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Fc gamma receptor II (CD32) and III (CD16) are members of the immunoglobulin superfamily that serve as low-affinity receptors for the Fc region of IgG antibodies (UniProt P12318, P08637). These receptors are expressed on a wide variety of immune cells, including natural killer (NK) cells, macrophages, neutrophils, and B cells, where they play a pivotal role in bridging the humoral and cellular immune responses (PubMed: 25614319). FcγRII includes activating (IIA, IIC) and inhibitory (IIB) isoforms, while FcγRIII (IIIA, IIIB) primarily mediates activating signals such as antibody-dependent cellular cytotoxicity (ADCC) and phagocytosis (PubMed: 21934666). In oncology, many therapeutic monoclonal antibodies, such as Rituximab and Margetuximab, are designed to interact with FcγRIIIA to enhance tumor cell killing (PubMed: 31515461). Conversely, the inhibitory FcγRIIB is a target in autoimmune diseases and B-cell malignancies, where its blockade can restore immune activation or induce apoptosis (PubMed: 28438887). Safety concerns associated with targeting these receptors include cytokine release syndrome and infusion-related reactions due to systemic immune activation (PubMed: 30232150).
Modulation of immune cell activation and effector functions through binding of the Fc portion of IgG antibodies to trigger ADCC, phagocytosis, or inhibitory signaling (PubMed: 25614319, 28438887).
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