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Immunoglobulin E Fc region (IgE-Fc)

Target
IgE-Fc
Molecular classification
Other (antibody fragment), Immune effector domain
01

Overview

The **Immunoglobulin E Fc region (IgE-Fc)** is the constant portion of the IgE antibody comprising the Cε2, Cε3, and Cε4 domains, and is responsible for binding to high-affinity (FcεRI) and low-affinity (FcεRII/CD23) receptors on immune effector cells[1][3][4][5]. Interaction of IgE-Fc with FcεRI on mast cells and basophils leads to cell activation and degranulation upon allergen crosslinking, triggering immediate hypersensitivity (allergic) responses including asthma, rhinitis, and anaphylaxis[5][7][9]. The Fc region's structure allosterically modulates receptor binding and is a primary molecular target for therapies that neutralize IgE or block its effector functions, such as the monoclonal antibody omalizumab[5]. IgE-Fc-mediated mechanisms are also important in defense against parasitic infections[7][9]. High IgE levels or dysregulated IgE-Fc receptor interactions contribute to pathologic inflammation and allergic disease, making the IgE-Fc a validated therapeutic target.

Other names
IgE FcFc region of immunoglobulin EFc epsilon (Fcε)FcεIgE crystallizable fragment
02

Mechanism of action

Neutralization of IgE by antibodies (e.g., omalizumab) prevents IgE binding to FcεRI on mast cells and basophils, blocking activation and degranulation[5] - Interference with IgE-Fc binding to its high-affinity (FcεRI) or low-affinity (FcεRII/CD23) receptors, thus inhibiting downstream allergic reactions[1][3][5]

03

Biological functions

Mediates effector immune responses by binding to Fc epsilon receptors (FcεRI and FcεRII) on immune cells[1][3][5]Triggers mast cell and basophil degranulation and release of inflammatory mediators in allergic responses[7][9]Involved in defense against helminthic and some parasitic infections[7][9]
04

Disease associations

Inflammation (especially allergic diseases: asthma, rhinitis, urticaria, eczema)[7][9]Infection (immune response to helminths and some parasites)[7][9]Other (Type I hypersensitivity, anaphylaxis)[7][9]
05

Safety considerations

Risk of anaphylaxis or hypersensitivity reactions to therapeutic antibodies targeting IgE (such as omalizumab)Potential disruption of normal immune defense against parasites from long-term blockade of IgE[9]Immune complex formation[9]
06

Interacting drugs

Omalizumab (a monoclonal antibody that binds IgE)[5]

3 more in the full profile.

07

Biomarkers

Total and allergen-specific IgE levels are used as biomarkers in allergy diagnosis and monitoring[9]Serum IgE is used to select patients for anti-IgE therapy

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