Antibody classes

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Antibody classes

Summer Strengthening Program

Summer Strengthening Program

Abnormal heart sounds
Normal heart sounds
Action potentials in myocytes
Action potentials in pacemaker cells
Baroreceptors
Blood pressure, blood flow, and resistance
Cardiac conduction velocity
Cardiac cycle
Cardiac excitation-contraction coupling
Cardiovascular system anatomy and physiology
Cerebral circulation
Changes in pressure-volume loops
Chemoreceptors
Compliance of blood vessels
Coronary circulation
ECG basics
ECG axis
ECG intervals
ECG rate and rhythm
ECG QRS transition
ECG normal sinus rhythm
ECG cardiac infarction and ischemia
ECG cardiac hypertrophy and enlargement
Cardiac conduction system
Excitability and refractory periods
Frank-Starling relationship
Laminar flow and Reynolds number
Lymphatic system anatomy and physiology
Microcirculation and Starling forces
Pressure-volume loops
Pressures in the cardiovascular system
Renin-angiotensin-aldosterone system
Resistance to blood flow
Stroke volume, ejection fraction, and cardiac output
Cellular structure and function
Selective permeability of the cell membrane
Cell-cell junctions
Osmosis
Cell signaling pathways
Cytoskeleton and intracellular motility
Cell membrane
Extracellular matrix
Endocytosis and exocytosis
Resting membrane potential
Nuclear structure
Atrophy, aplasia, and hypoplasia
Hair, skin and nails
Skin anatomy and physiology
Wound healing
Parathyroid hormone
Calcitonin
Vitamin D
Glucagon
Insulin
Synthesis of adrenocortical hormones
Cortisol
Thyroid hormones
Growth hormone and somatostatin
Adrenocorticotropic hormone
Endocrine system anatomy and physiology
Androgens and antiandrogens
Gastrointestinal system anatomy and physiology
Anatomy and physiology of the teeth
Enteric nervous system
Hunger and satiety
Esophageal motility
Chewing and swallowing
Gastric motility
Pancreatic secretion
Bile secretion and enterohepatic circulation
Liver anatomy and physiology
Carbohydrates and sugars
Proteins
Prebiotics and probiotics
Hydration
Fats and lipids
Blood components
Platelet plug formation (primary hemostasis)
Coagulation (secondary hemostasis)
Role of Vitamin K in coagulation
Clot retraction and fibrinolysis
Blood groups and transfusions
Introduction to the immune system
Vaccinations
Innate immune system
Complement system
B-cell development
T-cell development
Cytokines
Antibody classes
B-cell activation, differentiation, and contraction
Somatic hypermutation and affinity maturation
T-cell activation
VDJ rearrangement
MHC class I and MHC class II molecules
Cell-mediated immunity of CD4 cells
Cell-mediated immunity of natural killer and CD8 cells
Contracting the immune response and peripheral tolerance
B- and T-cell memory
Skeletal system anatomy and physiology
Cartilage structure and growth
Bone remodeling and repair
Fibrous, cartilage, and synovial joints
Muscular system anatomy and physiology
Muscle contraction
Slow twitch and fast twitch muscle fibers
Sliding filament model of muscle contraction
Neuromuscular junction and motor unit
Nervous system anatomy and physiology
Anatomy and physiology of the eye
Anatomy and physiology of the ear
Neuron action potential
Sympathetic nervous system
Parasympathetic nervous system
Adrenergic receptors
Cholinergic receptors
Pyramidal and extrapyramidal tracts
Basal ganglia: Direct and indirect pathway of movement
Cerebellum
Somatosensory receptors
Optic pathways and visual fields
Vestibular transduction
Olfactory transduction and pathways
Taste and the tongue
Vestibulo-ocular reflex and nystagmus
Auditory transduction and pathways
Photoreception
Somatosensory pathways
Cranial nerves
Brachial plexus
Muscle spindles and golgi tendon organs
Renal system anatomy and physiology
Body fluid compartments
Movement of water between body compartments
Renal clearance
Kidney countercurrent multiplication
Antidiuretic hormone
Osmoregulation
Regulation of renal blood flow
Measuring renal plasma flow and renal blood flow
Glomerular filtration
Proximal convoluted tubule
Distal convoluted tubule
Urea recycling
Tubular secretion of PAH
Tubular reabsorption of glucose
Physiologic pH and buffers
Buffering and Henderson-Hasselbalch equation
The role of the kidney in acid-base balance
Plasma anion gap
Acid-base map and compensatory mechanisms
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Phosphate, calcium and magnesium homeostasis
Loop of Henle
Anatomy and physiology of the female reproductive system
Estrogen and progesterone
Oxytocin and prolactin
Menstrual cycle
Pregnancy
Stages of labor
Breastfeeding
Menopause
Anatomy and physiology of the male reproductive system
Testosterone
Puberty and Tanner staging
Respiratory system anatomy and physiology
Lung volumes and capacities
Ventilation
Alveolar surface tension and surfactant
Anatomic and physiologic dead space
Alveolar gas equation
Hypoxia
Oxygen binding capacity and oxygen content
Oxygen-hemoglobin dissociation curve
Erythropoietin
Carbon dioxide transport in blood
Regulation of pulmonary blood flow
Zones of pulmonary blood flow
Pulmonary shunts
Ventilation-perfusion ratios and V/Q mismatch

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The immune response is highly specific for each invader, and that’s because the cells of the adaptive immune response have unique receptors that are able to differentiate friendly bacteria from potentially deadly pathogens by their unique parts - called antigens. The key cells of the adaptive immune response are the lymphocytes - the B and T cells. B cells develop in the bone marrow where they undergo a process called VDJ rearrangement to generate a massively diverse set of B cell receptors.

