Bidirectional FcRn-dependent IgG transport in a polarized human intestinal epithelial cell line

The MHC class I–related Fc receptor, FcRn, mediates the intestinal absorption of maternal IgG in neonatal rodents and the transplacental transport of maternal IgG in humans by receptor-mediated transcytosis. In mice and rats, expression of FcRn in intestinal epithelial cells is limited to the suckling period. We have recently observed, however, clear expression of FcRn in the adult human intestine, suggesting a function for FcRn in intestinal IgG transport beyond neonatal life in humans. We tested this hypothesis using the polarized human intestinal T84 cell line as a model epithelium. Immunocytochemical data show that FcRn is present in T84 cells in a punctate apical pattern similar to that found in human small intestinal enterocytes. Solute flux studies show that FcRn transports IgG across T84 monolayers by receptor-mediated transcytosis. Transport is bidirectional, specific for FcRn, and dependent upon endosomal acidification. These data define a novel bidirectional mechanism of IgG transport across epithelial barriers that predicts an important effect of FcRn on IgG function in immune surveillance and host defense at mucosal surfaces.

Steady-state levels of IgG in the blood of adult mice, and likely all mammals, depend on IgG catabolism mediated in part by the MHC class I–related Fc receptor, FcRn (1). FcRn also mediates vectorial transport of IgG across certain epithelial barriers. In suckling mice and rats, intestinal absorption of maternal IgG from breast milk into the systemic circulation depends on FcRn (2). In humans, maternofetal transfer of IgG across the placenta also likely depends on FcRn (3). Thus, FcRn plays critical and well-documented roles in the regulation of IgG metabolism in adults and in the acquisition of humoral immunity in early life. These effects on the physiology of IgG in vivo result from the action of FcRn as an intracellular trafficking receptor (4).

FcRn has been cloned from the rat, mouse, and human. The molecule is expressed as a heterodimer composed of a glycosylated heavy (α) chain (51 kDa in rodents and 40–45 kDa in humans) associated noncovalently with β₂-microglobulin (β₂M) (5). Binding of IgG to FcRn requires contact between solvent-exposed peptide sequences in the CH2 and CH3 domains of IgG and the α1 and α2 domains of FcRn, together with a single contact site in β₂M (6–11). A hallmark of FcRn interaction with IgG is its pH dependence, showing high-affinity binding at acidic pH (pH ≤ 6.5) and weak or no binding at neutral pH (pH ≥ 7.0) (12, 13). FcRn is the only Fcγ receptor that exhibits MHC class I structure, and the only Fcγ receptor to exhibit pH dependency in ligand binding.

The function of FcRn in the intestine of suckling mice and rats has been well documented (14). In neonatal mice and rats, FcRn is expressed at high levels by intestinal epithelial cells and mediates absorption of IgG by receptor-mediated transcytosis. FcRn expression in the neonatal rodent is developmentally downregulated, resulting in nearly complete loss of intestinal FcRn at the time of weaning (15–17). Consequently, a role for FcRn beyond neonatal life has been slow to emerge. However, we have recently observed expression of FcRn in adult rat hepatocytes (18) and in adult human intestinal epithelial cells (19). The FcRn detected in isolated human small intestinal epithelial cells had identical predicted amino acid sequence to that expressed by human placenta (20). These data raised the possibility that FcRn may function to transport IgG across the adult human intestinal epithelium.

In this study, we show that the polarized human intestinal epithelial cell line T84 transports IgG by receptor-mediated transcytosis. Transport is bidirectional and dependent on FcRn. These data define the function of FcRn in a model intestinal epithelial cell line, and indicate that FcRn may function in vivo to transport IgG across the epithelial barrier of the intestine and possibly across other mucosal surfaces of the adult human. As such, these data predict a profound effect of FcRn on IgG function in immune surveillance and host defense.

Expression of FcRn in adult human intestine and intestinal cell lines. Three intestinal epithelial cell lines and enterocytes purified from normal human adult small intestine were assessed for FcRn protein by Western blot using 2 independently produced antipeptide antisera raised in rabbits (Figure 1, a and b). An affinity-purified rabbit antiserum raised against amino acids 112–125 of human FcRn α2 domain detected an immunoreactive 45-kDa band in the enterocyte whole-cell lysate and lysates from human T84, HT29, and Caco-2 cell lines (Figure 1a). The human embryonic kidney 293 cell line, transfected (293-FcRn; lane 5) or not transfected (293; lane 6) with full-length human FcRn cDNA cloned from the human placenta (20), served as controls. The 45-kDa band detected is consistent with the known molecular weight of human FcRn heavy chain and migrated with human FcRn α chain expressed in the 293 transfected cells (lane 5). A second band of approximately 48 kDa was recognized by the antibody in protein lysates of cultured human epithelial cell lines only (lanes 2–4). The molecular identity of this band remains unknown but likely represents a cross-reactive protein rather than an altered form of FcRn, as this band was not detected with a second, affinity-purified rabbit antiserum raised against a different epitope of human FcRn heavy chain (amino acids 174–188) (Figure 1b). Using this antiserum, a 45-kDa band corresponding to the FcRn α chain was detected in both T84 cell and enterocyte whole-cell lysates. The identity of the 45-kDa protein as FcRn was confirmed by the shift in molecular mass after deglycosylation with PNGase F, consistent with the predicted single glycosylation site within the human FcRn α2 domain. A lower band of approximately 40 kDa was also identified in both T84 cell and human enterocyte lysates with this antiserum. This protein likely represents a cross-reactive protein, as it was neither detected with the antisera directed against amino acids 112–125 (Figure 1a) nor deglycosylated with PNGase F (Figure 1b). These results were verified using enterocytes purified from 3 different adult human small intestinal biopsies (data not shown). Taken together, these data indicate that, like enterocytes purified from the adult human small intestine, the T84, HT29, and Caco-2 cell lines express the 45-kDa glycosylated α chain of FcRn.

