Humoral Immunity Flashcards

1
Q

What are the receptors you would expect to see on a mature, naive B cell?

A
  • BCR: IgM, IgD, Igα, Igβ
  • Co-BCR: CD19, CD81, CR2 (CD21)
  • HLA II
  • CD40
  • CD20
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2
Q

What are the 3 types of B cells?

A
  • follicular B-2 cells: the majority, re-circulating B cells
  • marginal B-2 cells: reside in the spleen, blood-borne polysaccharide Ags
  • B-1 cells: mucosa, limited Ag specificity
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3
Q

How do B cells migrate through lymph and lymph nodes?

A
  • enter lymph nodes through high endothelium venules (HEV) in the cortex
  • slow down: L-selectin, CXCR5 (follilcular chemokine receptor); stable arrest: LFA-1
  • migrate to primary follicles to sample Ags and receive survival signals form follicular DC’s (FDC’s)
  • if there are too many B cells and not enough FDC’s, naive B cells will die within a week in absence of Ag
  • if no antigen is encountered, the B cell leaves and travels to next node
  • particulate Ag filters through the lymph draining through the sinuses of lymphoid tissues
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4
Q
  • these cells retain Ags in their follicles
  • not hematopoietic and do not process antigen or express MHC/HLA II, NOT AN APC
  • express receptors for C3b (CR1) and IgG (FcγR)
  • concentrate unprocessed opsonized Ag for naive B cells to sample for activation and activated B cells selecting of highest affinity Abs
  • secrete cytokines for B cell recruitment, survival, and differentiation
A

follicular dendritic cells (FDC’s)

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5
Q

What is the first signal of B cell activation?

A

recognition of antigen by BCR specific for that antigen epitope

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6
Q

What are the two types of second signals that occur for B cell activation?

A
  • T cell dependent: Th responses for second signal for protein antigens
  • T cell independent: second signal from overwhelming BCR linkage, mainly long repeating epitopes like lipids and/or polysaccharides
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7
Q

What are the 3 different pathways that occur to initiate the first signal in B cell activation?

A
  1. crosslinking of several BCR’s with signaling through Igα and Igβ ITAMs
  2. crosslinking of BCR with co-BCR with signaling through Igα and Igβ ITAMs and CR2 and CD19 signaling motifs
  3. crosslinking of BCR with TLRs with signaling through Igα and Igβ ITAMs and TLR signaling motifs

(all 3 can happen simultaneously)

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8
Q

What is the general process of first signal crosslinking of several BCRs with signaling through Igα and Igβ ITAMs?

A
  • antigen binds to mIg’s
  • must crosslink 2 or more BCR for signaling to occur
  • signaling occurs through ITAMs on Igα and Igβ cytoplasmic tails
  • Syk: B cell phosphorylation
  • intracellular steps are identical to T cell’s, only difference is in kinase involved in initial signaling steps
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9
Q

What is the general process of first signal crosslinking of BCR with co-BCR with signaling through Igα and Igβ ITAMs and CR2 and CD19 signaling motifs during B cell activation?

A
  • co-BCR: CR2, CD19, CD81
  • crosslinking of BCR by antigen generates a signal this necessary but not sufficient to activate B cells
  • antigen with bound C3d recognized by mIg’s and CR2 (opsonized)
  • CR2 provides cross linkage for signaling
  • signaling occurs through Igα and Igβ, CR2, and CD19 cytoplasmic tails
  • if C3d is attached to protein antigen, antigen is ~1000 fold more immunogenic
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10
Q

What is the general process of crosslinking of BCR with TLR’s with signaling through Igα and Igβ ITAMs and TLR signaling motifs during B cell activation?

