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Mucosal IgG in inflammatory bowel disease - a question of (sub)class?

Accepted version
Peer-reviewed

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Authors

Castro-Dopico, Tomas  ORCID logo  https://orcid.org/0000-0002-6964-5478
Clatworthy, Menna R 

Abstract

Immunoglobulins (Igs) form a cornerstone of mucosal immunity. In the gastrointestinal tract, secretory IgA and IgM bind to commensal microorganisms within the intestinal lumen to prevent them from breaching the intestinal epithelium - a process known as immune exclusion. In recent years, there has been renewed interest in the role of IgG in intestinal immunity, driven in part by a genetic association of an affinity-lowering variant of an IgG receptor, FcγRIIA, with protection from ulcerative colitis (UC), a subclass of inflammatory bowel disease (IBD). We recently demonstrated a role for IgG and Fcγ receptor signalling in driving pathogenic IL-1β production by colonic mononuclear phagocytes and the subsequent induction of a local type 17 response in UC. Here, we discuss the potential relevance of our observations to the other major subclass of IBD - Crohn's disease (CD) - where the genetic association with FCGR variants is less robust and consider how this may impact therapeutic interventions in these disease subsets.

Description

Keywords

Crohn’s disease, Fcγ receptors, IgG, inflammatory bowel disease, subclasses, ulcerative colitis, Antibody Specificity, Colitis, Ulcerative, Crohn Disease, Gastrointestinal Microbiome, Glycosylation, Humans, Immunity, Mucosal, Immunoglobulin G, Intestinal Mucosa, Receptors, IgG

Journal Title

Gut Microbes

Conference Name

Journal ISSN

1949-0976
1949-0984

Volume Title

12

Publisher

Informa UK Limited

Rights

All rights reserved
Sponsorship
Department of Health (via National Institute for Health Research (NIHR)) (NIHR BTRU-2014-10027)
Medical Research Council (MR/N024907/1)
Arthritis Research UK (21777)