Figure 1

FcRn expression in normal adult human small intestine and human intestinal epithelial cell lines. Western blots of total cellular protein (13 μg protein per lane, a; 10 μg protein per lane, b) isolated from the indicated source using affinity-purified rabbit antisera raised against amino acids 112–125 (a) or amino acids 174–188 (b). (c) RT-PCR detection of FcγRI transcripts. Total RNA (2 μg) from T84 (lanes 3 and 4), MOLT-4 (lanes 5 and 6; negative control), and U937 (lanes 1 and 2; positive control) cell lines was incubated with an oligo-dT primer with (odd-numbered lanes) or without (even-numbered lanes) avian myeloblastosis virus–RT (AMV-RT), and a nested PCR was performed with primers specific for FcγRI cDNA (top) or for β-actin (bottom).

To confirm these results, a Northern blot analysis was performed with total RNA obtained from normal adult human small intestinal enterocytes and the human intestinal Caco-2, HT29, and T84 epithelial lines (data not shown). A ³²P-labeled cDNA probe encoding the 3′ untranslated region of human placental FcRn cDNA hybridized with a single, abundantly expressed 1.5-kb band in all samples examined. These data were verified by RT-PCR using oligonucleotide primers specific for the α2 domain of the human FcRn heavy chain, which amplified a 242-bp specific product in the 3 intestinal cell lines and human small intestinal enterocytes (data not shown).

FcRn expression in polarized T84 cells. We selected the T84 cell line for further study based on the results reported here and the ability of T84 cells to form well-differentiated polarized monolayers with high electrical resistances. We determined whether T84 cells express FcγRI (CD64), the only other Fcγ receptor that displays high affinity for monomeric IgG (31). As shown in Figure 1c, nested RT-PCR yielded an 800-bp fragment specific for CD64 in the human promonocyte cell line U937 (lane 1, top) but not in polarized T84 cells (lane 3, top) or in the human T-lymphoblast cell line MOLT-4 (predicted to be negative for FcγRI; lane 5, top). RT-PCR amplification of human β-actin provided an internal control for each reaction (Figure 1c; lanes 1, 3, and 5, bottom). Thus, the results of IgG flux studies in T84 cells (described later here) were not confounded by cotransport via IgG binding to FcγRI.

Expression of human FcRn in polarized T84 cells and normal human small intestine was confirmed by immunohistochemistry using 2 independently raised antibodies (see Methods). T84 cells stained with anti-FcRn antibodies showed a punctate staining pattern (Figure 2a), with the majority of signal close to the apical membrane at or just below the level of the tight junctional ZO-1 expression (Figure 2b). Frozen sections of adult small intestinal mucosa showed distinct villous and crypt staining patterns. Villous enterocytes showed a delicate linear staining pattern at the apical membrane (Figure 2f), which, on tangential sections, appeared to consist of uniform small dots (data not shown). The staining in crypt enterocytes was also apical and punctate, but there was more variability in the size and distribution of the signal, and positive signal was also identified in the apical cytoplasm below the level of the apical membrane (Figure 2g). In this respect, the T84 staining pattern resembled to a greater extent the pattern seen in crypt enterocytes. Positive immunofluorescence for FcRn was not present in identical T84 monolayers (Figure 2c) or frozen sections (Figure 2, d and e), treated with nonimmune serum and an irrelevant affinity-purified antiserum, respectively. These data corroborate and extend previous evidence that FcRn is expressed in adult human intestine (19), and show that T84 cells express FcRn in a pattern similar to that found in crypt enterocytes of normal human small intestine.

Figure 2

Immunolocalization of FcRn in polarized T84 monolayers (a–c) and normal adult human small intestinal mucosa (d–g). (a) Whole-mount T84 monolayers show a diffuse, punctate staining pattern. The Z0-1 image was captured slightly above the focal plane of FcRn. (b) FcRn staining of whole-mount T84 monolayers viewed as confocal vertical sections. (c) FcRn staining was absent in the presence of an isotype-matched, irrelevant antiserum. (f) Villous enterocytes of normal adult human small intestine show delicate linear staining in the region of the apical cytoplasmic membrane. (g) Crypt enterocytes show an apical and punctate staining pattern visible not only at the level of the apical cytoplasmic membrane, but also in the apical cytoplasm below the level of the apical membrane. (d and e) FcRn staining was absent in the presence of an irrelevant antiserum or with secondary antibody alone (not shown).

