Skip to main content
. 2010 Oct 1;30(6):777–789. doi: 10.1007/s10875-010-9468-4

Table I.

Functions of FcRn across a variety of tissues and associated therapeutic implications

Functions of FcRn Tissue/cell type Therapeutic implications
Intestines Mammary gland Placenta Lung Hematopoietic cells Kidney Liver
Bidirectional transcytosis of IgG Postnatal maternal to fetal IgG transfer [28, 4951]. Transport of IgG into colostrum and milk [55]. Prenatal maternal to fetal IgG transfer [49, 6769]. Transfer of IgG into pulmonary secretions [76]. Reabsorption of IgG from the glomerular basement membrane [88, 89]. Pulmonary or oral delivery of Fc fusion proteins to systemic circulation [79, 81].
Import of luminal antigens as immune complexes [51]. Recycling of IgG back into maternal circulation [59]. Inhibition of trans-placental pathogenic antibody transport [73].
Treatment of illness linked to deposition of immune complexes [88, 89].
Catabolism protection of IgG Protection of monomeric IgG from degradation [40]. Protection of IgG from catabolism and biliary loss [94] (Kuo, unpublished) Treatment of autoimmune disorders caused by pathogenic IgG [107, 110].
Promotion of multimeric IgG degradation [40]. Engineered antibody-based therapy with prolonged half-life [107].
Catabolism protection of albumin Reabsorption of albumin by proximal tubular epithelial cells [90]. Regulation of albumin homeostasis [13]. Prolongation of the half-life of drugs conjugated to albumin [118].
Prevent biliary loss of albumin (Kuo, unpublished).
Antigen presentation Delivery of immune complexes to resident antigen presenting cells [51]. Promotion of MHC class II restricted antigen presentation [40]. Eradication of IgG-opsonized intestinal pathogens [52].
Clearance of IgG-opsonized bacteria [86]. Priming of immune responses against IgG-complexed antigen [54].