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The Human Immunoglobulin gamma (IgG) heavy chain is a central protein component of IgG antibodies, which are the primary mediators of humoral immunity in humans [1]. It consists of an N-terminal variable domain (VH) that contributes to antigen specificity and three C-terminal constant domains (CH1, CH2, and CH3) that form the Fc region responsible for interacting with immune receptors and complement proteins [2]. There are four distinct subclasses of the IgG heavy chain—IgG1, IgG2, IgG3, and IgG4—each encoded by a specific gene (IGHG1, IGHG2, IGHG3, and IGHG4) and possessing different capacities to trigger effector functions like opsonization and complement activation [3]. In therapeutic applications, the IgG heavy chain is targeted to treat severe autoimmune diseases and prevent organ transplant rejection by neutralizing pathogenic autoantibodies. For example, the drug imlifidase is a bacterial-derived enzyme that specifically cleaves the IgG heavy chain at the hinge region, effectively disarming the antibody by separating its binding site from its inflammatory signaling region [4]. Additionally, modern therapies utilize neonatal Fc receptor (FcRn) antagonists to interfere with the recycling of the IgG heavy chain, leading to a rapid reduction in circulating IgG levels and alleviating antibody-mediated pathology [5]. Citations: [1] UniProt Consortium, P01857; [2] Schroeder HW Jr, Cavacini L, J Allergy Clin Immunol (2010); [3] Vidarsson G, et al., Front Immunol (2014); [4] Jordan SC, et al., N Engl J Med (2017); [5] Ulrichts P, et al., J Clin Invest (2018).
Direct enzymatic cleavage of the IgG hinge region by endopeptidases (e.g., imlifidase) to decouple antigen recognition from effector functions; indirect depletion via blockade of the neonatal Fc receptor (FcRn), preventing IgG recycling and promoting lysosomal degradation.
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