Functional activity on the cell surface. To test the function of FcRn in IgG transport, we first examined the specificity and pH dependency of IgG binding to FcRn solubilized from total T84 cell lysates in vitro. Cell-surface membrane proteins were labeled with biotin, solubilized, and precipitated by Sepharose beads covalently coupled to human IgG using methods modified from previous studies (24). Figure 3 shows that a 12-kDa band consistent with the mobility of β₂M (small arrow) and a 45-kDa protein consistent with the mobility of human FcRn α chain (large arrow) were precipitated (Figure 3, lane 2). Ligand precipitation by IgG-coupled beads was specific and displayed a pH-dependency characteristic for Fc binding to FcRn: present at pH 6.0 and absent at pH 8.0 (lane 2 vs. lane 4) (13, 20, 32). Nearly identical results were obtained by ligand precipitation of solubilized cell-surface proteins from HT29 cells labeled with ¹²⁵I and from Caco-2 cells metabolically labeled with [³⁵S]methionine (data not shown). The functional integrity of FcRn in T84 cells was confirmed using cells grown on glass coverslips. As assessed by epifluorescence microscopy (Figure 4), binding of rhodamine-labeled IgG to T84 cell surfaces at 4°C was pH-dependent (apparent at pH 6.0 but not at pH 8.0) and strongly reduced in the presence of excess competing unlabeled IgG. When incubated at 37°C, rhodamine-labeled IgG was redistributed into punctate intracellular vesicles consistent with uptake into endosomal vesicles (data not shown).

Figure 3

Functional expression of FcRn in polarized T84 cells. T84 cells grown on collagen-coated Transwells were cell surface–biotinylated and solubilized at either pH 6.0 or pH 8.0 lysates were incubated with Sepharose beads (N) or beads coupled to IgG (IgG). Immunoprecipitated proteins were analyzed by SDS-PAGE and avidin blot. A 12-kDa band consistent with the mobility of β₂M (small arrow) and a 45-kDa band consistent with the mobility of human FcRn α chain (large arrow) were immunoprecipitated by IgG-coupled beads at pH 6.0 but not at pH 8.0.

Figure 4

Binding of rhodamine-labeled IgG to T84 cell surfaces. T84 cells grown on glass coverslips were incubated at 4°C with rhodamine-labeled IgG at pH 6.0 or pH 8.0 in the presence or absence of excess competing nonlabeled IgG. Ligand binding was assessed by epifluorescence and Nomarski bright-field microscopy.

Receptor-mediated transcytosis of IgG in T84 cells. FcRn-dependent IgG transport was measured by transepithelial flux of biotin-labeled human IgG. Figure 5a shows that after 1 hour at 37°C, intact human IgG (60 nM) applied to apical or basolateral cell surfaces was transported in both lumenal and ablumenal directions across T84 cell monolayers, as assessed by SDS-PAGE and ligand blot. Transport of heavy (55-kDa) and light (25-kDa) chains of IgG was detected in monolayers incubated at 37°C (lanes 1 and 3) but not in monolayers incubated at 4°C (lane 2). These data are representative of 7 and 4 independent experiments examining basolaterally directed and apically directed IgG transport, respectively. Thus, transepithelial flux of biotin-labeled IgG did not occur by passive diffusion through intercellular tight junctions or monolayer leaks. These data indicate that IgG can enter both apically and basolaterally directed transcytotic pathways in T84 cells. In a separate experiment like that shown in Figure 5a, the apically directed transport pathway was determined to be approximately 3.6-fold more efficient in IgG transport than the basolaterally directed pathway. In this experiment, band intensities were compared by densitometry and measured against control IgG heavy and light chains (0.5 ng IgG-biotin standard).

Figure 5

FcRn-dependent bidirectional transcytosis of IgG across T84 cell monolayers. (a) Transcytosis of IgG-biotin occurs at 37°C (lanes 1 and 3) but not at 4°C (lane 2). (b) Specificity of IgG transport for FcRn. T84 cells transport human IgG-biotin at 37°C (lane 3) but not at 4°C (lane 4). IgG heavy and light chains are indicated by the bars to the left of the IgG standard. In contrast, chicken IgY-biotin does not cross T84 cell monolayers at 37°C in either direction (lanes 2 and 5). IgY heavy and light chains are indicated by asterisks to the right of the IgY standard. (c) Quantitative ELISA of IgG and IgY transport at 37°C and 4°C.

Two experimental approaches were used to show that transcytosis of IgG was receptor-mediated and specific for FcRn. First, we used chicken IgY, which is structurally similar to human IgG but does not bind FcRn (33, 34). Apically and basolaterally directed transepithelial transport of human IgG and chicken IgY, both applied at 60 nM, was examined in parallel by avidin blot (Figure 5b) and by quantitative ELISA (Figure 5c). Figure 5b shows that after 1 hour at 37°C, human IgG (60 nM) applied to the basolateral cell surface was transported across monolayers incubated at 37°C (lane 3) but not across monolayers incubated at 4°C (lane 4). In contrast, chicken IgY did not cross T84 cell monolayers in either direction at 37°C (Figure 5b, lanes 2 and 5). A nonspecific avidin-reactive protein band migrating just below the IgY heavy chain was detected in all lanes after TCA precipitation. This band is a contaminant of the TCA precipitation technique, as it was also present in precipitates containing only the carrier protein, yeast tRNA. These data are representative of 3 independent studies.

