“…However, the neutralizing activity mediated by the Fv domains of these antibodies has been found to be insufficient for their protective effects in numerous settings(Clynes et al, 2000; Johnson and Glennie, 2003; Schmidt and Gessner, 2005; Hessell et al, 2007), and evidence of the importance of the constant domain's effector function in clinical outcomes has been accumulating across fields ranging from cancer immunotherapy(Dall'Ozzo et al, 2004) to autoimmunity(Laszlo et al, 1986) and chronic viral infection(Shore et al, 1974). Analogously to the Fv escape mechanisms such as mutating surface epitopes, several pathogens evade the Fc-mediated antibody response by expressing proteases that restrict the Fc domain(Shakirova et al, 1985; Berasain et al, 2000; Collin et al, 2002; Vidarsson et al, 2005; Aslam et al, 2008), or glycosidases that remove the sugar residues required for interaction with Fc receptors(Allhorn et al, 2008). Combined, these evasion mechanisms and clinical correlates provide strong evidence as to the importance of Fc-based effector functions in the therapeutic activity of antibodies.…”