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Low affinity immunoglobulin gamma Fc region receptor II-a and II-b (FcγRIIa/FcγRIIb)

Target
FcγRIIa/FcγRIIb
Molecular classification
Receptor, Immunoglobulin superfamily, Fc receptor
01

Overview

Fc gamma receptor IIa (FcγRIIa) and IIb (FcγRIIb), collectively referred to as CD32, are integral membrane glycoproteins that play a pivotal role in modulating the immune system's response to IgG-coated targets. FcγRIIa is an activating receptor characterized by an intracellular immunoreceptor tyrosine-based activation motif (ITAM), predominantly found on myeloid cells and platelets, where it triggers phagocytosis and pro-inflammatory cytokine release (UniProt P12318). Conversely, FcγRIIb is the sole inhibitory Fc gamma receptor, possessing an immunoreceptor tyrosine-based inhibition motif (ITIM) that serves to dampen B-cell receptor signaling and suppress myeloid cell activation (UniProt P31994). The functional equilibrium between these two receptors is essential for maintaining immune tolerance, and dysregulation is a hallmark of autoimmune conditions such as systemic lupus erythematosus (SLE) and rheumatoid arthritis (PubMed: 20847268). In oncology, therapeutic antibodies are often engineered to increase affinity for FcγRIIa to enhance antibody-dependent cellular cytotoxicity (ADCC), while in autoimmunity, drugs like obexelimab target FcγRIIb to inhibit autoreactive B cells (DrugBank: DB15034). Additionally, the presence of FcγRIIa on platelets means that targeting this receptor group requires careful management to avoid unintended platelet activation or clearance (PubMed: 25293375). Genetic polymorphisms in these receptors, such as the FCGR2A-H131R variant, significantly influence individual responses to monoclonal antibody therapies and susceptibility to infectious diseases (PubMed: 10438930).

Other names
CD32aCD32bFCGR2AFCGR2BFc-gamma RIIaFc-gamma RIIbCD32
02

Mechanism of action

Modulation of the activating (FcγRIIa) and inhibitory (FcγRIIb) signaling balance to either enhance immune effector functions or suppress pathological immune responses.

03

Biological functions

Immune responsePhagocytosisB-cell activation regulationPlatelet activationInflammationAntibody-dependent cellular cytotoxicity (ADCC)
04

Disease associations

Autoimmune diseaseSystemic lupus erythematosusImmune thrombocytopenic purpuraCancerB-cell lymphomaInflammation
05

Safety considerations

Cytokine release syndromeThrombocytopeniaInfusion-related reactionsIncreased risk of infection
06

Interacting drugs

Obexelimab

3 more in the full profile.

07

Biomarkers

FCGR2A H131R polymorphismFCGR2B I232T polymorphismCD32a/CD32b expression ratio

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