Lecture 12 - B cell mediated responses Flashcards

1
Q

B cell survival: what maintains their survival in germinal centres?

A

B cells are inherently prone to dying, so maintaining their population is mostly reliant on survival signals:
* Antigen from APCs (dendritic cells)
* T cell interactions (Tfh cells)

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2
Q

Primary focus: what is it, what do they produce, how long do cells stay in it, what may they progress into, and how do they differentiate?

A

Primary focus - forms when T/B-cells encounter antigens and create a Focus that allows for T/B-cell development

Prompt secretion of specific Ab, mostly IgM isotype – immediate protection

T cells and B cells proliferate in primary focus for several days

Germinal centres - B-cells in the Primary Focus may move and form Geminal centres which allow for further proliferation, maturation, and development

  • Some B cells differentiate into antibody-synthesising plasmablasts, while others migrate to the lymphoid follicle
  • After a few days plasmablasts die or terminally differentiate into plasma cells.
  • Some plasma cells stay in lymphoid organs (short-lived) or migrate to bone marrow, where they continue to produce Ab.
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3
Q

Plasmablasts: what are they and what do they do?

A

Cells that secrete Ab but have features of activated B cells that allow interaction with T cells e.g. MHCII

After a few days, plasmablasts die or terminally differentiate into plasma cells that either stay in lymphoid organs (short-lived) or migrate to the bone marrow where they continue to produce Ab

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4
Q

Plasma cell differentiation: what are the associated morphological changes, how long do they survive, and do they interact with T-cells at this point?

A
  • Reflect a commitment to the production of large amounts of Ab (20% of protein synthesised by cell) - prominent perinuclear Golgi apparatus and extensive rER
  • Plasma cells can no longer present antigens to T cells as they do not express MHCII

Plasma cells can have a range of lifespans, some a few weeks some extremely long-lived – which explains the persistence of Ab responses

Not directly, but T cells can still provide important signals for plasma cell differentiation and survival e.g. IL-6 and CD40L

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5
Q

Germinal centres: what are they formed from, what are they, and what do they do?

A

Activated B-cells move from near to the T-cell-rich zone and form germinal centres

Areas of intense B-cell proliferation that cause B-cells to undergo intense proliferation and somatic hypermutation

B cells undergo several important modifications in germinal centre that produce more effective Ab response:
* Somatic hypermutation, alters V regions of immunoglobulin genes and enables affinity maturation – survival of B cells with high affinity for antigen
* Class switching allows the selected B cells to express variety of effector functions for Abs of different classes
* B cells differentiate into memory B cells or plasma cells (these produce high affinity class-switch Ab during latter part of primary immune response)

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6
Q

B cells in germinal centres: how long do they survive and what affects their survival?

A

Prone to dying very quickly

Need survival signals:
* Antigen – supplied by FDCs
* Tfh cell interactions

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7
Q

Peripheral B cell tolerance: what is it and what is it caused by?

A

Peripheral tolerance is a process that prevents autoreactive B cells from maturing in peripheral lymphoid tissues

B-cell activation requires T-cell help through activation to the same antigen and so since T-cells that react to self-antigen aren’t able to become activated, they can’t activate B-cells

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8
Q

What mechanisms are autoreactive b cells destroyed?

A
  • Failure to bind and present antigen -> fail to receive survival signals
  • Binding of soluble self-antigen -> apoptosis
  • T follicular regulators - suppress B-cell activation
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9
Q

Tfh: in what kind of ways do they affect B cells and how do they cause these effects?

A

Survival - BAFF, IL-4, costimmulation with CD40 - leads to BCL-2, BCL-XL, and MCL-1 expression

Proliferation - induced by CD40-CD40L binding

Differentiation - IL-21 secretion, causing B-cell BLIMP1 expression

Hypermutation - IL-21, IL-4 secretion causing B-cell TF expression - AID and BCL-6

Immunoglobulin class switching - IL-4, TGFbeta, IL-17, and IL-21 secreted and promote class switching

Adhesion - SAP binds to SLAMF

Attraction - CXCL13 secreted which causes CXCL5 expression

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10
Q

Class switching: what is it caused by and how random is it?

A

Class switching involves the rearranged V region of the heavy chain being placed in front of a different C region

The selection of a particular C region is not random but directed by cytokines but heavy V chains are random

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11
Q

Antibody distribution: why is a wide distribution required, what is their standard movement, and are there any exceptions?

A

Pathogens can find their way to most sites of the body – antibodies widely distributed to combat them

Diffusion

IgA - mucosal surfaces, IgA secreted as a dimer, binds to polymeric immunoglobulin receptor (pIgR) on overlying epithelial cells, and transcytosis occurs where it is released into the mucus layer by proteolytic cleavage of the extracellular domain of pIgR (aka secretory component) which remains associated with IgA as it is secreted and helps glue it in the mucus layer

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12
Q

Antibodies: how are they different between the classes and do they still have the same specificity?

