Journal
NEPHROLOGY DIALYSIS TRANSPLANTATION
Volume 31, Issue 8, Pages 1235-1242Publisher
OXFORD UNIV PRESS
DOI: 10.1093/ndt/gfv335
Keywords
cryoglobulinaemia; FcR; gammopathy; IgG; review
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Strait et al. described a novel mouse model of cryoglobulinaemia by challenging mice deficient in the immunoglobulin (Ig)G1 subclass (gamma 1(-) mice) with goat anti-mouse IgD [5]. The phenotype of wild-type mice was not remarkable, whereas gamma 1(-) mice developed IgG3 anti-goat IgG cryoglobulins as well as severe and lethal glomerulonephritis. Renal phenotype could not be rescued in gamma 1(-) mice by the deletion of C3, fragment crystalline gamma receptor (Fc gamma R) or J chain. On the other hand, early injection of IgG1, IgG2a or IgG2b inhibited the pathogenic effects of IgG3 in an antigen-dependent manner even in the absence of the Fc gamma RIIb, an anti-inflammatory receptor. The authors concluded that the pathogenic role of IgG3 and the protective characteristic of IgG1 in this model were not explained by their abilities to bind to FcRs or effector molecules but are rather due to structural discrepancies enhancing the precipitation properties/solubility of IgG3/IgG1-containing immune complexes. The present article aims to discuss the current knowledge on IgG biology and the properties of IgGs explaining their differential propensity to acquire cryoglobulin activity.
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