B Cell/Antibody Function Flashcards
X-linked Agammaglobulinemia (XLA)
Defect in gene encoding Bruton’s tyrosine kinase (BTK)
Defective enzyme function
Defective enzyme level
Responsible for B cell maturation, survival, proliferation
X chromosome
Absence of B cells
Decreased IgG, IgA, IgM
Immune Deficiency (primary, secondary causes, estimations, live births)
Primary: Not caused by other factors; you’re born with it or develops for unclear reasons
Secondary: Caused by other factors
Diseases, medications, malnutrition could cause immune deficiency
200 primary immune deficiency diseases
1:1,200 live births
B cell deficiencies (what is absent, reduced, what is infectious consequence)
Absent or reduced follicles in germinal centers in lymphoid organs
Reduced serum Ig levels
Infectious consequence:
Pyogenic bacterial infections, enteric bacterial and viral infections
T cell deficiencies (reduced or defective, infectious)
May be reduced T cell zones in lymphoid organs
Reduced DTH reactions to common antigens
Defective T cell proliferative responses to mitogens in vitro
Infectious:
Viral and other intracellular microbial infections (Pneumoncystis jiroveci, other fungi, non-TB mycobacteria)
Virus associated malignancies
(EBV lymphomas)
Bad bacteria, opportunistic infections
Innate immune deficiencies
Variable abnormalities, depending on which component
Variable infections: pyogenic, bacterial, viral
B Cell maturation (and CD surface molecules)
Hematopoietic stem cell Lymphocyte Precursor Pro-B cell ~VDJ recombination~ Pre-B cell BTK checkpoint Immature B cell mature B cell
Surface molecules aka CD20 CD19 etc. change throughout development. If you want to give a drug that targets CD20, it would wipe out ever cell that has that marker, but not all (ex. plasma protein)
B lymphocyte (antigen recognition, effector functions)
Recognizes antigen
Neutralizes microbe
Phagocytosis
Complement activation
Helper T lymphocyte (antigen recognition, effector functions)
Microbial antigen presented by APC
Releases cytokines
- Activation of macrophages
- Inflammation
- Activation (proliferation and differentiation) of T and B lymphocytes
Cytotoxic T lymphocyte
Infected cell expressing microbial antigen
Killing of infected cell
B lymphocyte function (3)
- Produce antibodies
T dependent or T independent
Membrane bound (B cell receptor)
Secreted - Plasma cells: Long living mature B cells
Produce high affinity antibodies even after antigen removal
Stimulated by infections and vaccines - Memory cells: long living mature B cells
Do not produce antibody
Ready to rapidly respond upon antigen reintroduction
Antibody structure
2 identical heavy chains (Y) (1V, 3-4C domains)
2 light L chains (1V, 1C domain)
Variable V region
Variable
Diversity
Joining
Constant C region
Disulfide bonds
C terminus either anchored in plasma membrane (BCR) or terminate so it is secreted
Immunoglobulin domain (antibody)
Folded layers of a B pleated sheet held together by a disulfide bond connected by protruding loops
Fab (antibody)
Fragment antigen binding region
Hinge region (antibody)
flexibility for increased binding to the 2 Fab regions
Fc (antibody)
Fragment crystalline region
Crystalizes in solution
Responsible for the biologic activity of antibodies