Lecture 7.2 Flashcards

1
Q

B cell activation requires two _____, where from?

A

two signals

  1. one from antigen binding to the B cell receptor
  2. the other from Tcell (Th2 cell delivers second signal via CD40 ligand and cytokines)
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2
Q

TH2 cells contain what important costimulatory molecule for B cell activation?

A

CD40L

binds to CD40 on B cell

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3
Q

What determines whether a B cell becomes a memory or plasma cell?

A

**Cytokines - **released from TH2 cells

( = the third signal after antigen and CD40L)

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4
Q

What is the first chain to undergo rearrangement in B cell development

A

the Heavy chain

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5
Q

During IgH rearrangement, ____ are recombined first, followed by _____

A

D+J on both chromosomes

V-DJ on the first chromosome

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6
Q

What happens if the V-DJ rearrangement on the first chromosome is unsuccessful?

A

V-DJ rearrangement on the second chromosome occurs.

If THAT one is unsuccessful, the cell is signaled to undergo apoptosis

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7
Q

How many cells undergo apoptosis/survival during the transition from Late ProB cell to Pre-B cell?

A

50% apoptosis

50% signaled to go on to become PreB cell

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8
Q

PreB cell contains ____ on its surface

How does this differ from a mature B cell?

A

PreBcell receptor

It has a surrogate light chain that is made of VpreB + λ5 instead of a normal light chain

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9
Q

The surrogate light chain of a PreBcell receptor allows…

A

H chain expression on the surface of the PreB cell

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10
Q

Which gene rearrangement occurs at the PreB cell stage?

A

L chain gene rearrangement

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11
Q

Describe L chain rearrangement (fallback) steps

A

(Assuming each step is unsuccessful)

  1. Rearrange K gene on 1st chromosome
  2. Rearrange K gene on 2nd chromosome
  3. Rearrange Lambda gene on 1st chromosome
  4. Rearrange Lambda gene on 2nd chromosome
  5. Apoptosis
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12
Q

____ is the first L chain gene to rearrange, followed by ____

A

Kappa

Lambda

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13
Q

__% of cells fail at L gene rearrangement, resulting in apoptosis

A

90%

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14
Q

Successful rearrangement yields what two types of IgM

A

µ/K or µ/λ

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15
Q

Allelic exclusion ensures that B cell…

A

expresses Ig molecules with only ONE specificity

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16
Q

Mechanism of Allelic Exclusion

A

Successful gene rearrangement of one allele will shut down rearrangement of the other allele.

17
Q

______ rearrangements are possible at the Ig Light chain loci

A

Successive

(e.g. 2nd and 3rd VJ rearrangements)

18
Q

What are the two “checkpoints” of B cell development?

A

Selection of functional heavy chains and light chains

19
Q

The second step in B cell development involves negative selection of…

A

self-reactive B cells

20
Q

Explain negative selection of B cells in terms of where cells go in each situation

A
  • If the immature B cell doesn’t react* with bone marrow cell, it moves to the blood and expresses both IgD and IgM
  • If it does react* with the bone marrow cells, it stays put
21
Q

Self reactive B cells continue to…

A

make a new light chain (and thus change specificity), and continue rearrangement of VJ segments.

It leaves once it comes up with one that isn’t self reactive

22
Q

In receptor editing, the B cell keeps rearranging its light chain genes until…

A

it either runs out of VDJ light chain segments or it successfully rearranges and leaves into the blood

23
Q

B cell that binds soluble antigen…

A

undergoes anergy

24
Q

What happens when a B cell becomes anergic?

A

It’s stimulated to produce only IgD (not IgM) and becomes unresponsive to antigens

It enters the bloodstream but dies quickly after

25
X linked agammaglobulinemia is a \_\_\_\_, _____ disease, and is a defect of what gene
_Recessive_, _X linked_ disease defective **Bruton's Tyrosine Kinase** (BTK)
26
Effects of X linked agammaglobulinemia
Reduced Pre-B cells, no mature B cells \*Thymus is NORMAL (and Tcells normal)
27
Treatment for X-linked agammaglobulinemia?
IVIG antibiotics
28
Why does the patient with X linked agammaglobulinemia NOT have tonsils?
No B cells = no follicles (T cells still present)
29
How are immature B cells attracted to lymph node?
CCL21 + CCL19 They enter via HEVs
30
What happens once B cell enters the lymph node
They are attracted into the **primary follicle** by chemokine **_CXCL13_**
31
What drives the maturation of immature B cells once they get into the lymph node?
They interact with **follicular dendritic cells,** which secrete **_BAFF_**
32
Clinical significance of BAFF
**Anti-BAFF MAb's** are used to treat SLE (SLE = B cells make antibodies against _histones_, and form _immune complexes_ that deposit in the kidney and skin)
33
5 Important differences between B-1 and B-2 cells
B1 are the weird ones, B2 are normal. B1 cells: * Produce more IgM \> IgG * fetal * have _low diversity_ (N and V regions) * do NOT need T-cell help * DONT undergo **somatic hypermutation**!
34
The IgM produced by B-1 cells are...
polyreactive some have self recognition, but operate at low affinity so they are less likely to cause disease
35
At any stage of B cell growth, it is possible to form... Examples? (3)
**neoplasms** Acute lymphoblastic leukemia = lymphoid progenitor Hodgkin's = Germinal center B cell Multiple myeloma = Plasma cell