2004
DOI: 10.1016/j.immuni.2004.05.007
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Human Neonatal Fc Receptor Mediates Transport of IgG into Luminal Secretions for Delivery of Antigens to Mucosal Dendritic Cells

Abstract: Mucosal secretions of the human gastrointestinal, respiratory, and genital tracts contain significant quantities of IgG. The mechanism by which IgG reaches luminal secretions and the function of IgG in these locations are unknown. Here, we find that the human neonatal Fc receptor (FcRn) is the vehicle that transports IgG across the intestinal epithelial barrier into the lumen where the IgG can bind cognate antigen. The FcRn can then recycle the IgG/antigen complex back across the intestinal barrier into the la… Show more

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Cited by 411 publications
(390 citation statements)
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“…In species with abundant maternal IgG in breast milk, uptake of IgG-Ag immune complexes by epithelial cells can similarly achieve the transport of Ags to mucosal tolerogenic DC for appropriate hyporesponsive shaping. This is consistent with a study that showed that the IgG-specific Fc receptor (neonatal Fc receptor, FcRn) is expressed by epithelial cells in the intestine and airways, and can mediate IgG transport in both directions across epithelial barriers (84).…”
Section: Siga and Intestinal Homeostasissupporting
confidence: 92%
“…In species with abundant maternal IgG in breast milk, uptake of IgG-Ag immune complexes by epithelial cells can similarly achieve the transport of Ags to mucosal tolerogenic DC for appropriate hyporesponsive shaping. This is consistent with a study that showed that the IgG-specific Fc receptor (neonatal Fc receptor, FcRn) is expressed by epithelial cells in the intestine and airways, and can mediate IgG transport in both directions across epithelial barriers (84).…”
Section: Siga and Intestinal Homeostasissupporting
confidence: 92%
“…However, the 10 role of breast milk IgG in the defense against other pathogens has not been studied. Mouse 11 experiments indicate that breast milk IgG can cross the gut barrier through FcRn and can 12 thereby promote the transport of IgG-antigen immune complexes and stimulate immune 13 response to antigens and pathogens (60,(111)(112)(113)(114). Whether this process occurs in humans is 14…”
Section: Breast Milk Igg 23mentioning
confidence: 99%
“…FcRn has been detected in numerous types of polarized epithelia, including those from the intestines, lung, breast, and kidney, as well as other parenchymal cells, including hepatocytes, endothelial cells, and hematopoietic cells, where it is expressed in dendritic cells, monocytes, macrophages, polymorphonuclear leukocytes, and, perhaps, B cells (7,8). FcRn protects monomeric IgG and albumin from degradation in both parenchymal and hematopoietic cells, is responsible for the bidirectional transcytosis of IgG and IgG antigen/antibody complexes across polarized epithelia, and, finally, directs immune complexes to lysosomes in dendritic cells for facilitation of antigen presentation (9,10).…”
mentioning
confidence: 99%