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1160           Part IX:  Lymphocytes and Plasma Cells                                                                          Chapter 75:  Functions of B Lymphocytes and Plasma Cells in Immunoglobulin Production             1161




                                                                      of the heavy chain. The Fc-regions also contain a binding epitope for
                                                                      the neonatal Fc receptor (FcRn), responsible for the extended half-life,
                                                                      placental transport, and bidirectional transport of IgG to mucosal sur-
                                                                      faces.  As such, IgG molecules effectively penetrate extravascular spaces
                                                                          7
                                                                      and readily cross the placental barrier to provide passive immunity to
                                                                      the newborn.
                                                                          IgG is the predominant antibody produced during the secondary
                                                                      immune response to antigen. The average half-life of circulating IgG
                                                                      molecules is approximately 21 days, although the exact value varies
                                                                      among the IgG subclasses (Table 75–3). Within the IgG class are four
                                                                      major subclasses, designated IgG , IgG , IgG , and IgG .  The most
                                                                                                                 7
                                                                                                        3
                                                                                                                4
                                                                                               1
                                                                                                   2
                                                                      abundant subclass is IgG , which constitutes 60 percent of the total IgG
                                                                                        1
                                                                      in plasma. All IgG subclasses have a similar molecular mass except for
               Figure 75–1.  Model of an immunoglobulin (Ig) G molecule. The light-  IgG , which has a much longer hinge region than any other IgG sub-
                                                                         3
               chain domains V  and C  and the heavy-chain domains V , Cγ1(or C 1),   class. The IgG  hinge region is approximately four times as long as the
                           L
                                 L
                                                                H
                                                         H
                                                                                3
               Cγ2 (or C 2), and Cγ3 (or C 3) are labeled inside the respective immuno-  IgG  hinge, containing up to 62 amino acids (including 21 prolines
                                  H
                      H
               globulin domain. Dotted red colored lines indicate intrachain and inter-  1
               chain disulfide bonds. The aminoterminus (N) and carboxyl-terminus (C)   and 11 cysteines), forming a polyproline helix with limited flexibility.
               of each polypeptide are indicated. The hinge region also is indicated.   Because of this, IgG  myeloma protein may aggregate spontaneously to
                                                                                    3
               Digestion by pepsin cleaves the molecule at the carboxyl side of the   produce a hyperviscosity syndrome.
               hinge region, which generates Fc and F(ab′)  fragments, as indicated on   Each  subclass  has  a  distinct  heavy-chain  constant  region  and
                                               2
               the right. The F(ab′)  fragment is bivalent, as it is held together by the   mediates different effector functions (see Table  75–3). Whereas IgG
                              2
                                                                                                                        1
               disulfide bridges in the hinge region. On the other hand, digestion of   and  IgG   proteins  activate  complement  via  the  classic  pathway,  IgG
                                                                            3
               the molecule by papain degrades the Fc portion and generates mono-  molecules fix complement poorly and IgG  proteins not at all.  2
                                                                                                    4
               valent Fab fragments, as the cleavage site for papain is on the aminoter-  Antibody responses to soluble protein antigens and membrane pro-
               minal side of the disulfide bridges of the hinge region.
                                                                      teins primarily induce IgG , but also lower levels of the other subclasses,
                                                                                         1
                                                                      mostly IgG  and IgG . On the other hand, IgG antibody responses to
                                                                              3
                                                                                     4
               summarize the distinct physical and functional properties of the human   bacterial capsular polysaccharide antigens typically are restricted to
               immunoglobulin classes.                                IgG ; IgG  deficiency can result in the virtual absence of IgG anticar-
                                                                             2
                                                                         2
                                                                      bohydrate antibodies. Viral infections generally induce IgG antibodies
               IgG                                                    of the IgG  and IgG  subclasses, with IgG  antibodies appearing first in
                                                                             1
                                                                                    3
                                                                                                    3
               Approximately 80 percent of the immunoglobulins in adult plasma are   the course of the infection. The IgG  subclass typically is produced in
                                                                                                4
               IgG. The IgG molecule is composed of the basic 150-kDa immunoglob-  response to allergens. Because IgG4 has relatively low affinity to activat-
               ulin four-chain structure plus approximately 3 percent carbohydrate.   ing FcγRIII, but relatively high affinity to the inhibiting FcγRII, it may
               Near the junction of the two arms of the Y-shaped immunoglobulin   serve to prevent excessive immune responses against sterile antigens,
               molecule, the two heavy chains interact to form a flexible “hinge” region   such as bee venom, which do not pose infectious threats. As such, IgG
                                                                                                                        4
               (see Fig. 75–1). Exposed between constant-region globular domains,   has been called a “blocking antibody” in the context of allergy, where it
               the hinge region is attacked readily by the proteolytic enzyme papain   may compete with IgE for allergen binding.
               or pepsin. Figure   75–1 shows the cleavage sites. Digestion of IgG   For antigens found on pathogens, the bound IgG can: (1) tag the
               with papain yields three fragments. The single Fc piece contains  the     pathogen for ingestion and destruction by phagocytes, a process called
               carboxy-terminal region of both heavy chains. The two identical F(ab)   opsonization; (2) activate complement; and/or (3) direct antibody-
               pieces contain the entire light chain and the aminoterminal portion   dependent cell-mediated cytotoxicity (ADCC). Either aggregated IgG
                TABLE 75–1.  Physical Properties of Human Immunoglobulins
                                              IgG            IgA                  IgM         IgD            IgE
                Heavy-chain class             γ              α                    μ           δ              ε
                Heavy chain subclass          γ , γ , γ , γ  α , α                —           —              —
                                               1  2  3  4    1  2
                No. of heavy-chain domains    4              4                    5           4              5
                Secretory form                Monomer        Monomer, dimer       Pentamer    Monomer        Monomer
                Molecular mass (Da)           150,000        160,000 (monomer)    900,000     184,000        188,000
                                                             400,000 (secretory)
                Antigen-binding valency       2              2 (monomer)          10          2              2
                                                             4 (secretory)
                Serum concentration (mg/mL)   8–16           1.4–4.0              0.5–2.0     0–0.4          17–450 ng/mL
                Percent of total immunoglobulin  80          13                   6           1              0.002
                Electrophoretic mobility      γ              Fast γ to β          Slow γ      Fast γ         Fast γ
                Percent carbohydrate          3              8                    12          13             12
          Kaushansky_chapter 75_p1159-1174.indd   1160                                                                  9/21/15   12:10 PM
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