A
  • crosslinking of BCR by antigen generates a signal that is necessary but not sufficient in activating B cells
  • TLR signaling: binding of antigen to both BCR and TLR
  • binding of PAMP leads to TLR signaling through cytoplasmic domains
  • amplifies signaling response of Igα and Igβ
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11
Q

How does the B cell that received a first signal “prepare” for the second signal? (5)

A
  1. express proteins that promote survival and cell cycling (increased survival, proliferation)
  2. endocytosis of BCR/antigen complex, processing/presentation of antigen through MHC II, increased B7 expression (interaction w/ T helper cells)
  3. increased expression of cytokine receptors (responsiveness to cytokines)
  4. increased expression of CCR7 (migration from follicle to T cell areas)
  5. secretion of IgM
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12
Q

How do B and T cells “meet in the middle” so to say during activation within the lympd nodes?

A
  • B cells change their chemokine receptor expression after activation and migrate to the edge of the follicular zone for interaction w/ T helper cells for second signal
  • T cells also change their chemokine receptors and move towards the edge of the follicular zone
  • B cells: downregulate CXCR5 and upregulate CCR7, migrate towards paracortex, increase expresion of MHC II and B7 (CD80)
  • T cells: downregulate CCR7 and upregulate CXCR5, migrate towards follicles, increase expression of CD40L and cytokine secretion

B CELLS ARE GOING OUT, T CELLS ARE COMING IN

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13
Q

What is the second signal in B cell activiation dependent on?

A

antigen composition

T-dependent: proteins (small)

T-independent: all others, long repeating epitopes that are able to crosslink several hundred BCRs to provide strong enough signal to by pass second signal from T cells

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14
Q

What is the general process of T dependent second signal during B cell activation?

A
  • activated T helper cell recognizes antigen displayed by B cell within MHC II
  • B7 on B cell binds to CD28 on T cell
  • CD40 on B cell binds to CD40L on T cell
  • cytokines binds to cytokine receptors on B cell
  • induced expression of activation-induced deaminase (AID) enzyme
  • proliferation and clonal expansion
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15
Q

What is the purpose of having a 2 signal approach during B cell activation?

A
  • first signal is important for recognition of antigenic epitope by BCR
  • second signal maintains the specificity of response to specific epitope

results in large number of antigen-specific plasma cells and antibodies from rare antigen-specific naive B cells

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16
Q

What happens to B cells that recognize an antigen but BCR does not crosslink, no binding of co-stimulatory ligands, or no cytokine support?

A
  • the B cell will become anergic or tolerant
  • IgM surface receptors internalized or capped, cell matures to express IgD
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17
Q

What happens after the B cell is fully activated after receiving the second signal from T cells?

A
  • B cells change their chemokine receptor expression (decrease CCR7, increase CXCR5) and migrate to follicular area and establish germinal centers in follicles
  • B cells begin cytokine mediated isotype switching and affinity maturation (somatic hypermutation) of BCR genes
  • successful rearrangements are selected by T follicular helper cells and FDC’s
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18
Q
  • type of T helper cell
  • expresses low levels of CD25
  • secretes IL-21: facilitates B cell survival, expansion, and differentiation
  • secretes T helper cytokines to influence isotype switching
  • continues CD40L binding for B cell induction of AID
A

T follicular helper cells

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19
Q

What are the 2 general functions of cytokines released by Th and Tfh cells?

A
  • induce heavy chain class switching, do this by opening switch regions in heavy chain gene for somatic recombination
  • augment B cell differentation and proliferation into plasma cells
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20
Q

Why is isotype switching in B cells only possible in T-dependent antigens?

A

isotype switching requires CD40/CD40L interaction between B and T cells

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21
Q

How does CD40:CD40L ligation trigger isotype switching and affinity maturation?

