Antibodies Flashcards

1
Q

What are antibodies produced by?

A

B lymphocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the origin of B lymphocytes?

A

Lymphocytes arise from stem cells in bone marrow, and differentiate in the central lymphoid organs (red), B cells in bone marrow, T cells in thymus. They migrate in bloodstream to peripheral secondary lymphoid organs (yellow), lymph nodes, spleen, gut-associated lymphoid tissue (GALT), Peyers patches, tonsils, appendix.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do B cells do before they are needed?

A
  • Naive B cells, ie that have not met antigen, circulate from blood into peripheral lymphoid tissues.
  • Peripheral lymphoid tissues are the main site of antigen encounter
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What role does the lymphatic system play in moving B cells around the body?

A

• Lymphatics drain tissues of fluid, through the lymph nodes and into the thoracic duct. Recirculating B cells enter back into the bloodstream by the thoracic duct.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How are lymph nodes organised?

A

Organised into cortex and inner medula. Cortex has an outer section of B cells organised into follicles (yellow), and a paracortical area of T cells and dendritic cells (blue). Germinal Centres of B cell proliferation form during an immune response. Medulla consists of macrophages and antibody secreting B cells (Plasma cells). Antigen (in DC) enter through afferent lymphatics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the two lymphatic/haemolytic areas of the spleen?

A

Red pulp (site of RBC destruction)

White pulp (lymphoid)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe blood flow in relation to B cell movement through the spleen

A

Blood carrying lymphocytes
and antigen enter from a trabecular artery into a central arteriole. They can then pass into a marginal sinus and exit through a trabecular vein.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do B cells and antigens encounter when in the spleen?

A

The marginal sinus is surrounded by lymphocytes, and within it is the periarteriolar sheath (PALS), made up of T cells. B cell follicles and a B cell corona also form. Important - antigen enters from blood rather than lymph.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the course of antibody production upon meeting an antigen

A

There are two responses; primary and secondary

In the primary response there is a lag phase while B cells activate, then antibody levels will begin to rise along a middling gradient as B cells begin antibody production peaking at around 12 days after the first vaccine.

In the secondary response antibody levels peak at over double the peak of the primary response in about 4 days, much faster than primary response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are B cells form a part of?

A

The adaptive immune response, the key features of which are antigen specificity, and memory.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the basic features of antibodies (Ab)

A
  • Antibodies can be expressed as membrane bound (B cell receptor - BCR) or secreted forms.
  • B cells express a single Ab specificity only.
  • Ab have two separate functions, firstly to bind the pathogen that elicited its production, and secondly to recruit other cells and molecules that will lead to clearance or destruction of the pathogen.
  • Ab are made of four polypeptide chains, two identical heavy (H) chains and two identical light chains (L). The H chains are disulfide bonded to each other, and each H chain is also disulfide bonded to a L chain.
  • Two L chain exist, lambda and kappa. Any individual Ab has either lambda or kappa, never a mixture of each. In human the ratio is 2:1 in favour of kappa.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe antibody structure

A

There are 4 heavy chains and 2 light chains, arranged into 3 termini: two N termini of one light and one heavy chain each and one C termini made up of two heavy chains (makes a “Y” shape)

The different termini are bound together by disulphide bonds that form a hinge region that also contains a carbohydrate on the C termini aspect.

There are also three distinct regions defined by their variability. Two variable regions on the most distal half of each N termini and the rest being defined as the constant region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where are the antigen binding sites on an antibody?

A

On the variable region found on each N termini

The top two prongs of the “Y”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the structure of the binding site of the antibody

A

The binding site for antigen
is contained in the Fab region, whilst The Fc region performs many of the functions of Ab, interacting with receptors etc. Fab and F(ab)2 fragments
are very useful tools in the laboratory, ie can be used to label cells without inducing the effects
of the Fc region, or in the case of Fab fragments, inducing receptor triggering or internalisation by crosslinking.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe hypervariability in V domains of antibodies

A

Three hypervariable loops determine antigen specificity by forming a surface complimentary to the antigen. Final specificity is determined by a combination of loops from H and L chains, and not either alone.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the three hypervariable loops found in antibodies?

A

HV3 (CDR3)
HV1 (CDR1)
HV2 (CDR2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe antigen binding to Ab

A

Antigens can bind in pockets or grooves, or on extended surfaces. A) small peptide bound in pocket. B) extended peptide from HIV protein bound in groove.
C) extended surface interaction of Ab with hen egg-white lysozyme.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe the generation of antibody diversity

A
  • The antibody repertoire in humans is at least 10 to the power of 11.
  • The number of antibody specificities available at any one time is limited to the total no. of B cells
  • Somatic Diversification theory proposed that repertoire is generated from a limited number of V region genes that undergo alteration. Essentially correct.
  • The sequence of a V region is generated by the somatic recombination of separate gene segments - Chromosomal Rearrangement
19
Q

What substances can generate an antibody response?

