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RI, Fc
RIII, and Fc
RIV) to IgG2a- and IgG2b-Induced Autoimmune Hemolytic Anemia in Mice1


* Department of Pathology and Immunology, University of Geneva, Geneva, Switzerland;
Laboratory for Experimental Immunology and Immunotherapy, Nikolaus-Fiebiger-Center for Molecular Medicine, University of Erlangen-Nuremberg, Erlangen, Germany;
Laboratory for Cell Signaling, Institute of Physical and Chemical Research Center for Allergy and Immunology, Yokohama, Japan;
Center for Blood Research and Department of Pathology, Harvard Medical School, Boston, MA 02115;
¶ The Rockefeller University, New York, NY 10065; and
|| Department of Human Genetics, Leiden University Medical Center, Leiden, The Netherlands
Murine phagocytes express three different activating IgG Fc
R: Fc
RI is specific for IgG2a; Fc
RIII for IgG1, IgG2a, and IgG2b; and Fc
RIV for IgG2a and IgG2b. Although the role of Fc
RIII in IgG1 and IgG2a anti-RBC-induced autoimmune hemolytic anemia (AIHA) is well documented, the contribution of Fc
RI and Fc
RIV to the development of IgG2a- and IgG2b-induced anemia has not yet been defined. In the present study, using mice deficient in Fc
RI, Fc
RIII, and C3, in combination with an Fc
RIV-blocking mAb, we assessed the respective roles of these three Fc
R in the development of mild and severe AIHA induced by two different doses (50 and 200 µg) of the IgG2a and IgG2b subclasses of the 34-3C anti-RBC monoclonal autoantibody. We observed that the development of mild anemia induced by a low dose of 34-3C IgG2a autoantibody was highly dependent on Fc
RIII, while Fc
RI and Fc
RIV additionally contributed to the development of severe anemia induced by a high dose of this subclass. In contrast, the development of both mild and severe anemia induced by 34-3C IgG2b was dependent on Fc
RIII and Fc
RIV. Our results indicate differential roles of the three activating Fc
R in IgG2a- and IgG2b-mediated AIHA.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 This work was supported by a grant from the Swiss National Foundation for Scientific Research.
2 Address correspondence and reprint requests to Dr. Shozo Izui, Department of Pathology and Immunology, Centre Médicale Universitaire, 1211 Geneva 4, Switzerland. E-mail address: Shozo.Izui{at}medecine.unige.ch
3 Abbreviations used in this paper: NZB, New Zealand Black; AIHA, autoimmune hemolytic anemia; CR, complement receptor; B6, C57BL/6; WT, wild type; Ht, hematocrit.
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