglobulin G (IgG) and albumin concentrations is necessitated by the importance of their respective functions. As such, the neonatal Fc receptor (FcRn), as a single receptor, is capable of regulating both of these molecules and has become an important focus of investigation. In addition to these essential protection functions, FcRn possesses a number of other functions that are equally as critical and are increasingly coming to attention. During the very first stages of life, FcRn mediates the passive transfer of IgG from mother to offspring both before and after birth. In the adult, FcRn regulates the persistence of both IgG and albumin in the serum as well as the movement of IgG, and any bound cargo, between different compartments of the body via transcytosis across polarized cells. FcRn is also expressed by hematopoietic cells; consistent with this, FcRn regulates MHC class II presentation and MHC class I cross-presentation by dendritic cells. As such, FcRn plays an important role in immune surveillance throughout adult life. The increasing appreciation for FcRn in both homeostatic and pathological conditions is generating an intense interest in the potential for therapeutic modulation of FcRn binding to IgG and albumin.
为了实现免疫球蛋白 G(IgG)和白蛋白浓度的精细调节,必须要依赖于它们各自功能的重要性。因此,新生儿 Fc 受体(FcRn)作为单一受体,能够调节这两种分子,并已成为研究的重要焦点。除了这些重要的保护功能外,FcRn 还具有许多其他同等重要的功能,并且越来越受到关注。在生命的最初阶段,FcRn 在出生前后介导 IgG 从母体向后代的被动转移。在成人中,FcRn 通过跨细胞转运调节 IgG 和白蛋白在血清中的持续存在,以及 IgG 和任何结合的货物在体内不同隔室之间的移动。FcRn 也在造血细胞中表达;与此一致的是,FcRn 调节树突状细胞的 MHC Ⅱ类呈递和 MHC Ⅰ类交叉呈递。因此,FcRn 在成年期的免疫监视中发挥着重要作用。人们越来越认识到 FcRn 在稳态和病理条件下的作用,这激发了人们对治疗性调节 FcRn 与 IgG 和白蛋白结合的潜力产生了浓厚的兴趣。