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23 Cards in this Set

  • Front
  • Back
where does B cell activation occur?
in secondary lymphatic tissue
What do mature B cells express?
IgM and IgD
what happens to naive B cells in the absence of antigen?
they will die by apotosis
what does antigen-driven activation of B cells lead to?
this leads to the generation of plasma cells and memory B cells
What are T cell independent activators of B cells?
nonprotein antigens (LPS, lipids, nucleic acids)
How do T cell independent activators work? what does it result in?
these activated B cells by cross linking BCR and CR2.

this doesnt require t cell binding.

This results in limited class switching, limited memory cell generation
What is used to T cell dependent activation of B cells?
Proteins in class 2 MHC on B cell binds to TCR-
B-cell's CD40 then binds T cell.

this results in extensive class switching, memory cell generation, and affinity maturation
What does the antigen mediated cross linking of the BCR result in?
mitosis, expression of new surface molecules, and migration of cells
Where B cells migrate to after activation?
they migrate to the edge of the follicle (B zone)

they then interact with activated T helper cells. (2nd signal)
What receptors bind up during the second signal via Th cell interaction?
CD40 on the B cell binds CD40L on activated T cell.

B7 on B cell binds D28 on T cell
what does the second signal from T-cells encourge a B cell to do?
b cell proliferation and clonal expansion

(this takes place after CD40 (B cell) binds CD40L (activated T cell)
and B7 (b cell) binds CD28 (T cell)
What do short lived plasma cells produce?
IgM mostly
What do long lived plasma cells produce?
IgG and IgA (secrete low levels)
What is heavy chain class switching? when does it happen?
this is the switching of the base chain that a B cell produce (igM to IgG or something)

this happens after B cell activation and differentiation (CD40 and CD40L binding)
What is affinity maturation?
this is somatic hypermutation, exons encoding the variabile regions of H/L chains undergo high levels of point mutations. used to strengthen binding
what do follicular dendritic cells do?
these are used to help select B cells with specific antigens for the bound antigen.
B cells do their hypermutation thing, then attempt to Bind follicular dendritic cells. IF they bind tight, then they live!
What markers do memory B cells express?
mIgG, mIgA, mIgE
What antibodys to memory B cells mostly produce?
IgG
What is antibody feed back?
secreted IgGs inhibit continued B cell activation by forming Ag-Ab complexs- these bind Fcgamma receptors and BCR receptors
what do anti-idiotype antibodies do?
these are antibodies against the variable region of of BCR's and secreted anti bodies
What do pts with B cell immunodeficiencies typically present like?
reccurent pyrogenic infections (pus forming, from neutrophils) beginning at 6-12 months of age.
What is XLA? (Brutons aggamalobulinemia)

How is it treated?
these are low B cells, reccurent infections of encapsulated bacteria, (pneumoniae, influenzae, staph)

poorly differentated tonsils, adenoids, lymph nodes, and peyers patches.

This is treated by IV IG- (gamma globulin)
What is hyper IgM syndrome?
this is characterized by way high IgM levels, and next to no IgG, IgA, or IgE.

there is No CD40/CD40L interaction, to tell B cells to switch classes from their base IgM class (what they were created with)