Fcγ receptors (FcγRs) play critical roles in humoral and cellular immune responses through interactions with the Fc region of
immunoglobulin G (
IgG). Among them, FcγRI is the only high affinity receptor for
IgG and thus is a potential target for
immunotherapy. Here we report the first crystal structure of an FcγRI with all three extracellular Ig-like domains (designated as D1, D2, and D3). The structure shows that, first, FcγRI has an acute D1-D2 hinge angle similar to that of FcεRI but much smaller than those observed in the low affinity Fcγ receptors. Second, the D3 domain of FcγRI is positioned away from the putative
IgG binding site on the receptor and is thus unlikely to make direct contacts with Fc. Third, the replacement of FcγRIII FG-loop ((171)LVGSKNV(177)) with that of FcγRI ((171)MGKHRY(176)) resulted in a 15-fold increase in
IgG(1) binding affinity, whereas a
valine insertion in the FcγRI FG-loop ((171)MVGKHRY(177)) abolished the affinity enhancement. Thus, the FcγRI FG-loop with its conserved one-residue deletion is critical to the high affinity
IgG binding. The structural results support FcγRI binding to
IgG in a similar mode as its low affinity counterparts. Taken together, our study suggests a molecular mechanism for the high affinity
IgG recognition by FcγRI and provides a structural basis for understanding its physiological function and its therapeutic implication in treating
autoimmune diseases.