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2015 ; 35
(2
): 235-54
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Fc-fusion proteins and FcRn: structural insights for longer-lasting and more
effective therapeutics
#MMPMID24156398
Rath T
; Baker K
; Dumont JA
; Peters RT
; Jiang H
; Qiao SW
; Lencer WI
; Pierce GF
; Blumberg RS
Crit Rev Biotechnol
2015[Jun]; 35
(2
): 235-54
PMID24156398
show ga
Nearly 350 IgG-based therapeutics are approved for clinical use or are under
development for many diseases lacking adequate treatment options. These include
molecularly engineered biologicals comprising the IgG Fc-domain fused to various
effector molecules (so-called Fc-fusion proteins) that confer the advantages of
IgG, including binding to the neonatal Fc receptor (FcRn) to facilitate in vivo
stability, and the therapeutic benefit of the specific effector functions.
Advances in IgG structure-function relationships and an understanding of FcRn
biology have provided therapeutic opportunities for previously unapproachable
diseases. This article discusses approved Fc-fusion therapeutics, novel Fc-fusion
proteins and FcRn-dependent delivery approaches in development, and how
engineering of the FcRn-Fc interaction can generate longer-lasting and more
effective therapeutics.