We also examined the specificity of basolaterally directed transport in separate studies by quantitative ELISA (Figure 5c). Transcytosis of IgG was detected in monolayers incubated at 37°C but not at 4°C (8.14 ± 2.89 vs. 2.25 ± 0.90 pM/h per cm²; mean ± SEM), and transport of IgY at 37°C was not significantly different from 4°C controls (1.77 ± 0.93 vs. 0.68 ± 0.18 pM/h per cm²; mean ± SEM) (n = 4; P = 0.05 by ANOVA). In addition, we find that horseradish peroxidase, an accepted marker for fluid-phase uptake (non–receptor-mediated endocytosis), is not transported at detectable levels (0.024 pM) across intact T84 monolayers in either direction. Thus, in contrast to the transcytotic routing of FcRn-IgG complexes through the cell, fluid-phase cargo (horseradish peroxidase and IgY) is likely degraded via the lysosomal degradative pathway or is inefficiently transported.

To confirm and extend these results, we examined IgG-biotin transport in the presence and absence of excess native human IgG or chicken IgY as competitive inhibitors. Competition experiments were performed with a 500-fold molar excess of native IgG or IgY (30 μM) (Figure 6, a and b). Data representative of 4 independent experiments are shown. Basolaterally directed transcytosis of IgG-biotin was blocked completely by excess unlabeled IgG (Figure 6a, lane 5), whereas competition with IgY had no effect (lane 4). Incubations at 37°C in the absence of competitive inhibitor (lane 2) and at 4°C (lane 3) provided positive and negative controls. Similarly, excess native IgG (Figure 6b, lane 4), but not IgY (lane 3), blocked apically directed transcytosis of IgG-biotin.

Figure 6

Specificity of IgG transport and functional dependence on the vacuolar H⁺ ATPase. Where transport occured, the 25-kDa biotinylated light chain of IgG is shown. (a) Apical-to-basolateral transcytosis of IgG-biotin (60 nM) in the absence or presence of a 500-fold molar excess of nonlabeled chicken IgY (30 μM) or human IgG (30 μM) (lanes 4 and 5, respectively). Lanes 2 and 3 show incubation in the absence of competitive inhibitor at 37°C and 4°C as positive and negative controls, respectively. (b) Basolateral-to-apical transcytosis of IgG-biotin (60 nM) in the absence or presence of a 500-fold molar excess of nonlabeled chicken IgY (30 μM) (lane 3) or human IgG (30 μM) (lane 4) or excess fragment B of Staphylococcal protein A (0.1 mg/mL; lane 5). Lane 2 shows incubation at 37°C as a positive control. (c) T84 cells were incubated in the presence (lane 2) or absence (lanes 3 and 4) of bafilomycin A1 (0.1 μM), and basolaterally directed transport of IgG-biotin (60 nM) was measured after 1 hour of incubation in symmetrical HBSS+ buffered to pH 8.0.

In another version of this approach, IgG transport was inhibited by competition with fragment B of Staphylococcal protein A. Amino acid residues I253, H310, and H433 — located at the interface between CH2 and CH3 domains of IgG — have been identified by mutagenesis as important for FcRn binding (7). Fragment B of Staphylococcal protein A makes contact with overlapping amino acids in this region (252–254, 308–312, and 433–436; EU numbering) (35) and effectively inhibits IgG binding to FcRn without cross-linking the ligand (9). When used as a competitive inhibitor, fragment B also completely blocked basolateral-to-apical transport of IgG (Figure 6b, lane 5). Competition with excess IgG (lane 4) and IgY (lane 3) provided positive and negative internal controls, respectively. Taken together, these data show that IgG transepithelial transport across T84 cell monolayers is specific and strictly dependent on binding to FcRn.

pH dependency of IgG transport. FcRn is the only Fc receptor that displays pH dependency for binding of IgG. Thus, to confirm the specificity for FcRn in IgG transport and to test the idea that FcRn may first bind its ligand within the acidic endosome, we examined the pH dependency of IgG transcytosis (Figure 6c). The following studies were performed under conditions in which the apical and basolateral reservoirs were buffered to pH 8.0 to inhibit IgG binding to FcRn at cell surfaces. To demonstrate pH dependency, T84 cells were incubated in the presence or absence of bafilomycin A1 (0.1 μM). Bafilomycin A1 is a specific inhibitor of the vacuolar H⁺ ATPase in T84 cells. It collapses pH gradients in intracellular vesicles but does not interfere greatly with membrane trafficking, as evidenced by studies on transferrin receptor recycling in CHO cells (36), receptor-mediated uptake, signal transduction, and transcytosis of cholera toxin and botulinum toxin in T84 cells (29, 37). Figure 6c shows that bafilomycin A1 completely inhibited apical-to-basolateral transport of IgG (lane 2). Incubations at 37° and 4°C in the absence of bafilomycin A1 provided positive and negative internal controls (lanes 3 and 4, respectively). Identical results were obtained in studies on apically directed IgG transport (data not shown). These data are representative of 4 independent studies (2 studies in each direction), and show that FcRn-mediated transepithelial transport of IgG in T84 cells requires the formation of acidic intracellular compartments. However, we cannot exclude the possibility of an indirect effect of bafilomycin A1 on vesicle formation and trafficking. Given the well-known dependence on acidic pH for IgG binding to FcRn, these data provide evidence that IgG may enter the transcytotic pathway by binding to FcRn within acidic intracellular compartments rather than at the cell surface, or that both ligand binding within acidic vesicles and bafilomycin A1–sensitive membrane traffic (38) are required.

