CD32 is a low-affinity Fc gamma receptor expressed on immune cells (B lymphocytes, neutrophils, macrophages, NK cells) and platelets. It binds aggregated IgG or immune complexes, mediating phagocytosis, cytokine release, and immune modulation .
CD32 exists in three isoforms with distinct functions:
CD32B is critical in autoimmune regulation and is a therapeutic target for diseases like systemic lupus erythematosus (SLE) .
Cancer: Anti-CD32B antibodies (e.g., 2B6) deplete clonal plasma cells in systemic light-chain amyloidosis (AL), with 99% CD32B expression observed in patient-derived cells .
Autoimmunity: CD32B agonists suppress B-cell hyperactivity in SLE .
Expression: 99% of clonal plasma cells in AL patients express CD32B .
Therapy: Humanized 2B6 monoclonal antibody induces apoptosis in CD32B+ cells via ADCC/CDC mechanisms .
6C4 Antibody: Inhibits IgG binding to CD32A/B, reducing inflammatory responses in arthritis models .