A
  • opening of cytokine defined switch regions upstream of heavy chain constant regions
  • expression of activation induced cytidine deaminase (AID) enzyme
  • VDJ gene segment recombines with a downstream C region gene and the intervening DNA is deleted
  • uses normal DNA repair enzymes
  • can only occur in B cells
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22
Q
  • introduction of point mutations in switch regions of variable areas of heavy and light Ig genes result in generation of high-affinity antigen specific antibodies
  • somatic hypermutation: 10^3 to 10^6 times more higher than normal spontaneous mutation rates
  • key enzyme: AID, converts C’s to U’s
  • mutations can be useful, sometimes not
  • isoptype switching and this process often occur at the same time
A

affinity maturation

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23
Q

How do FDC’s select for high affinity in B cell antibodies?

A
  • selective survival of B cells prod highest affinity Abs occurs in germinal centers
  • FDC and Tfh interactions with high affinity B cells are necessary for survival of B cell
  • FDC’s provide intact antigen to the new BCR for specificity sampling
  • if the BCR binds w/ higher affinity, the B clone is selected for further differentiation to plasma/memory cell
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24
Q
  • terminally differentiated effector B cell
  • short or long lived
  • long lived: bone marrow (IgG) and mucosa (IgA)
  • antibodies: effector molecules of humoral immunity
  • cell markers: decrease CD19, CD20, and HLA II; increase CD27, BCR IS ISOTYPE SWITCHED
  • secrete antibodies ranging from hundreds to thousands of antibodies/sec/cell
A

plasma cells

25
Q
  • survive for long periods of time w/o additional antigen stimulus
  • express high levels of anti-apoptotic protein (Bcl-2)
  • need survival signals in form of cytokine support
  • surface markers: CD27, CD45R, sIg class dependent
  • capable of mounting rapid response to subsequent exposure to same antigen that their BCR antibody is for (secondary immune response)
  • easily differentiate into plasma blasts upon activation
A

memory B cells

26
Q

Why does affinity maturation and isotype switching occur in BCR’s?

A
  • affinity maturation (somatic hypermutation) selects for antibodies that bind more tightly to the pathogen
  • isotype switching (to IgG) allows delivery of the pathogen to phagocytes
27
Q

How does T independent second signal B cell activation occur?

A
  • crosslinking and clustering of several hundred BCR’s
  • mainly seen w/ long repeating epitopes like polysaccharides
  • enough BCR’s engaged to trigger enough Igα and Igβ intracellular signaling to stimulate IgM secretion
  • no class switching, no affinity maturation, little to no memory
  • can provide IgM antibody protection in a short amount of time
28
Q

How is antibody feedback used in contraction of immune response?

A
  • if antibodies are in excess, it means they are no longer needed to clear the pathogen and the threat has been handled
  • immune complex majority, unbound pathogen minority (same pathogen that activated cell)
  • immune complex binds to Fc inhibitory receptor on B cells: FcγRIIB
  • FcγRIIB contains ITIM to block further signaling and activation of B cell
  • IgG only: unbound IgG cannot bind to the receptor
29
Q

Where do long-lived plasma and memory B cells migrate?

What does each subsequent response (activation) lead to?

A
  • migrate to bone marrow and mucosal lymphoid tissues
  • each activation leads to higher affinity antibodies and larger population of memory and long-lived plasma cells being generated
30
Q

What is the principle defense against extraceullar pathogens?

A

humoral immunity

31
Q

Where are antibodies produced?

Where do they perform their functions?

A
  • produced by plasma cells in the lymphoid tissues/organs
  • perform their functions at site distant from production
32
Q

What region of the antibody mediates their function?

What region of the antibody triggers their function?

A
  • function is mediated through Fc portion of antibody (different isotypes serve different effector functions)
  • functions are triggered by binding of antigen to Fab variable region (unbound antibody is non-inflammatory in serum)
33
Q

What are the 2 distinct functions of Fc portion of antibody?

