Germinal centres, B cell differentiation, and regulation Flashcards
Where does a B cell contact its Ag in the LN and where does it move to?
- contact Ag in follicle
- moves to paracortex (T cell zone) after contact
Where do B cells receive their second signal (co stimualtion)?
Receive costimulation from activated Th cells
Describe how B cells present Ag to T cells to get help
- B cells edocytose Ag bound to BCR (RME)
- peptides from internalized Ag.s are very efficiently present in MHC-ll
- cell-cell complex formed when MHC-II+Ag is recognized by activated Th cells
- allows B cells to receive costimulatory signals
What are the conditions that have to be met for a B cell presenting Ag to a Th cell?
- B cells receive help from T cells that recognize the same Ag
- epitope recognized by BCR does not have to be the same as that recognized by the TCR (linked recognition)
- B cells can also act as APCs and present Ag to naive T cells
What is the importance of linked recognition?
prevent auto-Ab production
What type of T cells do B cells present Ag to? What signals do they receive?
- B cells present to Th2 and TFH cells
- cotimulatory signal = CD40/CD40L
- cytokines = IL-4 and 21
When do T cells express CD40L?
Upregulated upon activation
What are the roles of Th2 cells in the context of B cell activation? (is it the primary activator subtype, how this subtype created, what does it do for B cells)
- not the primary B cell activator subtype
- naive T cells differentiate to Th2 in the presence of IL-4
- Th2 help limited to some B cell activation and induce class switch to IgE
What are the roles of TFH cells in the context of B cell activation? (is it the primary activator subtype, how this subtype created, what does it do for B cells)
- primary B cell activator subtype
- differentiate into TFH in the presence of IL-6 and 21
- TFH express Bcl-6 (master transcriptional regulator)
- migrate to B cell zone and are required to form germinal centres
- high CXCR5 and low CCR7 expression (attracts and retains TFH to B cell follicle)
- produce IL-21 to support differentiation of B cells
What are the effects of CD40L and cytokines (IL-2, 4, 5, 6 and 21) on B cells?
CD40L:
- transmembr protein expressed on the surface of activated Th2 and TFH cells
- signal required for affinity maturation, isotype switching, and memory
cytokines:
- secreted by Th cells to promote B cell proliferation and differentiation
- influences class switching
What is X-linked hyper-IgM syndrome? (what causes it, what are the effects)
- due to LOF mutations in CD40L
- effects
- impaired humoral immune response to TD Ag.s
- also have some defects in cell-mediated immunity
- don’t form germinal centres –> lack B cell memory, fail to make high affinity Ab.s, no class switching –> elevated serum levels of IgM
Why in X-linked hyper-IgM syndrome is cell-mediated immunity affected?
naive CD8+ T cells require CD40L stimulation
What are the three fates of B cells receiving T cell help?
- entry into germinal center
- IgM-bearing memory cells from primary response
- primary focus
What determines if a B cell will go into a germinal centre or primary focus?
High IRF-4 and BLIMP-1 expression –> inhibit Pax-5 and Bcl-6 (germinal center fate factors) –> plasma cell fate –> Ab secretion
What happens to B cells that go into primary focus?
- requires high IRF-4 and BLIMP-1
- formed at the T/B cell border in LN
- rapid production of IgM Ab.s
- can class switch to IgG
- low Ag affinity
- most die by apoptosis