The antiinflammatory activity of IgG: the intravenous IgG paradox

F Nimmerjahn, JV Ravetch - The Journal of experimental medicine, 2007 - rupress.org
The Journal of experimental medicine, 2007rupress.org
How high doses of intravenous IgG (IVIG) suppress autoimmune diseases remains
unresolved. We have recently shown that the antiinflammatory activity of IVIG can be
attributed to a minor species of IgGs that is modified with terminal sialic acids on their Fc-
linked glycans. Here we propose that these Fc-sialylated IgGs engage a unique receptor on
macrophages that, in turn, leads to the upregulation of an inhibitory Fcγ receptor (FcγR),
thereby protecting against autoantibody-mediated pathology.
How high doses of intravenous IgG (IVIG) suppress autoimmune diseases remains unresolved. We have recently shown that the antiinflammatory activity of IVIG can be attributed to a minor species of IgGs that is modified with terminal sialic acids on their Fc-linked glycans. Here we propose that these Fc-sialylated IgGs engage a unique receptor on macrophages that, in turn, leads to the upregulation of an inhibitory Fcγ receptor (FcγR), thereby protecting against autoantibody-mediated pathology.
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