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Immunoglobulin E antibody and Antigen-presenting cell (IgE and APC)

Target
IgE and APC
Molecular classification
IgE: Antibody (Immunoglobulin), APC: Other (includes Dendritic cell, Macrophage, Monocyte, B cell—various cell types, not a single molecular target)
01

Overview

IgE antibodies (Immunoglobulin E, IgE) are a class of immunoglobulin involved in type I hypersensitivity reactions such as allergies and anaphylaxis. IgE binds with high affinity to its primary receptor, FcεRI, on mast cells and basophils, and to a lesser degree to CD23 (FcεRII) on various antigen-presenting cells (APCs) such as dendritic cells, B cells, and macrophages. Cross-linking of cell surface-bound IgE by specific antigens leads to degranulation of mast cells and basophils, resulting in rapid release of inflammatory mediators. APCs, meanwhile, are a heterogeneous group of immune cells (not a single molecular entity) that specialize in capturing, processing, and presenting antigens to T cells, performing a crucial role in both the induction of IgE-mediated responses (via priming of Th2 cells and B cell class-switching) and the establishment of immune tolerance. IgE can also engage with APCs to enhance antigen uptake and cross-presentation, influencing adaptive immunity and potentially contributing to anti-tumor responses or amplified allergies. While IgE itself is a bona fide molecular target (notably by anti-IgE monoclonal antibodies like omalizumab), 'antigen-presenting cell' is a functional cell type, not a single molecular target, and should not be considered a discrete molecular drug target[2][4][5][6].

Other names
IgE (Immunoglobulin E)Antigen-presenting cell (APC)IgE antibodyAllergen-specific IgEDendritic cell (when referring to an APC subtype)Macrophage (when referring to an APC subtype)Monocyte (when referring to an APC subtype)FcεRI (high-affinity IgE receptor)CD23 (low-affinity IgE receptor)
02

Mechanism of action

IgE neutralization (prevents FcεRI/IgE binding) Blockade of mast cell/basophil degranulation Inhibition of cross-linking of IgE on effector cells Modulation of APC function (by immunomodulatory drugs)

03

Biological functions

Immune responseAllergic (Type I hypersensitivity) responseAntigen presentation (by APCs)T cell priming and activation (by APCs)Induction/amplification of Th2 response and IgE class-switching
04

Disease associations

AllergyAnaphylaxisAsthmaAtopic dermatitisFood allergyParasitic infectionOther hypersensitivity diseases
05

Safety considerations

Risk of immunosuppression (with therapies targeting APCs globally)Potential for anaphylaxis (with therapies mobilizing or displacing IgE)Secondary infections (with immunosuppression)
06

Interacting drugs

Omalizumab (anti-IgE monoclonal antibody)

4 more in the full profile.

07

Biomarkers

Serum total IgE levels (for allergy diagnosis/monitoring)Allergen-specific IgE (for sensitization)FcεRI expression on effector cellsAPC surface markers (e.g., HLA-DR, CD11c for dendritic cells, variable for other APC types)Cytokine profiles (e.g., IL-4, IL-13 for Th2/IgE responses)

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