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1、B-cell tolerance: mechanisms and implications,Company Logo,Contents,1. Introduction,2. Decision between tolerance and immunity,3. Mechanisms of tolerance,4. Breakdown of B-cell tolerance,Company Logo,Introduction,It is essential that tolerance be imposed on the B-cell as well as the T-cell repertoir

2、es. The main reasons for this are: (a) the spectrum of functional activities performed by B-cells that include not only antibody production, but also antigen presentation and secretion of pro-inflammatory and anti-inflammatory cytokines ; (b) the fact that the B-cell repertoire is generated in two s

3、tages: in the first, V(D)J recombination occurs within the bone marrow (BM) to create the pre-immune repertoire, while the second involves somatic hypermutation (SMH) of immunoglobulin (Ig) variable region genes within germinal centres (GCs) following antigen stimulation and provision of co-stimulat

4、ory signals from T-cells and/or external pathogens,Company Logo,Introduction,In each case, the primary goal is to diversify the repertoire of B-cell specificities against foreign antigens, although the random nature of both V(D)J recombination and SMH inevitably leads to the appearance of cells expr

5、essing anti-self B-cell receptors (BCR) within both repertoires. tolerance,Company Logo,Introduction,Multiple overlapping mechanisms of tolerance at several checkpoints in B-cell differentiation have evolved to deal with the ever-present threat of autoimmunity posed by the generation of self reactiv

6、e B-cells.,Company Logo,Decision between tolerance and immunity,For B-cells, the decision between tolerance and immunity can still be explained within the framework of the two-signal hypothesis of Bretscher and Cohn.,Company Logo,Decision between tolerance and immunity,Company Logo,Decision between

7、tolerance and immunity,Company Logo,Mechanisms of tolerance,The requirement for multiple checkpoints to purge the B-cell repertoire of unwanted anti-self-specificities is now well accepted in both mice and humans.,primary,Company Logo,Central tolerance,Selection in the BM is mediated by deletion and

8、 receptor editing for B-cells with high to moderate avidity for self antigens.,No equivalent of the AIRE gene, which mediates expression of peripherally restricted antigens in the thymus, has been identified in BM, nor is it required given the fact that B-cells interact directly with antigen.,Compan

9、y Logo,Central tolerance,Company Logo,Peripheral tolerance,Only 10% of newly generated immature B-cells emerge from BM as transitional (T1 then T2) cells,Company Logo,免疫忽视,Company Logo,Th,B,CD40,分泌细胞因子,BCR,抗原,Th,B,CD40L CD40,分泌细胞因子,BCR,抗原,不能增殖分化,无能状态,Company Logo, ,Company Logo,tolerance mechanisms,

10、Multiple checkpoints of B-cell tolerance. Most self-reactive B-cells (90%) are eliminated by central de novo tolerance mechanisms within the BM (14), while the remaining minority that escape into peripheral lymphoid organs are controlled by secondary as well as de novo mechanisms at these sites (58)

11、.,Company Logo,(1) Pre-B-cells expressing strongly self-reactive Ig heavy chains (VH) paired with a surrogate light chain (SLC) undergo deletion. (2) Immature B-cells expressing strongly self-reactive Ig heavy and light chain (VL) combinations rearrange receptor genes (receptor editing),thereby redu

12、cing self-reactivity.,Company Logo,(3) Receptor edited B-cells that remain strongly self-reactive undergo deletion. (4) Self-reactive BCRs are diluted on a proportion of receptor edited B-cells due to expression of a second Ig light (or sometimes heavy) chain (allelic inclusion).,Company Logo,(5) T1

13、 B-cells recognising peripheral self-antigen with moderate to high-avidity undergo Bim-dependent deletion in the spleen. (6) B-cells continually recognising self-antigen with low-avidity can no longer compete for limiting amounts of BAFF and withdraw into an unresponsive (anergic) state, in which th

14、ey are short-lived,unless provided with strong T-cell help or other co-stimulatory signals (e.g. TLR).,Company Logo,(7) B-cells recognising self-antigen with very low-avidity or which do not normally encounter a sequestered self-antigen (i.e. are ignorant) can mature along with non-self-reactive B-c

15、ells. However, once exposed to their cognate antigen in the absence of T-cell help, they undergo deletion in the outer PALS area of the spleen. (8) Similarly, in the absence of help from TFH, B-cells undergoing SMH within GCs that become self-reactive undergo Fas-dependent death. Conversely, those r

16、eceiving help survive and differentiate into antibody secreting plasma cells and memory B-cells.,Company Logo,Secondary mechanisms,Secondary fail-safe mechanisms can be subdivided into B-cell extrinsic and intrinsic,Company Logo,Breakdown of B-cell tolerance,A highly immunogenic multimeric T-indepen

17、dent type 2 (TI-2) antigen, polyacrylamide,was decorated with sialosides (terminal sugar motifs commonly expressed on glycoproteins of mammalian but not microbial cells) recognised by the inhibitory signalling molecules CD22 and Siglec-G on B-cells . This manoeuvre resulted in B-cell tolerance to subsequent challenge with the unmodifiedTI-2 antigen,Company Logo,Breakdo

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