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5h P<br />

11-<br />

V<br />

Junghans 669<br />

o I 1 1 1 1<br />

0 10 20 30 40<br />

Y-globulin concentration (mg/ml)<br />

Figure 2. Relation of half-life to serum concentration of y-globulin in mice. Simulation (so<br />

line) according to receptor model of Brambell with a=0.34, b=2.5. From Brambell et a<br />

with permission.<br />

IgG binding by a pH-dependent mechanism: after nonspecific bulk endocytosis, IgG<br />

Fc binds to FcRB in the acidic environment (pH 6) of the endosome, the IgG<br />

attached to the receptor is directed away from the lysosomes via an alternate<br />

pathway, <strong>and</strong> then it is released in the physiologic neutrality (pH 7.4) of extracellular<br />

fluids after return to the cell surface. The overall process is summarized in Fig. 3,<br />

including the effect of IgG concentration on receptor saturation.<br />

The receptor itself was purified first by Rodewald <strong>and</strong> Krahenbuhl 6<br />

<strong>and</strong> later<br />

cloned by Simister <strong>and</strong> Mostov. 7<br />

This cloned receptor was initially termed FcRn for<br />

neonatal rat intestine, the tissue from which cloning was first performed. It is notable<br />

that many animals, including humans, have little or no neonatal IgG transmission,<br />

with the major expression of this transport receptor occurring antenatally instead.<br />

Nevertheless, the term FcRn has been broadly applied to the transmission function<br />

of this receptor. It was subsequently confirmed that the same protein also mediates<br />

the IgG protection function (FcRp): animals knocked-out for the receptor showed<br />

accelerated IgG catabolism 8<br />

" 10<br />

(Fig. 4) as well as loss of perinatal transport. 11<br />

In<br />

adult animals, the dominant expression is, in fact, as protection receptor (FcRp),<br />

making IgG the longest-surviving of all plasma proteins. Although an early report<br />

suggested that the FcRB might be involved in transport of IgG from <strong>blood</strong> to bile,<br />

its action in liver appears to be solely as FcRp, paralleling the basal endocytic

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