Paper I
2018 July (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Immunoglobulin G (IgG)

Q35 marksShort Essays

Answer

Immunoglobulin G (IgG) is the predominant immunoglobulin class in normal human serum, accounting for ~70–75% of total serum immunoglobulin, and is the principal antibody of the secondary (memory) immune response.

Structure: a monomeric molecule with the basic four-chain structure — two identical heavy chains (γ chains) and two identical light chains, linked by disulphide bonds, forming a “Y” shape with two identical antigen-binding (Fab) arms and one Fc (constant) region. Molecular weight ~150,000 Da.

Subclasses: four subclasses (IgG1, IgG2, IgG3, IgG4), differing in hinge-region structure and functional properties, with IgG1 and IgG3 being the most efficient complement activators.

Key properties/functions:

  • Only immunoglobulin class that crosses the placenta (via active FcRn-mediated transport), providing passive protection to the newborn during the first few months of life.
  • Predominant antibody of the secondary immune response — appears later than IgM in a primary response but persists for a much longer duration, providing long-term/durable immunity.
  • Efficiently opsonizes pathogens (Fc portion binds Fcγ receptors on phagocytes), enhancing phagocytosis.
  • Activates the classical complement pathway (via C1q binding).
  • Mediates antibody-dependent cellular cytotoxicity (ADCC) via NK cells.
  • Neutralizes toxins and viruses by blocking their attachment to host cells.
  • Distributed roughly equally between intravascular and extravascular compartments, owing to its smaller size (unlike IgM, which is mostly confined to the intravascular space).

Clinical significance: IgG levels/serology are used to assess immune status; IgG antibody titres generally indicate past rather than current/acute infection, an important distinction in interpreting serological tests (e.g., TORCH panel, dengue serology).

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