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Prepublished online as a Blood First Edition Paper on March 20, 2003; DOI 10.1182/blood-2003-01-0023.

Submitted January 6, 2003
Accepted March 12, 2003
IVIg-mediated amelioration of murine ITP via Fc RIIB is independent of SHIP1, SHP-1, and Btk activity
Andrew R Crow, Seng Song, John Freedman, Cheryl D Helgason, R Keith Humphries, Katherine A Siminovitch, and Alan H Lazarus*
Transfusion Medicine Research, St Michael's Hospital, Toronto, ON, Canada
Canadian Blood Services, Canada
Cancer Endocrinology, British Columbia Cancer Agency, Vancouver, BC, Canada
Terry Fox Laboratory, British Columbia Cancer Agency, Vancouver, BC, Canada
Samuel Lunenfeld Research Institute, Mt. Sinai Hospital, Toronto, ON, Canada
* Corresponding author; email: lazarusa{at}smh.toronto.on.ca.
It has been established that amelioration of murine ITP by IVIg is dependent upon the inhibitory receptor Fc RIIB. Co-crosslinking of the Fc RIIB with the B cell receptor complex or with Fc RI in mast cells results in cell inhibition, which is mediated by recruitment of the inositol phosphatase SHIP1 to the cytoplasmic tail of the Fc R. The Fc RIIB can also associate with protein tyrosine phosphatase SHP-1 as a potential secondary target of the receptor. Alternatively, homoaggregation of Fc RIIB can induce a proapoptotic state in B cells that is dependent upon the presence of Bruton's tyrosine kinase (Btk), a kinase also expressed in monocytes. We sought to determine if these signaling pathways may direct IVIg-mediated Fc RIIB-dependent regulation of in vivo monocyte function in a murine model of ITP in which IVIg functions in an Fc RIIB-dependent manner. We demonstrate that SHIP1, SHP-1 and Btk deficient mice respond to the ameliorating effects of IVIg with the same kinetics as control mice. We conclude that IVIg-mediated inhibitory pathways operating via monocyte Fc RIIB may involve a transmembrane signaling pathway different from that of B cells.

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