Table 2.
Innate Immunity Component | Effect of IVIG on component |
---|---|
Natural Killer (NK) cells | - Increased activation - Increased cytokine production and degranulation - Increased anti-tumor effect - Migration from blood to tissue |
Dendritic cells (DCs) | - Decreased endocytosis - Decreased pro-inflammatory cytokine production - Increased anti-inflammatory cytokine production - Decreased differentiation - Increased NK cell-mediated ADCC - Decreased expression of MHC class II and co-stimulatory molecules - Decreased DC-mediated T cell activation - Decreased expression of activating FcγR - Increased expression of CD1d |
Macrophages | - Increased production of IL-1Ra - Decreased activation - Decreased production of pro-inflammatory cytokines - Decreased expression of IFN-γR2 - Decreased expression of activating FcγR - Blockade of activating FcγR - Increased expression of inhibitory FcγRIIB |
Neutrophils | - Decreased activation due to IgG monomers inhibiting FcγR - Increased activation by IgG dimers binding FcγR or by ANCA - Decreased adhesion to endothelium - Increased death by Siglec |
Acquired Immunity Component | Effect of IVIG on component |
T cells | - Increased apoptosis - Decreased IL-2 production - Decreased differentiation - Decreased activation and proliferation |
Treg cells | - Increased production - Increased suppressive action |
B cells | - Increased apoptosis - Decreased proliferation - Regulation of antibody production - Increase in inhibitory FcγRIIB - Neutralization of survival factors - Inhibition of activating FcγR |