A

Antibodies of different classes are adapted to function in different compartments of the body

Progeny of a single B cell can produce Abs that share the same specificity but provide protective functions appropriate to each body compartment

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13
Q

IgM: when is it formed, what is its affinity for specific antigens, where is it mostly found, what reaction is it best at causing, and what cytokines is it affected by?

A

First Ab formed - can be expressed without class switching

Typically low affinity but higher overall avidity - good at binding multivalent antigens

Usually found in the bloodstream (large-size pentamer) to control infections in the bloodstream (they may have serious consequences normally)

Complement

Inhibited by:
IL-4
TNF-gamma
TGF-beta

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14
Q

IgA: what is it, what does it do, what is its affinity for specific antigens, where is it mostly found, what reaction is it best at causing, and what cytokines is it affected by?

A

Monomeric Ab - principal class in secretions

Diffuse easily out of blood into tissues and can form dimers

High affinity - can neutralise bacteria toxins

IgA - poor opsonin and weak activator of complement, functions mainly as a neutralising Ab, often acting as dimeric IgA at sites where there are few phagocytes

Induced by:
* TGF-b
* IL-21
* IL-5 augments production

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15
Q

IgG: what is it, where is it found, what is its affinity for specific antigens, what reaction is it best at causing, what types are there, and what cytokines are they affected by?

A

Principal class of antibody in blood - the only antibody subclass that can substantially cross the placenta, monomeric Ab, can diffuse easily out of blood into tissues

High affinity - can neutralise bacteria toxins

IgG - strong neutralising Ab, efficient opsonin for engulfment of pathogens by phagocytes and good activator of complement

  • IgG1 - IL-4 (ind), IL-21 (ind), IFNγ (inh)
  • IgG2a - IL-4 (inh), IFNγ (ind)
  • IgG2b - TGF-β (ind)
  • IgG3 - IL-4 (inh), TGFβ (inh), IFNγ (ind)
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16
Q

IgE: what is it, what is its affinity for specific antigens, where is it mostly found, what reaction is it best at causing, and what cytokines is it affected by?

A

Monomeric Ab - can diffuse easily out of blood into tissues

High affinity

Low levels in the blood or extracellular fluid but bound avidly by receptors on mast cells

Activates mast cells and leads to coughing, sneezing, and vomiting – aiming to expel infectious agents

Induced by IL-4
Inhibited by INF-gamma

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17
Q

Antibody distribution: what is the standard method of transportation and what are some exceptions?

A

Diffusion

IgA - mucosal surfaces, IgA secreted as a dimer, binds to polymeric immunoglobulin receptor on overlying epithelial cells, and transcytosis occurs

18
Q

IL-4: what antibodies are induced and which are inhibited by its presence?

A

Induced:
* IgG1
* IgE

Inhibited:
* IgM
* IgG3
* IgG2a

19
Q

IL-5: what antibodies are induced and which are inhibited by its presence?

A

Induced:
* Augments IgA production

Inhibited:

20
Q

IL-21: what antibodies are induced and which are inhibited by its presence?

A

Induced:

Inhibited:
* IgG1
* IgG3
* IgA

21
Q

TGF-β: what antibodies are induced and which are inhibited by its presence?

A

Induced:
* IgG2b
* IgA

Inhibited:
* IgM
* IgG3

22
Q

IFN-γ: what antibodies are induced and which are inhibited by its presence?

A

Induced:
* IgG2b
* IgA

Inhibited:
* IgM
* IgG3

23
Q

IgG1: what does it do, what cytokines is it induced by, and what cytokines is it inhibited by?

A
  • Opsonizing microbes for phagocytosis
  • Activating the complement cascade
  • Neutralizing bacterial endotoxins and viruses

IL-4 and IL-21

IFN-γ

24
Q

IgG2a: what does it do, what cytokines is it induced by, and what cytokines is it inhibited by?

A
  • Binding and activating complement component C1
  • Enhancing antibody and T cell responses

IFN-γ

IL-4

25
Q

IgG2b: what does it do, what cytokines is it induced by, and what cytokines is it inhibited by?

A

Provides early FcγR-mediated effector functions

Induced by TGF-β

26
Q

IgG3: what does it do, what cytokines is it induced by, and what cytokines is it inhibited by?

A
  • Complement activation
  • Antibody-mediated phagocytosis
  • ADCC
  • Neutralization

IL-21 and IFN-γ

TGF-β and IL-4

27
Q

Neutralisation of antibodies: is it enough?

