Fc-gamma Receptor I/CD64

Fc-gamma receptor I, designated CD64, is the sole high-affinity IgG Fc receptor in humans, expressed constitutively on monocytes and macrophages and inducible on neutrophils by IFN-gamma and G-CSF. Unlike low-affinity Fc gamma receptors that bind only immune complexes, CD64 binds monomeric IgG1 and IgG3 with nanomolar affinity through three extracellular immunoglobulin-like domains, making the receptor occupied even at resting IgG concentrations. Crosslinking triggers phagocytosis, antibody-dependent cellular cytotoxicity and release of inflammatory cytokines via ITAM-bearing gamma chain adaptors. Upregulation of CD64 on neutrophils is an early biomarker of bacterial infection and neonatal sepsis.