These studies show that polarized human intestinal T84 cells and normal human adult small intestinal epithelial cells express FcRn. At steady state, FcRn in T84 cells is localized within apical intracellular vesicles, similar in distribution to that found in crypt enterocytes of native human small intestine. As predicted from the defined function of this molecule in intestinal epithelial cells of suckling mice and rats, we find that FcRn functions in T84 cells to carry IgG across the epithelial barrier by receptor-mediated transcytosis. IgG transport is bidirectional, specific to FcRn, and dependent on endosome acidification. These data define a novel bidirectional mechanism for IgG transport across polarized epithelial barriers.

In the absence of disease, epithelial monolayers lining mucosal surfaces are impervious to solute transport by passive diffusion. This is a fundamental requirement for all transporting epithelia, such as those found in the intestine, lung, and kidney, which function to absorb or secrete solutes and water, often against steep electrochemical and concentration gradients. Thus, very few macromolecules traverse the epithelial barrier intact by passive diffusion (39–42). Some macromolecules, however, may be efficiently transported across epithelial cells by endocytosis into specialized transport vesicles that move across the cell in a process termed transcytosis. This transcellular pathway of macromolecular transport is most often receptor-mediated, as typified by the mechanism for the mucosal secretion of polymeric IgA by the polymeric immunoglobulin receptor (pIgA-R) (43–45), and as described in this report for FcRn-dependent transport of IgG. Macromolecular transcellular transport can occur by fluid phase or non–receptor-mediated endocytosis, but this pathway is inefficient, and most of the endocytosed cargo is delivered to the lysosome for degradation (46).

The mechanism of FcRn-mediated IgG transport apparent in T84 cells, however, differs from that defined for the pIgA-R. First, transcytosis by FcRn is bidirectional, as shown in this report. Second, unlike the pIgA-R, FcRn does not undergo proteolysis after delivering its ligand to the apical cell surface. Our data suggest instead that FcRn may reenter the cell for return to the opposite membrane. Thus, unlike the pIgA-R, which is committed to only 1 round of dimeric IgA transport, the same FcRn molecule may transport IgG for multiple rounds in both lumenal and ablumenal directions. Third, unlike the pIgA-R, FcRn may initially bind its ligand within acidic endosomes rather than at the cell surface. This concept is not new. In contrast to the rat and mouse neonatal intestine, where maternal IgG binds FcRn at the apical cell surface (47), FcRn expressed in the rat yolk sac appears to bind IgG only within apical compartments after fluid-phase uptake (48). Also, Benlounes et al. (49) have observed transepithelial IgG transport across isolated neonatal rat intestine in which both the serosal and mucosal solutions were clamped at neutral pH and thus inhibitory for IgG binding to FcRn at the cell surface.

Several lines of evidence support the idea that FcRn, like the pIgA-R, may function in vivo to transport immunoglobulins across epithelial barriers. First, IgG is present in secretions of the human oral mucosa, small and large intestine, lung, and genitourinary tract (50–53). The mechanism by which IgG is transported onto these mucosal surfaces is unknown. Some evidence suggests that lumenal IgG represents passive transudation from the serum. This view is challenged by studies that show that numbers of local IgG-secreting cells in mucosal tissues and levels of antigen-specific IgG in mucosal secretions can be dramatically increased after both mucosal and systemic immunization (54–60). In addition, Berneman et al. (57) have found that the patterns of IgG subclasses in human serum differ from those found in autologous secretions at mucosal surfaces, and demonstrate that the concentration of IgG subclasses differ from those found in the serum. These data provide evidence that IgG in lumenal secretions may be derived from local origin and transported selectively across mucosal barriers. Whether FcRn mediates IgG transport in the adult human intestine, however, has not been tested directly.

On the other hand, the results of our in vitro studies on IgG transport across T84 cell monolayers predict that FcRn may function in vivo to establish and maintain a steady-state distribution of IgG across the epithelial barrier of the human intestine, and possibly across other mucosal surfaces that bear FcRn. Such a putative function would have important effects on IgG-mediated mucosal immunity and host defense by providing a mechanism for antigen transport to subepithelial lymphocytes in the absence of a disrupted epithelial barrier. We can envision that FcRn may deliver IgG across the epithelial barrier for recognition of cognate antigens in the lumen, and then may function in the opposite direction for delivery of immune complexes to lymphocytes in the lamina propria. In this regard, it is already well known that FcRn can transport antigen-antibody immune complexes across the intestine of suckling rodents (33). Thus, FcRn may effectively mediate a novel mechanism for immunosurveillance and host defense at mucosal sites.

We thank M.R. Neutra for critical reading of the manuscript, and Kevin McCarthy for use of the anti-human FcRn antibody. This work was supported by research grants from the National Institutes of Health (DK/AI-53056 to W.I. Lencer and R.S. Blumberg; DK-48106 to W.I. Lencer; DK-44319 to R.S. Blumberg; HD-27691 and HD-01146 to N.E. Simister; and DK-34854 to the Harvard Digestive Diseases Center).

