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Summary SV The Immune System (Parham 4th) - Chapter 4

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Deze Engelse samenvatting bevat een ruim overzicht van onderwerpen besproken in Parham et al. 2012 'The immune System'. Onder andere: immuunlichaam productie, diversiteit en recombinatie. Het bevat alle belangrijken concepten en definities van Hoofdstuk 4 en het gebruikt afbeeldingen om het te ve...

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  • Hoofdstuk 4 (chapter 4)
  • 15 oktober 2020
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  • 2020/2021
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THE IMMUNE SYSTEM – PARHAM 4TH EDITION

CHAPTER 4

Antibodies
In adaptive immunity, extracellular pathogens and their toxins are cleared by antibodies or immunoglobulins, a
secreted form of the B-cell receptor. They are specific; they can bind only one or several antigens.
The total antibody repertoire that the body can produce is 1016.

Clonal selection =
Antigen binds BCR " differentiation into plasma cell " proliferation " many of the same antigen-specific Ig’s

 Agammaglobulinemia is an inability to make Ig’s; patients are highly susceptible to certain infections.

Structural basis of antibody diversity
Heavy chains = H chains (50 kDa)
Light chains = L chains (25 kDa)

Variable region = antigen-binding site; 1 L and 1 H-chain
Constant region = very little vibration between antibodies

Differences in the C – constant – region define 5 isotypes or classes:
 IgG gamma γ * monomers
 IgM mu μ pentamers
 IgD delta δ monomers
 IgA alpha α mono-/dimers
 IgE epsilon ε monomers
* corresponding heavy chains.

Two classes of light chain: kappa and lambda.
There is no functional difference and they pair with all H chain
isotypes.

The hinge region provides flexibility to the antibody.
It can be cleaved by proteases:
- 2 Fab fragments (Fragment Antigen Binding)
- 1 Fc fragment (Fragment Crystallizable)

The immunoglobulin superfamily
1. Immunoglobulin domain = motif of 100+ amino acids folded into a compact domain.
 V region consists of one variable domain: VH and VL
 C region consists of constant domains and varies per isotype:
IgG – IgD – IgA 8 C domains
IgM – IgE 10 C domains

2. Immunoglobulin-like domains are found in other areas,
3. mainly in cells and proteins of the immune system.

Variability and antigen-binding
There are three hypervariable regions (HV) per V domain.
= also called complementary determining regions: CDR1, CDR2, CD3
The Beta-sheets in between are made up by less variable framework regions.

Antibody binds to the antigenic determinant or epitope on a pathogen.
- Multivalent antigen = antigen with several (different) epitopes.
- Two categories: linear epitopes and discontinuous epitopes.

, - Non-covalent binding: van der Waals, hydrophobic interactions, H-bonds, electrostatic force. The affinity or
binding strength determines which antibody binds to the epitope.
Monoclonal antibodies
There are several clinical methods for getting antibodies of a desired specificity.
I. Antisera
You immunize mice with the appropriate antigen and prepare antisera from their blood.
For this, you need purified antigen.
II. Hybridoma
You isolate B-cells from immunized animals and fuse them with tumor cells to form hybridoma cell lines.
Then, you decide which of the antibody-producing cell line you will select.
One hybridoma cell line produces the same antibodies = monoclonal antibodies.
III. Flow cytometry
Measures the reaction between antibodies and cells.
- Used in medicine to study the cell populations in peripheral blood.
For example, by using fluorescent antibodies you can distinguish between B- and T-cells.

Intravenous immunoglobulin = IgG antibodies from 10.000+ healthy blood donors.
For example, in B-cell deficient children who are highly susceptible to encapsulated bacteria.

Monoclonal antibodies are used in therapy:
To prevent a host-response to the animal-part of the antibodies we can use two types…
 Chimeric monoclonal antibodies specific for CD3 on human T-cells to inhibit the T-cell mediated graft rejection.
 Chimeric means ‘formed with parts of animals’, since the V region is from a mouse.
 Rituximab is used to treat non-Hodgkin B-cell lymphoma. It binds to CD20 present on malignant and healthy B-
cells and signals NK cells to kill them. Patients still make antibodies since plasma cells do not have CD20.
 Humanized antibodies are created by humanizing the mouse antibodies by genetic engineering.
 CDR regions in the human Ig are replaced by the CDR sequences from mice.
 Omalizumab binds IgE and is used to treat severe allergic asthma.
 Human antibodies: antibodies are made by mice but the genes are replaced with human counterparts.
 Adalimumab binds TNF-α and is used in Rheumatoid arthritis.




Gene rearrangement of the antibody
Ig genes are fragmented in gene segments. This arrangement is called the germline form/configuration.
The segments must be rearranged to form a functional gene.
This occurs in development from B-cell precursors in the bone marrow.
When a functional heavy and light chain are produced, it appears at the B-cell surface.

V region rearrangement
L Leader peptides
C C-region
V V-region

For the V-region:
There are two types of segments that
encode the light-chain locus:
 Variable (V) gene segments Light chain:
 Joining (J) gene segments CDR1 and CDR2 diversity comes from differences in the sequence of V gene segments.
The heavy chain locus also contains: CDR3 diversity results from differences in sequence diversity at the V-J junction.
Heavy chain:
CDR1 and CDR2 diversity comes from differences in the sequence of V gene segments.
CDR3 diversity results from differences in the D segments and their junction with V and J.

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