TY  - JOUR
AB  - 'Myasthenia gravis' (MG) is an autoimmune disease in which immunoglobulin G (IgG) antibodies (Abs) bind to acetylcholine receptors (AChR) or to functionally related molecules in the postsynaptic membrane at the neuromuscular junction. IgG crystallizable fragment (Fc)-mediated effector functions, such as antibody-dependent complement deposition, contribute to disease development and progression. Despite progress in understanding Ab-mediated disease mechanisms, immunotherapy of MG remained rather unspecific with corticosteroids and maintenance with immunosuppressants as first choice drugs for most patients. More specific therapeutic IgG Fc-based platforms that reduce serum half-life or effector functions of pathogenic MG-related Abs are currently being developed, tested in clinical trials or have recently been successfully translated into the clinic. In this review, we illustrate mechanisms of action and clinical efficacies of emerging Fc-mediated therapeutics such as neonatal Fc receptor (FcRn)-targeting agents. Furthermore, we evaluate prospects of therapies targeting classical Fc receptors that have shown promising therapeutic efficacy in other antibody-mediated conditions. Increased availability of Fc- and Fc receptor-targeting biologics might foster the development of personalized immunotherapies with the potential to induce sustained disease remission in patients with MG.
AU  - Keller, Christian W.
AU  - Pawlitzki, Marc
AU  - Wiendl, Heinz
AU  - Wiendl, H.
AU  - Lünemann, Jan
DA  - 2021-05-28
DO  - 10.17879/52069531718
KW  - myasthenia gravis
KW  - antibody
KW  - IgG
KW  - Fc
KW  - Fc receptor
KW  - immunotherapy
KW  - personalized medicine
LA  - eng
N1  - International Journal of Molecular Sciences 22 (2021) 11, 5755, 1-17
N1  - Finanziert durch den Open-Access-Publikationsfonds der Westfälischen Wilhelms-Universität Münster (WWU Münster).
PY  - 2021-05-28
TI  - Fc-Receptor Targeted Therapies for the Treatment of Myasthenia gravis
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:6-02059441991
Y2  - 2024-11-22T00:43:06
ER  -