A
  • delivers antibody to inaccessible anatomical sites
  • links bound antigen to molecules/cells that effect destruction (opsonin)

(Fc region contains binding sites Fc receptors (FcR): IgG and IgE; binding sites for complement: IgG and IgM)

34
Q
  • Fc receptor on immune cell
  • macrophages, neutrophils, eosinophils
  • phagocytosis, activation of phagocytes
A

FcγRI (CD64)

35
Q
  • Fc receptor on immune cell
  • macrophages, neutrophils, eosinophils, platelets
  • phagocytosis, cell activation (inefficient)
A

FcγRIIA (CD32)

36
Q
  • Fc receptor on immune cell
  • B cells, DC’s, mast cells, neutrophils, macrophages
  • feedback inhibition of B cells, attenuation of inflammation
A

FcγRIIB (CD32)

37
Q
  • Fc receptor on immune cell
  • NK cells
  • antibody dependent cellular cytotoxicity (ADCC)
A

FcγRIIIA (CD16)

38
Q
  • Fc receptor on immune cell
  • mast cells, basophils, eosinophils
  • activation (degranulation) of mast cells and basophils
A

FcεRI

39
Q

What is the purpose of immune complexes being able to bind via Fc receptors to immune cells?

A
  • binding to receptor leads to receptor endocytosis and antigen processing
  • binding of IC to FcR acts through signal transduction complexes to alter gene expression in cells
40
Q
  • IgG specific receptor
  • functions in recycling and transcytosis of IgG in a pH dependent manner
  • important in maintaining IgG levels in serum
  • increases half life of IgG by protection from proteolysis
  • expressed on APC’s, neutrophils, vascular endothelium, mucosal epithelial cells, podocytes
A

FcRn (n is for neonatal)

41
Q

What are the 7 main functions of antibodies?

A
  1. neutralization of microbes and toxins
  2. opsonization and phagocytosis of microbes (Fcγ receptor/phagocytes)
  3. antibody dependent cellular toxicity
  4. phagocytosis of microbes opsonized w/ complement fragments (C3b/C3bR)
  5. inflammation
  6. lysis of microbes
  7. complement activation
42
Q
  • many microbes and toxins bind to surfaces of cells to gain entry
  • this works by sterically hindering binding of microbes and toxins
  • only requires binding to antigen (any antibody class, higher the affinity, the better)
  • important in viral infections that spread via extracellular mechanisms
A

neutralization of microbes and toxins

43
Q
  • when an IC binds to Fc receptor on immune cell and promotes phagocytosis/increased activation of phagocyte
  • increased killing enzyme prod and ROS bursts to degrade pathogen
  • increased expression of co-stimulatory ligands and cytokines for Th cell interactions
A

opsonization and phagocytosis of microbes

44
Q
  • antibody directed mechanism of action
  • most rapid and efficient pathway
  • initiation: IgG (2) or IgM
  • Fc conformational change exposes C1q complement receptor
  • IgM exposes all fiver C1Rs (efficient complement fixer)
  • 2 molecules of IgG must be bound close enough for C1 to bind multiple globular domains of C1q to activate enzymes
A

complement activation (classical pathway)

45
Q

How does cooperation of IgG and C3b improve immune reponse?

A
  • opsonin mediated phagocytosis
  • pathogen bound by antibody and complement proteins are much more readily phagocytosed and stimulate phagocytic killing mechanisms
  • stronger phagocyte responses than just C3b or IgG alone
46
Q

How are immune complexes cleared from circulation in a non-inflammatory manner?

A
  • small immune complexes forms in circulation and actives complement system
  • through complement system, immune complex is coated with covalently bound C3b
  • CR1 on erythrocyte surface binds C3b-tagged immune complex
  • erythrocyte carries immnune complex to the liver or spleen, where it is detached and taken up by resident macrophage
  • erythrocytes continue to circulate
47
Q

What is the process of antibody dependent cellular cytotoxicity through NK cells?