The B cell receptor is essentially an antibody except that it has a transmembrane part that goes through the membrane attaching the receptor to the surface of the B cell. The B cell receptor, has two heavy chains and two light chains, and the region or fragment of the B cell receptor that binds the antigen is called the fragment-antigen binding or Fab region. The Fab region is where the ends of the heavy and light chains meet, and there are two Fab fragments on each B cell receptor. The remainder of the heavy chain makes up the constant region or constant fragment region, also called Fc. The two heavy chains are linked to one another by disulfide bonds and each heavy chain is also linked to a light chain by a disulfide bond. Each B cell receptor, has two identical heavy and light chains, resulting in two identical antigen binding sites.

As the B cell develops into a plasma cell, the B cell receptor gets secreted as an antibody with the exact same antigen specificity. However, the heavy chain actually changes as the B cell develops. There are 5 major types of heavy chains which encode the isotypes or classes of immunoglobulins: IgM, IgD, IgG, IgA, and IgE. These five are encoded by heavy chain genes which are referred to by the greek letters mu, delta, gamma, alpha, and epsilon. Each of these immunoglobulins has a different function, shape, and consequently valence. The valence of an antibody is the amount of antigen binding or Fab fragments it has.

Immunoglobulin M, or IgM, is the first antibody response made in all immune responses. It makes up approximately 4% of the immunoglobulin found in the serum. This is because it serves as the the B cell receptor, and like a transformer, it has two completely different conformations.

When it’s serving as the B cell receptor it’s a monomer, and it has a valence of 2 meaning that it has two Fab regions. When IgM is secreted from a plasma cell it joins up with four other identical IgM antibodies, making a total of 5 antibodies that form a pentamer that’s held together by a J or joining chain. The J chain is a 15 kDa polypeptide chain that promotes the polymerization of the pentamer by covalently linking to the cysteines of the tails of the Fc regions of the IgM molecule. Because it’s a pentamer, secreted IgM has a valence of 10.

IgM is the first type of antibody produced in a primary immune response, meaning the first time you see a pathogen. Unlike all of the other antibodies, IgM can be made without T cell help, which also means that IgM doesn’t rely on a peptide antigen, and can even work against carbohydrates and lipids antigens. Finally, IgM is the most effective antibody at activating the complement pathway which is particularly helpful in fighting bacterial infections.

IgG is the most abundant immunoglobulin, making up 75% of the immunoglobulin found in serum! The IgG molecule is a monomer made up of two gamma heavy chains and two light chains, so its valence is 2. There are four subclasses of IgG molecules - IgG1, IgG2, IgG3, and IgG4 - and they have slight differences in their constant regions but all still make IgG molecules.

The most important role of IgG is to serve as an opsonin, and in general opsonins are terrific because they help phagocytes get a firm grip on bacteria. Normally, bacteria have an antiphagocytic capsule which makes them slippery and hard to grab. Opsonization is the process by which pathogens are coated with molecules so that they can be more easily picked up and eaten by phagocytes. Imagine trying to pick up a slippery meatball with your fingers versus stabbing it with a fork and then just having to pick up the fork.

Opsonization also makes it easier to eat meatballs faster too. In this case, IgG is serving as that fork, and the phagocyte has a receptor for IgG, knows as Fc gamma receptor, which allows it to bind to - or hold the fork. IgG is also great at activating the classical complement pathway, which helps destroy extracellular pathogens like bacteria.

For intracellular pathogens, like viruses, IgG works with natural killer, or NK, cells to perform antibody dependent cell mediated cytotoxicity, or ADCC.

In ADCC, IgG binds to specific antigens, typically viral antigens, that are expressed on the surface of target cells.

The NK cell then uses the molecule CD16, which is on its surface, to bind to the antibodies. This causes the NK cell to release granzymes and perforin that kill the target cell. Finally, IgG is the only antibody that can cross the placenta, so newborn babies are born with lots of maternal IgG that provides protection during the first 6 months of life.

IgA makes up about 20% of the serum immunoglobulin - and there it exists as a monomer with a valence of 2. Unlike IgG, it’s unable to cross the placenta and it’s unable to activate the classical or alternative complement pathways.

Key Takeaways

Antibodies, also known as immunoglobulins (Ig), are a type of protein produced by plasma cells as part of the adaptive immune response to foreign substances, such as a virus or bacteria. There are five main classes of antibodies, which are IgA, IgD, IgE, IgG, and IgM, with each class having a different role in fighting the infection.

Sources

  1. "Basic immunology: Functions and Disorders of the Immune System. ISBN 978-0443105197 " Elsevier (2023)
  2. "Production of monoclonal antibodies for therapeutic purposes: A review. 120:110376. " Int Immunopharmacol (2023)
  3. "Antibody-mediated immunity to SARS-CoV-2 spike. 154:1-69." Adv Immunol (2022)
  4. "Robbins & Kumar Basic Pathology. (11th ed.). ISBN: 978-0323790185 " Elsevier (2022)
  5. "Harrison’s Principles of Internal Medicine, Twenty-First Edition (Vol.1 & Vol.2) (21st ed., Vols. 1 & 2). ISBN: 978-1264268504 " McGraw-Hill Education / Medical (2022)
  6. "The evolving therapeutic landscape of trastuzumab-drug conjugates: Future perspectives beyond HER2-positive breast cancer. 113:102500." Cancer Treat Rev (2023)