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The Antibody fragment crystallizable (Fc) region is the tail portion of an immunoglobulin molecule that mediates essential effector functions of the immune system [1]. It consists of the constant domains of the antibody heavy chains (CH2 and CH3 in IgG) and serves as the interface between the adaptive immune response and innate effector mechanisms [1]. By binding to various Fc gamma receptors (FcγRs) on leukocytes, the Fc region triggers processes such as antibody-dependent cellular cytotoxicity (ADCC) and antibody-dependent cellular phagocytosis (ADCP) [1, 3]. It also interacts with the C1q component of the complement system to initiate complement-dependent cytotoxicity (CDC) [1]. Furthermore, the Fc region's interaction with the neonatal Fc receptor (FcRn) is the primary mechanism regulating the long serum half-life of IgG antibodies through a pH-dependent recycling pathway [2]. In drug development, the Fc region is frequently engineered to enhance therapeutic efficacy, reduce side effects, or extend the duration of action of monoclonal antibodies and Fc-fusion proteins [3]. Conversely, blocking the Fc-binding site on FcRn has emerged as a potent strategy to treat autoantibody-mediated diseases by accelerating the clearance of pathogenic IgG [4].
The Fc region mediates immune responses by binding to Fc gamma receptors (FcγRs) to trigger ADCC and ADCP, and to C1q to initiate CDC [1, 3]. It also binds to the neonatal Fc receptor (FcRn) to protect IgG from lysosomal degradation, thereby extending its half-life [2]. Therapeutic modulation involves engineering the Fc region to alter these affinities or using FcRn antagonists to block the Fc-FcRn interaction and promote the clearance of endogenous IgG [4].
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