Target intelligence / Profile preview

Fc region of trastuzumab (Trastuzumab Fc)

Target
Trastuzumab Fc
Molecular classification
Antibody domain, Immunoglobulin G1 (IgG1) fragment
01

Overview

The Fc region of trastuzumab is the fragment crystallizable domain of the humanized IgG1 monoclonal antibody trastuzumab. It is not a standalone therapeutic target but a critical functional component of the drug that mediates immune effector functions. While the Fab region of trastuzumab binds to the HER2 receptor on tumor cells, the Fc region interacts with Fc gamma receptors (FcγRs) on immune cells, such as natural killer (NK) cells and macrophages, to trigger antibody-dependent cellular cytotoxicity (ADCC) and phagocytosis (ADCP). It also binds to the neonatal Fc receptor (FcRn), which protects the antibody from lysosomal degradation and extends its circulation time. Engineering of this region, as seen in margetuximab, is a key strategy to enhance the immune-mediated anti-tumor activity of HER2-targeted therapies by optimizing affinity for activating versus inhibitory Fc receptors.

Other names
Trastuzumab Fc domainFragment crystallizable region of trastuzumabIgG1 Fc region of trastuzumab
02

Mechanism of action

The Fc region of trastuzumab binds to Fc gamma receptors (FcγRs) on immune effector cells to induce ADCC and ADCP, and to the neonatal Fc receptor (FcRn) to regulate its serum half-life.

03

Biological functions

Antibody-dependent cellular cytotoxicity (ADCC)Antibody-dependent cellular phagocytosis (ADCP)Neonatal Fc receptor (FcRn) bindingComplement-dependent cytotoxicity (CDC)
04

Disease associations

HER2-positive breast cancerHER2-positive gastric cancer
05

Safety considerations

Immunogenicity (Anti-drug antibodies)Infusion-related reactionsComplement activation
06

Interacting drugs

3 more in the full profile.

07

Biomarkers

FCGR3A (CD16a) V158F polymorphismFCGR2A (CD32a) H131R polymorphism

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