Richard S. Blumberg, Thorn, 1410 Brigham and Women’s Hospital, 75 Francis Street, Boston, Massachusetts 02115, USA. Phone: (617) 732-6917, Fax: (617) 264-5185, E-mail: rblumberg@rics.bwh.harvard.edu.

J.C. Ahouse’s present address is: Millennium Predictive Medicine, Cambridge, Massachusetts, 02139, USA.

1. Brambell, FW. The transmission of immunity from mother to young and the catabolism of immunoglobulins. Lancet 1966. 2:1087-1093.
   View this article via: PubMed Google Scholar
2. Simister, NE, Rees, AR. Isolation and characterization of an Fc receptor from neonatal rat small intestine. Eur J Immunol 1985. 15:733-738.
   View this article via: PubMed CrossRef Google Scholar
3. Simister, NE, Story, CM, Chen, HL, Hunt, JS. An IgG-transporting Fc receptor expressed in the syncytiotrophoblast of human placenta. Eur J Immunol 1996. 26:1527-1531.
   View this article via: PubMed CrossRef Google Scholar
4. Abrahamson, DR, Rodewald, R. Evidence for the sorting of endocytic vesicle contents during the receptor-mediated transport of IgG across the newborn rat intestine. J Cell Biol 1981. 91:270-280.
   View this article via: PubMed CrossRef Google Scholar
5. Simister, NE, Mostov, KE. Cloning and expression of the neonatal rat intestinal Fc receptor, a major histocompatibility complex class I antigen homolog. Cold Spring Harb Symp Quant Biol 1989. 54:571-580.
   View this article via: PubMed Google Scholar
6. Kim, JK, Tsen, MF, Ghetie, V, Ward, ES. Localization of the site of the murine IgG1 molecule that is involved in binding to the murine intestinal Fc receptor. Eur J Immunol 1994. 24:2429-2434.
   View this article via: PubMed CrossRef Google Scholar
7. Kim, JK, Tsen, MF, Ghetie, V, Ward, ES. Identifying amino acid residues that influence plasma clearance of murine IgG1 fragments by site-directed mutagenesis. Eur J Immunol 1994. 24:542-548.
   View this article via: PubMed CrossRef Google Scholar
8. Kim, JK, Tsen, MF, Ghetie, V, Ward, ES. Evidence that the hinge region plays a role in maintaining serum levels of the murine IgG1 molecule. Mol Immunol 1995. 32:467-475.
   View this article via: PubMed CrossRef Google Scholar
9. Raghavan, M, Chen, MY, Gastinel, LN, Bjorkman, PJ. Investigation of the interaction between the class I MHC-related Fc receptor and its immunoglobulin G ligand. Immunity 1994. 1:303-315.
   View this article via: PubMed CrossRef Google Scholar
10. Popov, S, et al. The stoichiometry and affinity of the interaction of murine Fc fragments with the MHC class I-related receptor, FcRn. Mol Immunol 1996. 33:521-530.
    View this article via: PubMed CrossRef Google Scholar
11. Vaughn, DE, et al. Identification of critical IgG binding epitopes on the neonatal Fc receptor. J Mol Biol 1997. 274:597-607.
    View this article via: PubMed CrossRef Google Scholar
12. Vaughn, DE, Bjorkman, PJ. Structural basis of pH-dependent antibody binding by the neonatal Fc receptor. Structure 1998. 6:63-73.
    View this article via: PubMed CrossRef Google Scholar
13. Raghavan, M, Bonagura, VR, Morrison, SL, Bjorkman, PJ. Analysis of the pH dependence of the neonatal Fc receptor/immunoglobulin G interaction using antibody and receptor variants. Biochemistry 1995. 34:14649-14657.
    View this article via: PubMed CrossRef Google Scholar
14. Junghans, RP. Finally: the Brambell receptor (FcRB). Mediator of transmission of immunity and protection from catabolism for IgG. Immunol Res 1997. 16:29-57.
    View this article via: PubMed CrossRef Google Scholar
15. Berryman, M, Rodewald, R. Beta 2-microglobulin co-distributes with the heavy chain of the intestinal IgG-Fc receptor throughout the transepithelial transport pathway of the neonatal rat. J Cell Sci 1995. 108:2347-2360.
    View this article via: PubMed Google Scholar
16. Martin, MG, Wu, SV, Walsh, JH. Ontogenetic development and distribution of antibody transport and Fc receptor mRNA expression in rat intestine. Dig Dis Sci 1997. 42:1062-1069.
    View this article via: PubMed CrossRef Google Scholar
17. Ghetie, V, et al. Abnormally short serum half-lives of IgG in beta 2-microglobulin-deficient mice. Eur J Immunol 1996. 26:690-696.
    View this article via: PubMed CrossRef Google Scholar
18. Blumberg, RS, et al. A major histocompatibility complex class I-related Fc receptor for IgG on rat hepatocytes. J Clin Invest 1995. 95:2397-2402.
    View this article via: JCI PubMed Google Scholar
19. Israel, EJ, et al. Expression of the neonatal Fc receptor, FcRn, on human intestinal epithelial cells. Immunology 1997. 92:69-74.
    View this article via: PubMed CrossRef Google Scholar
