1986
DOI: 10.1084/jem.164.2.474
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Blockade of clearance of immune complexes by an anti-F(cγ) receptor monoclonal antibody

Abstract: Clearance of immune complexes by the mononuclear phagocyte system is important for maintaining normal host defenses against bacterial and viral assault (1), but also contributes to the pathogenesis of a variety of immune-mediated diseases . For example, removal from the circulation of IgG-coated erythrocytes and platelets by the MPS is the sine qua non of immune-mediated cytopenias (2, 3). On the other hand, abnormally decreased removal by the MPS of smaller, soluble immune complexes may play a role in the pat… Show more

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Cited by 171 publications
(87 citation statements)
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References 32 publications
(23 reference statements)
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“…These data suggest that the high-affinity FcR may not efficiently promote phagocytosis. Consistent with this hypothesis are the observations that >70% of the uptake of EIgG is inhibited when the low-affinity FcR is removed from MO (27), and clearance of IgGcoated erythrocytes is decreased 98% by antibodies against a low-affinity receptor (28). These observations suggest that phagocytosis of IgG-coated particles by MO may be promoted primarily by a low-affinity FcR, not by the high-affinity FcR induced by IFN-% Summary Cultivation of human monocytes with recombinant IFN-7 causes a 5-10-fold depression in their binding of EC3b or EC3bi.…”
Section: Ifn-'r Does Not Alter the Mobility Of Cr3supporting
confidence: 69%
“…These data suggest that the high-affinity FcR may not efficiently promote phagocytosis. Consistent with this hypothesis are the observations that >70% of the uptake of EIgG is inhibited when the low-affinity FcR is removed from MO (27), and clearance of IgGcoated erythrocytes is decreased 98% by antibodies against a low-affinity receptor (28). These observations suggest that phagocytosis of IgG-coated particles by MO may be promoted primarily by a low-affinity FcR, not by the high-affinity FcR induced by IFN-% Summary Cultivation of human monocytes with recombinant IFN-7 causes a 5-10-fold depression in their binding of EC3b or EC3bi.…”
Section: Ifn-'r Does Not Alter the Mobility Of Cr3supporting
confidence: 69%
“…The receptor that plays a predominant role in clearance of large immune complexes is Fc yRIII or CD16. Blockade of FcyRIII in chimpanzees with the anti-FcyRIII mAb 3G8 or its Fab fragment resulted in a 20-fold increase in clearance time for IgG-sensitized chimpanzee erythrocytes (28). Antibody against FcyRIII allotypes NA1 and NA2 has been associated with juvenile neutropenia (29,30), and anti-FcyRIII antibody has also been identified in sera of patients with SLE (31).…”
Section: Discussionmentioning
confidence: 99%
“…Under these conditions, it is likely that the capacity of effector cells of the mononuclear phagocytic system (MPS), expressing Fc␥RII and Fc␥RIII (15, 74 -76), is sufficient to take up and destroy the RTX-opsonized cells. However, infusion of the standard dose of RTX in CLL patients with high circulating B cell burdens is likely to lead to saturation of the cellular clearance mechanisms mediated by the MPS (43). That is, the large number of RTX-opsonized cells may overwhelm the most immediate clearance and killing capacity of the MPS, and under these conditions a secondary reaction occurs: the shaving of RTX-CD20 complexes from the the highly opsonized B cells (34,77,78).…”
Section: Relevance Of Shaving To Rtx Therapy For Cllmentioning
confidence: 99%