Allergic responses result from the activation of mast cells by the human hi
gh-affinity IgE receptor. IgE-mediated allergic reactions may develop to a
variety of environmental compounds, but the initiation of a response requir
es the binding of IgE to its high-affinity receptor. We have solved the X-r
ay crystal structure of the antibody-binding domains of the human IgE recep
tor at 2.4 Angstrom resolution. The structure reveals a highly bent arrange
ment of immunoglobulin domains that form an extended convex surface of inte
raction with IgE. A prominent loop that confers specificity for IgE molecul
es extends from the receptor surface near an unusual arrangement of four ex
posed tryptophans. The crystal structure of the IgE receptor provides a fou
ndation for the development of new therapeutic approaches to allergy treatm
ent.