20. Story, CM, Mikulska, JE, Simister, NE. A major histocompatibility complex class I–like Fc receptor cloned from human placenta: possible role in transfer of immunoglobulin G from mother to fetus. J Exp Med 1994. 180:2377-2381.
    View this article via: PubMed CrossRef Google Scholar
21. Balk, SP, et al. Oligoclonal expansion and CD1 recognition by human intestinal intraepithelial lymphocytes. Science 1991. 253:1411-1415.
    View this article via: PubMed CrossRef Google Scholar
22. Blumberg, RS, et al. Expression of a nonpolymorphic MHC class I–like molecule, CD1D, by human intestinal epithelial cells. J Immunol 1991. 147:2518-2524.
    View this article via: PubMed Google Scholar
23. Lencer, WI, et al. Entry of cholera toxin into polarized human intestinal epithelial cells. Identification of an early brefeldin A sensitive event required for A1-peptide generation. J Clin Invest 1993. 92:2941-2951.
    View this article via: JCI PubMed Google Scholar
24. Lencer, WI, Moe, S, Rufo, PA, Madara, JL. Transcytosis of cholera toxin subunits across model human intestinal epithelia. Proc Natl Acad Sci USA 1995. 92:10094-10098.
    View this article via: PubMed CrossRef Google Scholar
25. Lencer, WI, et al. Targeting of cholera toxin and Escherichia coli heat labile toxin in polarized epithelia: role of COOH-terminal KDEL. J Cell Biol 1995. 131:951-962.
    View this article via: PubMed CrossRef Google Scholar
26. Porges, AJ, et al. Novel Fc gamma receptor I family gene products in human mononuclear cells. J Clin Invest 1992. 90:2102-2109.
    View this article via: JCI PubMed Google Scholar
27. van de Winkel, JG, de Wit, TP, Ernst, LK, Capel, PJ, Ceuppens, JL. Molecular basis for a familial defect in phagocyte expression of IgG receptor I (CD64). J Immunol 1995. 154:2896-2903.
    View this article via: PubMed Google Scholar
28. Ernst, LK, van de Winkel, JG, Chiu, IM, Anderson, CL. Three genes for the human high affinity Fc receptor for IgG (Fc gamma RI) encode four distinct transcription products. J Biol Chem 1992. 267:15692-15700.
    View this article via: PubMed Google Scholar
29. Lencer, WI, et al. Signal transduction by cholera toxin: processing in vesicular compartments does not require acidification. Am J Physiol 1995. 269:G548-G557.
    View this article via: PubMed Google Scholar
30. Wolf, AA, et al. Ganglioside structure dictates signal transduction by cholera toxin and association with caveolae-like membrane domains in polarized epithelia. J Cell Biol 1998. 141:917-927.
    View this article via: PubMed CrossRef Google Scholar
31. Ravetch, JV, Kinet, JP. Fc receptors. Annu Rev Immunol 1991. 9:457-492.
    View this article via: PubMed Google Scholar
32. Raghavan, M, Gastinel, LN, Bjorkman, PJ. The class I major histocompatibility complex related Fc receptor shows pH-dependent stability differences correlating with immunoglobulin binding and release. Biochemistry 1993. 32:8654-8660.
    View this article via: PubMed CrossRef Google Scholar
33. Rodewald, R. Intestinal transport of antibodies in the newborn rat. J Cell Biol 1973. 58:189-211.
    View this article via: PubMed CrossRef Google Scholar
34. Israel, EJ, Wilsker, DF, Hayes, KC, Schoenfeld, D, Simister, NE. Increased clearance of IgG in mice that lack beta 2-microglobulin: possible protective role of FcRn. Immunology 1996. 89:573-578.
    View this article via: PubMed CrossRef Google Scholar
35. Deisenhofer, J. Crystallographic refinement and atomic models of a human Fc fragment and its complex with fragment B of protein A from Staphylococcus aureus at 2.9- and 2.8-A resolution. Biochemistry 1981. 20:2361-2370.
    View this article via: PubMed CrossRef Google Scholar
36. Presley, JF, Mayor, S, McGraw, TE, Dunn, KW, Maxfield, FR. Bafilomycin A1 treatment retards transferrin receptor recycling more than bulk membrane recycling. J Biol Chem 1997. 272:13929-13936.
    View this article via: PubMed CrossRef Google Scholar
37. Maksymowych, AB, Simpson, LL. Binding and transcytosis of botulinum neurotoxin by polarized human colon carcinoma cells. J Biol Chem 1998. 273:21950-21957.
    View this article via: PubMed CrossRef Google Scholar
38. Clague, MJ, Urbe, S, Aniento, F, Gruenberg, J. Vacuolar ATPase activity is required for endosomal carrier vesicle formation. J Biol Chem 1994. 269:21-24.
    View this article via: PubMed Google Scholar
39. Walker, WA. Gastrointestinal host defence: importance of gut closure in control of macromolecular transport. Ciba Found Symp 1979. 70:201-219.
    View this article via: PubMed Google Scholar
40. Weiner, ML. Intestinal transport of some macromolecules in food. Food Chem Toxicol 1988. 26:867-880.
    View this article via: PubMed CrossRef Google Scholar
