B Cells and diseases Flashcards

1
Q

What is the basic structure of an antibody?

A

Antibodies consist of two heavy chains and two light chains, with variable and constant regions.

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2
Q

What are the major steps in B-cell development?

A

B cells develop in the bone marrow, undergoing gene rearrangement to express unique B-cell receptors (BCRs).

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3
Q

What is V(D)J recombination?

A

A process in which B-cell receptor genes are rearranged to create diverse antigen-binding sites.

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4
Q

How do B cells recognize antigens?

A

Through surface-bound immunoglobulin (BCR) that binds specific antigens.

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5
Q

What happens after a B cell binds an antigen?

A

The B cell processes and presents the antigen to T cells, receiving activation signals to differentiate.

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6
Q

What is isotype switching?

A

A process where B cells change their antibody class (e.g., IgM to IgG) while maintaining antigen specificity.

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7
Q

What is somatic hypermutation?

A

A mechanism that introduces mutations in the antibody variable region to improve antigen binding.

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8
Q

What is affinity maturation?

A

The process by which B cells with higher antigen affinity are selected for survival and expansion.

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9
Q

What are primary immunodeficiencies (PIDs)?

A

Genetic disorders affecting immune function, often resulting in recurrent infections.

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10
Q

What is X-linked agammaglobulinemia (XLA)?

A

A PID caused by a mutation in BTK, leading to absent B cells and low antibody levels.

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11
Q

How is Common Variable Immunodeficiency (CVID) diagnosed?

A

By measuring low immunoglobulin levels and poor vaccine responses.

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12
Q

What are monoclonal antibodies?

A

Lab-engineered antibodies designed to target specific antigens for therapeutic use.

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13
Q

How are monoclonal antibodies used in therapy?

A

They treat diseases like cancer and autoimmune disorders by targeting specific proteins.

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14
Q

What is immunoglobulin replacement therapy (IRT)?

A

A treatment for antibody deficiencies using intravenous or subcutaneous IgG.

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15
Q

Why is antibody diversity important?

A

It allows the immune system to recognize a vast array of pathogens, improving adaptive immunity.

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16
Q

What are the 4 ways of generating BCR diversity

A
  1. Random selection & rearrangement of V(D)J minigene segments
  2. Independant rearrangement at heavy and light chain loci
  3. Imprecision of junctions - random insertion of nucleotides at junction regions mediated by TdT
  4. Somatic hypermutation and affinity maturation: single point mutations in hypervariable regions & selection of highest affinity binders