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Updated: Jul 9, 2025

Assessment of Human Natural Killer Cell Events Driven by FcγRIIIa Engagement in the Presence of Therapeutic Antibodies
Published on: May 22, 2020
Fcγ receptors and immunomodulatory antibodies in cancer
Felipe Galvez-Cancino1,2, Alexander P Simpson1,2, Cristobal Costoya1
1Cancer Immunology Unit, Research Department of Haematology, University College London Cancer Institute, London, UK.
Abstract:
The discovery of both cytotoxic T lymphocyte-associated antigen 4 (CTLA4) and programmed cell death protein 1 (PD1) as negative regulators of antitumour immunity led to the development of numerous immunomodulatory antibodies as cancer treatments. Preclinical studies have demonstrated that the efficacy of immunoglobulin G (IgG)-based therapies depends not only on their ability to block or engage their targets but also on the antibody's constant region (Fc) and its interactions with Fcγ receptors (FcγRs). Fc-FcγR interactions are essential for the activity of tumour-targeting antibodies, such as rituximab, trastuzumab and cetuximab, where the killing of tumour cells occurs at least in part due to these mechanisms. However, our understanding of these interactions in the context of immunomodulatory antibodies designed to boost antitumour immunity remains less explored. In this Review, we discuss our current understanding of the contribution of FcγRs to the in vivo activity of immunomodulatory antibodies and the challenges of translating results from preclinical models into the clinic. In addition, we review the impact of genetic variability of human FcγRs on the activity of therapeutic antibodies and how antibody engineering is being utilized to develop the next generation of cancer immunotherapies.
Insights
Immunomodulatory antibodies harness Fc-FcγR interactions for cancer immunity. Engineering these interactions and understanding Fc receptor variability are key for next-generation cancer immunotherapies.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Cytotoxic T lymphocyte-associated antigen 4 (CTLA4) and programmed cell death protein 1 (PD1) inhibitors are key cancer immunotherapies.
- Antibody efficacy relies on target engagement and Fc-Fcγ receptor (FcγR) interactions, crucial for antibody-dependent cell-mediated cytotoxicity.
- FcγR roles in immunomodulatory antibodies are less understood than in tumor-targeting antibodies.
Purpose of the Study:
- To review the contribution of FcγRs to the in vivo activity of immunomodulatory antibodies.
- To discuss challenges in translating preclinical findings to clinical applications.
- To explore the impact of human FcγR genetic variability on therapeutic antibody activity and future antibody engineering.
Main Methods:
- Literature review of preclinical and clinical studies on Fc-FcγR interactions in cancer immunotherapy.
- Analysis of existing data on the impact of FcγR polymorphisms on therapeutic antibody efficacy.
- Discussion of antibody engineering strategies to optimize Fc-FcγR engagement.
Main Results:
- Fc-FcγR interactions significantly influence the efficacy of both tumor-targeting and immunomodulatory antibodies.
- Preclinical models show FcγR engagement is critical, but clinical translation faces challenges.
- Genetic variations in human FcγRs can modulate therapeutic antibody responses.
Conclusions:
- Fc-FcγR interactions are a critical but complex component of cancer immunotherapy.
- Further research and antibody engineering are needed to optimize FcγR engagement for enhanced therapeutic outcomes.
- Understanding FcγR variability is essential for personalized cancer immunotherapy.
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