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668 Chapter 14: Radioimmunotherapy<br />

Figure 1. Francis William Rogers Brambell (1901-1970), Comm<strong>and</strong>er of the British<br />

Empire, Fellow of the Royal Society, Royal Medallist, Professor of Zoology, <strong>and</strong> Director of<br />

the Agricultural Research Council Unit of Embryology, University College of North Wales,<br />

Bangor, U.K. Photo courtesy of Dr. Michael Brambell.<br />

IgA, <strong>and</strong> IgM. Furthermore, it was shown that Fc of IgG, but no other classes, was<br />

both necessary <strong>and</strong> sufficient to mediate this activity. To resolve this paradox,<br />

Brambell et al. inferred that the only thing compatible with this finding was in fact<br />

a nonsaturable catabolic mechanism, <strong>and</strong> a saturable protection mechanism, in direct<br />

parallel to the antenatal <strong>and</strong> neonatal transport mechanism he <strong>and</strong> colleagues had<br />

previously established for IgG transmission. For protection from catabolism, he<br />

inferred a "protection receptor" on the walls of the vesicles of pinocytotically active<br />

cells that selectively rescued IgG from catabolism by lysosomes. 3<br />

The model we suggest to account for these findings is the isolation from the<br />

general pool in a special compartment or compartments of a part of the 7-globulin<br />

solution. The essential point is that, of the -y-globulin so isolated, only those<br />

molecules which attach to receptors are saved <strong>and</strong> returned to the circulation. It is<br />

suggested that isolation is effected by pinocytosis <strong>and</strong> that the receptors are<br />

intracellular in the walls of the vesicles.<br />

As to the site of IgG catabolism, Brambell 4<br />

averred "the catabolism of 7-globulin<br />

in the manner predicted could take place in any part of the body in which pinocytosis<br />

of plasma proteins occurs <strong>and</strong> that where this is not implicit in the hypothesis."<br />

Waldmann <strong>and</strong> Jones 5<br />

later inferred that the vascular endothelium was most likely<br />

as the primary site of IgG catabolism, which is also the dominant tissue in the body<br />

for endocytosis. Furthermore, they discovered that Brambell's receptor mediates

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