A
  • IgG binds to surface bound antigens
  • NK cells bind to antibody-coated cells by Fc receptors ( low affinity FcγRIII (CD16))
  • degranulation of NK cell perforin and granzyme granules
  • induced apoptosis of target cell
48
Q
  • type of antibody mechanism
  • involves killing by NK cells, macros, neutrophils, eosinophils
  • targeted recognition through IgG or IgE binding to surface antigens
  • FcR on immune cells bind to antibody activating killing mechanisms
  • killing by lytic enzymes, TNF and perforin/granzyme
A

antibody dependent cell mediated cytotoxicity (ADCC)

49
Q

How does IgE antibody stimulate eosinophil activation?

A
  • Th2 cytokines influence class switching to IgE
  • IgE binds to FcεR on mast cells and eosinophils
  • antigen binding causes degranulation of cell
  • granular content is specific for defense against helminths
  • type 1 hypersensitivity
50
Q
  • MALT/GALT
  • protection at the most common portals of entrance (non-inflammatory)
  • IgA secretory antibody (J chain and secretory peptide)
A

mucosal immunity

51
Q
  • antibodies to blood group antigens we don’t have on our RBCs
  • mainly IgM and IgG, some IgA
  • produced by B-1 and marginal zone B cells in MALT and spleen (exposure to intestinal bacteria, viral/food antigens)
  • may play a role in: autoimmune dz, inflammatory dz, immune homeostasis
A

natural antibodies

52
Q

How does a mother confer immunological protection to her fetus and neonate?

A
  • during pregnancy, fetus receives IgG from maternal circulation (only class of Ab that crosses placenta)
  • additional protection provided by maternal IgA secreted in breast milk after birth
53
Q

How is the IgG antibody able to cross the placenta to fetus?

A
  • IgG leaves circulation of mother and enters extracellular spaces within tissues via transcytosis mediated by FcRn
  • maternal IgG pinocytosed and bound to FcRn in endosomes (acidic)
  • FcRn targets bound IgG for endosome translocation to fetal circulation where it is released (neutral pH)
  • only happens with IgG antibodies (broad protection)
54
Q

What is the antibody timeline for a neonate?

A
  • after birth, remaining maternal IgG degrades over a few months
  • IgM and IgA are prod a short time prior to birth, but not in high quantities
  • IgG is prod after birth
  • all antibodies have a lag time for developing protective quantities in serum
  • neonates are vulnerable for around 6-12 months
55
Q

What are the 2 types of immunization?

A
  • passive: introduction of antibody or antiserum into a naive recipient (immediate, no memory)
  • active: introduction of an antigen that provokes and adaptive immune response (lag time, memory)

there is also combined which is designed to be both immediate and durable protection

56
Q
  • type of immunization
  • immediate but transient, uses preformed antibodies
  • prevents disease after known exposure
  • ameliorate sx of ongoing dz
  • protect immunosuppressed patients
  • block action of bacterial toxins and prevent dz they cause
  • ex: snake bite anti-venom; passive transfer of Ig from mother to child
A

passive immunization

57
Q
  • therapeutic replacement for antibody deficiencies (pooled donor = lots of variation)
  • rapid protection after exposure (immune serum from immune individuals)
  • can treat autoimmune/inflammatory dz: possible surplus Abs engage inhibitory FcRIIB on B cells and suppress immune response; possible FcRn involved by overwhelming receptor availability decreasing half life of pathogenic antibodies
A

intravenous immunoglobulins (IVIG) therapeutics

58
Q
  • antibody therapeutic
  • highly specific recognition of epitope (high affinity)
  • stimulate a variety of immune responses (can lead to side effects)
  • can produce large quantities quickly (expensive)
  • tx: cancers, autoimmune dz
A

monoclonal antibody therapeutics

59
Q

What are the 3 mechanisms of humoral evasion?

A
  1. antigenic variation: viruses (influenza, HIV), bacteria (neisseria gonorrhoeae, E. coli)
  2. inhibition of complement activation: many bacteria
  3. blocking by hyaluronic acid capsule: streptococcus