The major mucosal immunoglobulin,
IgA, consists of two basic units joined by a J
chain. The addition of a secretion molecule
prevents its digestion by enzymes present
in mucosal and intestinal secretions. Thus,
IgA2 is the major IgA molecule in secretions
and is quite effective in neutralizing antigens
that enter via these mucosal routes.
IgA1, the main IgA molecule in serum, is,
however, susceptible to inactivation by
serum proteases and is thus less active for
defense. Its function is unclear at present.
Two other classes are worthy of note.
IgD is synthesized by antigen-sensitive B
cells and is involved in the activation of
these cells by antigen. IgE is produced by
plasma cells and binds to specifi c IgE receptors
on most cells and basophiles. This molecule
(see Chapter 9) plays an extremely important role in allergic reactions and
expelling intestinal parasites, which is
accomplished by increasing vascular permeability
and inducing chemotactive factors
following mast cell degranulation.
Given this extraordinary ability to generate
large numbers of antibody molecules,
how does the immune system recognize
all pathogens, including past, present,
and future? This diversity is achieved by
the way in which the genetics of antibody
production is arranged (see Figure 1.3).
The light and heavy chains are carried on
different chromosomes. The heavy chain
genes are carried on chromosome 14. These
genes are broken up into coding systems
called exons with intervening segments of
silent segments called entrons. The exons
represent the central region of the heavy chain and a large number of V regions.
Between the V and D genes are two small
sets of exons called the D and J. With each
single B cell, one V gene is joined to one D
and J in the chromosome. The product, the
VH domain, is then joined at the level of
RNA processing to Cu and the B cell makes
an IgM molecule. By omitting the Cu gene
and joining VHDJ to a Cλ an IgG molecule is
produced. This enormous versatility allows
the cell to make IgM, IgD, IgG, IgA, or IgE in sequence while using the same variable
regions (see Figure 1.4). The heavy chain
gene recombinations are controlled by two
recombination activity genes called RAG1
and RAG2. If these genes are eliminated by
“knock-out” techniques in mice, profound
immunodefi ciency status occurs in these
animals, characterized by absent mature B
and T cells.
Thus, the diversity of antigen binding is achieved by the large number of V genes available and their combination with
different D and L genes to provide different
antibodies. Furthermore, the inherited
set of genes may be increased by somatic
mutation during multiple divisions of lymphoid
cells, thereby increasing the number
of antibody specifi cities to 1014, which far
exceeds the number of B cells (1010) in the
body.
Once a given B cell is preselected to produce
a particular VH and VL domain, all the
ensuing progeny of that B cell will produce
the same VH or VL domain. The sequence
of events is as follows: initially, the B cell
produces intracellular antigen-specific
IgM, which becomes bound to the cell surface.
The B cell is now antigen responsive
with exposure to a given antigen. The committed
B cell begins producing a certain
isotype or class of immunoglobulins and
begins dividing, and all the progeny will
produce the identical immunoglobulin molecules.
These B cells will later mature into
either plasma cells or long-term memory
B cells.
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