A

• Almost any substance can generate and antibody response. Even responses to simple single antigenic determinants are diverse, ie can comprise many different Abs.

20
Q

What was the old theory for how antibody diversity was generated?

A

Germline Theory suggested that a separate gene existed for each Ab. Not really the case.

21
Q

How are V regions constructed?

A

V region genes are constructed from multiple gene segments

Rearranging gene sections would still not account for the extreme diversity of Ab. So what else is happening?

22
Q

What genes are used to recombine into V regions?

A

Genome contains multiple V, J and D genes.

23
Q

How is the extra unaccounted for variability of V sections in antibodies created?

A

Junctional diversity

N-nucleotides, (non template-encoded) are added by terminal deoxynulceotidyl transferase (TdT).
After upto 20 nucleotides are added, pairing is attempted, followed by trimming off nonmatching bases, filling gaps and ligation to complete.

24
Q

So what is gross Ab diversity created by?

A
  • 1 -rearranging multiple gene segments
  • 2 - junctional diversity
  • 3 - different combinations of H and L chains
  • All the above happen during B cell development, long before it ever sees antigen
  • But there is also 4 - Somatic Hypermutation which occurs after B cells have become antigen activated in the lymph node.
25
Q

What is somatic hypermutation?

A

During the course of an immune response mutations accumulate in the V regions of the H and L chain genes. Some of these will bind antigen better and these cells are selected to expand and secrete antibody. This is called affinity maturation.

26
Q

What are the five classes of antibody as defined by their heavy chain?

A
IgG
IgM
IgD
IgA
IgE
27
Q

Describe the role of IgM in B cell membranes

A

All B cells initially express a membrane form of IgM (some also IgD). After antigen stimulation they can secrete a soluble version of the same IgM made by alternative mRNA processing. Cells also undergo isotype switching, where the IgM Heavy chain is swapped for IgG etc. This supplies functional diversity.

28
Q

What are antibody multimers?

A

IgM can be secreted as pentamers, IgA as dimers. Both involve an additional J chain in this process.

29
Q

Describe IgA secretion

A

4 steps:

Binding of IgA to receptor on basolateral face of epithelial cell (From IgA-secreting cell in lamina propria)

Receptor mediated endocytosis of IgA

Transport of IgA to apical face of epithelial cell

Cleavage of receptor releases IgA dimer from cell

30
Q

Where are IgG and IgM predominantly found?

A

In plasma

31
Q

What are the main antibody isotypes in extracellular fluid?

A

IgG and IgA

32
Q

What antibody isotype predominates in secretions across epithelia, including breast milk?

A

Dimeric IgA

33
Q

How does the foetus receive IgG?

A

by transplacental transfer.

34
Q

Where is IgE found?

A

IgE is found mostly near to epithelial Surfaces, especially gut, lungs and skin.

35
Q

What antibodies are found in the brain?

A

The brain is normally free from Ab.

36
Q

What is Ab function?

A

Blocking

Some examples:

  • Antibodies block binding to virus receptor
  • Neutralising antibody blocks binding of toxin to cell surface receptor
  • Antibodies bind to bacterium which then binds to Fc receptors on cell surface of macrophage which then causes phagocytosis to occur
37
Q

Describe antibody-dependant cell-mediated cytotoxicity (ADCC)

A

Antibody binds to antigens on the surface of target cells

Fc receptors on NK cells recognise bound antibody

Crosslinking of Fc receptors signals the NK cell to kill her large cell

Target cell dies due to apoptosis and or membrane damage

38
Q

Describe antibody-antigen complexes

A

An important mechanism for clearing soluble antigens. Taken up by phagocytes. Note, importantly, that high levels of Ab-Ag complexes are prevalent in some autoimmune disease, major cause of glomerulonephritis

39
Q

What is the clinical usefulness of monoclonal antibodies?

A

A powerful tool for

research, diagnosis and maybe treatment

40
Q

What are the new drugs based around antibodies?

A
  • Infliximab
  • Herceptin
  • Gleevac
41
Q

What is Infliximab?

A

Anti-Tumour Necrosis Factor (inflammatory mediator). Used in Rheumatoid Arthritis, Ankylosing Spondylitis, psoriasis, inflammatory bowel diseases.

42
Q

What is Herceptin?

A

Anti HER2 (human epidermal growth factor receptor 2) . Can block growth and lead to destruction of breast tumour cells that express high levels of HER2.

43
Q

What is Gleevac?

A

Anti-tyrosine kinase. Effective against Chronic Myeloid Leukemia.