A

No, need to link to other effector mechanisms using their Fc region

Accessory effector cells (Macrophages, NK cells, DCs, granulocytes, etc) can bind to the Ab Fc region with their FcR and cause various effects:
* Facilitate phagocytosis of extracellular Ab-bound pathogens (macrophages, neutrophils and DC)
* Non-phagocytic cells triggered to secrete stored mediators (NK cells, basophils, eosinophils, mast cells, etc)

28
Q

FcR expression: are they the same on all accessory effector cells?

A

No, there are different types which result in different cell types becoming activated to different Fc regions on Abs

29
Q

Toxin neutralisation: what antibodies can do it, what are toxins structure, how do antibodies interact with this structure, and how can this be used to immunise individuals without harming them?

A

High-affinity IgG and IgA

Standard structure:
* Receptor-binding domain - one polypeptide chain
* Toxin function - on the second chain

Abs bind to receptor-binding site on toxin molecule – neutralizing antibody

Possible to immunise individuals with modified toxin molecules in which toxic chain has been denatured

30
Q

Antivenins: what are they, why are they helpful, and how are they administered?

A

Antivenoms - toxin neutralising antibodies that are generated from other species (ie horses)

Toxic single exposure can cause severe tissue damage or death

Individuals with potential exposure to the venom - given the antivenom to prevent it from getting worse (can’t fix damage already sustained)

31
Q

Viral infectivity: what antibodies can prevent it and how do they do it?

A

High affinity IgG and IgA

Bind to coating proteins on virus coating that allows binding and entry into cells

32
Q

Bacterial infectivity: what antibodies can prevent it and how do they do it?

A

High-affinity IgG and IgA

Bind to adhesins on bacteria coating that allows binding and entry into cells

33
Q

High affinity IgG and IgA: what can they do?

A

Inhibit bacterial and viral infectivity by binding to their mechanisms facilitating cell entry as well as binding to and neutralise toxins

34
Q

Macrophages: why must they not be activated by free Ig and how do bacteria become phagocytosed?

A

Phagocyte activation can cause an inflammatory response - we only want this to occur when necessary

May be recognised directly by phagocytes, but some bacteria have polysaccharide capsules which resist direct engulfment and they only become susceptible to phagocytosis when coated with antibodies and complement – engage Fcγ/Fcα and CR1 and ‘drag’ the bacteria into the phagocytes along with them

35
Q

What happens if invaders are too large to be phagocytosed?

A

Phagocyte attaches to the surface of the Ab-coated parasite and releases its secretory granules or lysosome by exocytosis, this is facilitated well by Fcγ and Fcα receptors

Principal immune cells involved in this killing:
* Macrophages
* Neutrophils
* Eosinophils (release toxic granules in response to Fc receptor cross-linking)

(ER)

36
Q

NK cells: how may they be activated by Abs?

A

Virally infected cells normally display viral antigens on their surface through MHC-I which can be bound by Abs which then can be bound by NK Fc receptors which then undergo cross-linking which signals the NK cell to trigger cell death (antibody-dependent cell-mediated cytotoxicity)

37
Q

FcR cross-linking: what is it, what cells use it, and what purposes do they use it for?

A

The process of chemically joining two or more Fc receptors together

  • Eosinophils - helminth attacking
  • NK cells - ADCC
38
Q

Fc receptors-dependent cell-mediated cytotoxicity

A

ER - its use in immunotherapy: targeting specific immune cells

39
Q

Mast cells: what are they, what Ig receptor do they express, what is their affinity for it, what is the effect of this, and what do they do?

A

Large cells with cytoplasmic granules containing histamine, found in high levels in submucosal tissues of the gut, respiratory tract and dermis of the skin

IgE with a high affinity

Allows them to bind IgE monomers in the blood despite low levels in circulation

Mast cells only become fully activated by FcR cross-linking which is facilitated by exposure to multivalent antigens

  • Mast cells help to mobilise defences
  • Acts rapidly to make local blood vessels more permeable
  • Following activation release lipid mediators e.g. prostaglandins, leukotrienes and TNF-α to initiate a local inflammatory response
  • Leads to the influx of blood-born cells e.g. neutrophils and monocyte-derived macrophages
40
Q

Mast cells: what organisms do they defend against?

A

Helminths and ticks

IgE antibodies increase during worm infection and tick bites, promotes killing of worm and tick resistance (skin sites of tick bite feed less on second bites due to degranulated mast cells)

41
Q

Mast cells: how may they cause allergic disease?

A
  • Derp1, a protein allergen produced by house dust mites, cleaves occluding in tight junction to enter mucosa
  • Derp1 is taken up by DCs for antigen presentation
  • DC travels to lymph nodes and primes Th2 cells
  • Th2 cells activate B-cells and induce B-cell class-switching to IgE production
  • Plasma cell travels back to the mucosa and produces Derp1-specific IgE antibodies
  • IgE activates mast cells which degranulate and cause allergic symptoms