Antibody diversity is generated by the following mechanisms.
1) The joining of various V, D and J genes is entirely random that results in ~                     50,000 different possible combinations for VDJ(H) and ~ 1,000 for VJ(L).                     Subsequent random pairing of H and L chains brings the total number of antibody                     specificities to ~107 possibilities. 2) Diversity is further                     increased by the imprecise joining of different genetic segments. 3)                     Rearrangements occur on both DNA strands, but only one strand is transcribed                     (allelic exclusion). 4) Only one rearrangement occurs in the life of a B cell                     because of irreversible deletions in DNA. Consequently, each mature B cell                     maintains one immunologic specificity and is maintained in the progeny or clone.                     This constitutes the molecular basis of the clonal selection; i.e., each                     antigenic determinant triggers the response of the pre-existing clone of B                     lymphocytes bearing the specific receptor molecule. It also follows that                     deletion of the B cell clone results in immunologic unresponsiveness to the                     antigen.
This mechanism leads to a fine-tuning of the antibody specificity after                     immunization. Rearranged VDJH, and VJL genes in the B cells are uniquely                     susceptible to point mutagenesis by enzymes that become activated following                     stimulation of the cell by antigen. The clonal progeny of an antigen-driven B                     cell thus produce antibodies that may differ in one or more amino acid positions                     in the regions of the protein that are responsible for antigen binding. Cells                     producing the mutant antibody with highest affinity for the antigen are                     preferentially stimulated and thus eventually dominate the response. Therefore,                     antibodies produced after repeated immunization commonly display numerous point                     mutations (derived by somatic mutations in B cells found in peripheral lymphoid                     organs) and have higher affinities for antigens (affinity maturation), as                     compared to antibodies produced in the primary immune response.
Antibody molecules perform a number of important functions that are necessary for                     mounting an effective immune response against microbial pathogens. CH region                     genes encode the biological functions of immunoglobulins (Table 1-3). For example, IgM and IgG bind to the C1q                     subunit of C1, IgG crosses the placental barrier to the fetal circulation, and                     polymeric immunoglobulins, particularly dimeric IgA, are transported across                     epithelial cells into mucosal secretions.
To accomplish these functions, B cells switch their immunoglobulin isotype. The VDJ genes which are associated with Cμ or Cδ, which are the original constant genes expressed in mature B cells, become associated with another C gene (). This has been termed the isotype switch, because the C gene determines the antibody isotype. The switch is accomplished by genetic recombination, whereby the VDJ gene segment is transferred from the Cμ/Cδ junction onto another C region gene downstream (Fig. 1-11). Because the Cμ/Cδ and other interposed genes are deleted, the switch is irreversible. The new antibody maintains the same L chain and the same VH region (encoded by VDJ), but has new properties determined by the acquired C gene. The isotype switch mechanism is promoted by physical interactions between T and B cells (for example, the binding of CD40 on B cells to its ligand on T cells) and by specific cytokines from T cells (for example, IL-5 and IL-10 promote IgA production; IL-4 promotes IgE production).
Furthermore, each antibody molecule may exist in either a membrane-bound or secreted form. Every C gene contains a 3′ sequence encoding the hydrophobic cytoplasmic tail of the H chain, so that the immunoglobulin molecule produced by the B cell is inserted in the surface membrane to function as the receptor for antigen. When the B cell differentiates into a plasma cell, an enzyme is activated that modifies the RNA transcript. Consequently, the translated protein ends with a hydrophilic peptide and is secreted from the cell.
To accomplish these functions, B cells switch their immunoglobulin isotype. The VDJ genes which are associated with Cμ or Cδ, which are the original constant genes expressed in mature B cells, become associated with another C gene (). This has been termed the isotype switch, because the C gene determines the antibody isotype. The switch is accomplished by genetic recombination, whereby the VDJ gene segment is transferred from the Cμ/Cδ junction onto another C region gene downstream (Fig. 1-11). Because the Cμ/Cδ and other interposed genes are deleted, the switch is irreversible. The new antibody maintains the same L chain and the same VH region (encoded by VDJ), but has new properties determined by the acquired C gene. The isotype switch mechanism is promoted by physical interactions between T and B cells (for example, the binding of CD40 on B cells to its ligand on T cells) and by specific cytokines from T cells (for example, IL-5 and IL-10 promote IgA production; IL-4 promotes IgE production).
Furthermore, each antibody molecule may exist in either a membrane-bound or secreted form. Every C gene contains a 3′ sequence encoding the hydrophobic cytoplasmic tail of the H chain, so that the immunoglobulin molecule produced by the B cell is inserted in the surface membrane to function as the receptor for antigen. When the B cell differentiates into a plasma cell, an enzyme is activated that modifies the RNA transcript. Consequently, the translated protein ends with a hydrophilic peptide and is secreted from the cell.