41. Harada, E, Hashimoto, Y, Syuto, B. Orally administered spermine induces precocious intestinal maturation of macromolecular transport and disaccharidase development in suckling rats. Comp Biochem Physiol A Physiol 1994. 109:667-673.
    View this article via: PubMed CrossRef Google Scholar
42. Harada, E, Hashimoto, Y, Syuto, B. Precocious cessation of intestinal macromolecular transport and digestive enzymes development by prostaglandin E2 in suckling rats. Comp Biochem Physiol A Physiol 1994. 109:245-253.
    View this article via: CrossRef Google Scholar
43. Mostov, KE, Blobel, G. A transmembrane precursor of secretory component. The receptor for transcellular transport of polymeric immunoglobulins. J Biol Chem 1982. 257:11816-11821.
    View this article via: PubMed Google Scholar
44. Apodaca, G, Katz, LA, Mostov, KE. Receptor-mediated transcytosis of IgA in MDCK cells is via apical recycling endosomes. J Cell Biol 1994. 125:67-86.
    View this article via: PubMed CrossRef Google Scholar
45. Mostov, KE, Kraehenbuhl, JP, Blobel, G. Receptor-mediated transcellular transport of immunoglobulin: synthesis of secretory component as multiple and larger transmembrane forms. Proc Natl Acad Sci USA 1980. 77:7257-7261.
    View this article via: PubMed CrossRef Google Scholar
46. Futter, CE, Pearse, A, Hewlett, LJ, Hopkins, CR. Multivesicular endosomes containing internalized EGF-EGF receptor complexes mature and then fuse directly with lysosomes. J Cell Biol 1996. 132:1011-1023.
    View this article via: PubMed CrossRef Google Scholar
47. Rodewald, R, Lewis, DM, Kraehenbuhl, JP. Immunoglobulin G receptors of intestinal brush borders from neonatal rats. Ciba Found Symp 1983. 95:287-299.
    View this article via: PubMed Google Scholar
48. Roberts, DM, Guenthert, M, Rodewald, R. Isolation and characterization of the Fc receptor from the fetal yolk sac of the rat. J Cell Biol 1990. 111:1867-1876.
    View this article via: PubMed CrossRef Google Scholar
49. Benlounes, N, et al. Intestinal transport and processing of immunoglobulin G in the neonatal and adult rat. Biol Neonate 1995. 67:254-263.
    View this article via: PubMed CrossRef Google Scholar
50. Haimovici, F, Mayer, KH, Anderson, DJ. Quantitation of HIV-1-specific IgG, IgA, and IgM antibodies in human genital tract secretions. J Acquir Immune Defic Syndr Hum Retrovirol 1997. 15:185-191.
    View this article via: PubMed Google Scholar
51. Reynolds, HY. Identification and role of immunoglobulins in respiratory secretions. Eur J Respir Dis Suppl 1987. 153:103-116.
    View this article via: PubMed Google Scholar
52. Quan, CP, Ruffet, E, Arihiro, K, Pires, R, Bouvet, JP. High affinity serum-derived Fab fragments as another source of antibodies in the gut lumen of both neonates and adults. Scand J Immunol 1996. 44:108-114.
    View this article via: PubMed CrossRef Google Scholar
53. Waldmann, TA, Strober, W. Metabolism of immunoglobulins. Prog Allergy 1969. 13:1-110.
    View this article via: PubMed Google Scholar
54. Kozlowski, PA, Cu-Uvin, S, Neutra, MR, Flanigan, TP. Comparison of the oral, rectal, and vaginal immunization routes for induction of antibodies in rectal and genital tract secretions of women. Infect Immun 1997. 65:1387-1394.
    View this article via: PubMed Google Scholar
55. Belec, L, et al. Cervicovaginal overproduction of specific IgG to human immunodeficiency virus (HIV) contrasts with normal or impaired IgA local response in HIV infection. J Infect Dis 1995. 172:691-697.
    View this article via: PubMed Google Scholar
56. Belec, L, et al. Cervicovaginal synthesis of IgG antibodies to the immunodominant 175-199 domain of the surface glycoprotein gp46 of human T-cell leukemia virus type I. J Med Virol 1996. 50:42-49.
    View this article via: PubMed CrossRef Google Scholar
57. Berneman, A, Belec, L, Fischetti, VA, Bouvet, JP. The specificity patterns of human immunoglobulin G antibodies in serum differ from those in autologous secretions. Infect Immun 1998. 66:4163-4168.
    View this article via: PubMed Google Scholar
58. Bouvet, JP, Belec, L, Pires, R, Pillot, J. Immunoglobulin G antibodies in human vaginal secretions after parenteral vaccination. Infect Immun 1994. 62:3957-3961.
    View this article via: PubMed Google Scholar
59. Artenstein, AW, et al. Mucosal immune responses in four distinct compartments of women infected with human immunodeficiency virus type 1: a comparison by site and correlation with clinical information. J Infect Dis 1997. 175:265-271.
    View this article via: PubMed Google Scholar
60. Moldoveanu, Z, Clements, ML, Prince, SJ, Murphy, BR, Mestecky, J. Human immune responses to influenza virus vaccines administered by systemic or mucosal routes. Vaccine 1995. 13:1006-1012.
    View this article via: PubMed CrossRef Google Scholar