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Antibody-dependent cellular cytotoxicity mediated by natural killer cells (ADCC)

Target
ADCC
Molecular classification
Other
01

Overview

Antibody-dependent cellular cytotoxicity (ADCC) mediated by natural killer cells is a fundamental immune pathway in which NK cells recognize and kill target cells (e.g., virus-infected or tumor cells) that are coated with specific antibodies[1][2][4][5]. NK cells bear FcγRIIIa (CD16) receptors that bind to the Fc region of immunoglobulin G (IgG) antibodies attached to surface antigens. Upon this engagement, NK cells become activated, releasing perforin and granzymes to induce apoptosis of the target cell, along with secretion of pro-inflammatory cytokines such as IFN-γ and TNF-α[2][3][4]. This mechanism is crucial for the effectiveness of many monoclonal antibody-based cancer therapies and anti-viral immune responses[1][2][5]. It is a complex multi-component process rather than a discrete therapeutic target, so "Natural killer cell-mediated cytotoxicity via ADCC" is not a standard molecular target, but rather a description of an immune effector function[1][2][4].

Other names
Antibody-dependent cell-mediated cytotoxicityAntibody-dependent cellular cytotoxicityNK cell ADCCADCC
02

Mechanism of action

Facilitation of antibody-coated target cell lysis through Fc receptor (CD16, FcγRIIIa) engagement on NK cells, leading to release of cytotoxic granules (perforin, granzymes) and induction of apoptosis in target cells[1][2][4][5].

03

Biological functions

Immune responseCell death (cytotoxicity)ApoptosisAntiviral defenseAntitumor activity
04

Disease associations

CancerInfectionInflammation
05

Safety considerations

Off-target cytotoxicityCytokine release syndromeImmune-related adverse effects (e.g., cytopenias, autoimmunity if self-antigens are targeted)[5]
06

Interacting drugs

Rituximab

4 more in the full profile.

07

Biomarkers

CD16 (FcγRIIIa) expression on NK cells[4][5]Presence of target cell surface antigens bound by therapeutic antibodies (e.g., CD20 for Rituximab)[5]

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