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                                      Antigen Receptor Genes, Gene Products,

                                                                                     and Coreceptors



                                                       Harry W. Schroeder, Jr., John B. Imboden, Raul M. Torres










           In 1890, von Behring and Kitasato reported the existence of an   companion α chain led to the realization that there were two
           agent in blood that could neutralize the diphtheria toxin. The   mutually exclusive forms of TCR, αβ and γδ.
           following year, glancing references were made to “Antikörper”
           in  studies  describing  the  ability  of  the  agent  to  discriminate   PARATOPES AND EPITOPES
           between two immune bodies, or substances. The term antigen
           is a shortened form of “Antisomatogen + Immunkörperbildner,”   Igs and TCRs both belong to the eponymous Ig superfamily
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           or the substance that induces the production of an antibody   (IgSF).  The study of antibodies precedes that of TCR by decades;
           (Chapter 6). Thus the definition of antibody and antigen represent   hence much of what we know is based on knowledge first gleaned
           a classic tautology.                                   from the study of Igs.
             In 1939, Tiselius and Kabat used electrophoresis to separate   Ig–antigen interactions typically take place among the paratope,
           immunized serum into albumin,  α-globulin,  β-globulin, and   the site on the Ig at which the antigen binds, and the epitope,
           γ-globulin fractions. Absorption of the serum against the antigen   which is the site on the antigen that is bound. Thus lymphocyte
           depleted the γ-globulin fraction; yielding the terms gammaglobu-  antigen receptors do not recognize antigens, but they recognize
           lin, immunoglobulin (Ig), and IgG. Subsequently, “sizing” columns   the epitopes borne on those antigens. This makes it possible for
           were used to separate Igs into those that were “heavy” (pentameric   the cell to discriminate between two closely related antigens,
           IgM), “regular” (IgA, IgE, IgD, IgG, monomeric IgM), and “light”   each of which can be viewed as a collection of epitopes. It also
           (light-chain dimers), culminating with the discovery of the last   permits the same receptor to bind divergent antigens that share
           major class of immunoglobulin, IgE, in 1966.           equivalent or similar epitopes, a phenomenon referred to as
             In 1949, Porter used papain to digest IgG molecules into two   cross-reactivity.
           types of fragments, termed Fab (fragment antigen-binding) and   Although both Igs and TCRs can recognize the same antigen,
           Fc (fragment crystallizable). The constancy of the Fc fragment   they do so in markedly different ways. Igs tend to recognize
           permitted  its  crystallization and thus  the  elucidation  of its   intact antigens in soluble form, and thus preferentially identify
           sequence and structure. The variability of the Fab fragment   surface epitopes that are often composed of conformational
           precluded analysis until Bence-Jones myeloma proteins were   structures noncontiguous in  the  antigen’s  primary  sequence.
           identified as clonal, isolated light chains.           In  contrast,  TCRs  recognize  fragments  of  antigens,  both
             In 1976, Hozumi and Tonegawa demonstrated that the variable   surface  and internal, that have  been processed by  a separate
           portion of κ chains was the product of the rearrangement of   antigen-presenting cell (APC) and then bound to a major
           variable (V) and joining (J) gene segments. In 1982, Alt and   histocompatibility complex (MHC) class I or class II molecule
           Baltimore reported that terminal deoxynucleotidyl transferase   (Chapters 5, 6).
           (TdT) could be used to introduce non-germline–encoded
           sequence between rearranging V, D (diversity), and J gene seg-  THE BCR AND TCR ANTIGEN
           ments, potentially freeing the preimmune heavy-chain repertoire   RECOGNITION COMPLEX
           from germline constraints. In 1984, Weigert et al. determined
           that during affinity maturation, variable domains could undergo   Although the ability of the surface antigen receptor to recognize
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           mutation at a rate of 10  per base pair (bp), per generation.   antigen was appreciated early on, the mechanism by which the
           These discoveries clarified how lymphocytes could generate an   membrane-bound receptor relayed this antigen recognition
           astronomically diverse antigen receptor repertoire from a handful   event into the cell interior was not understood, since both B-cell
           of gene elements.                                      receptor (BCR) and TCR cytoplasmic domains are exceptionally
             In 1982, Allison et al. raised antisera against a cell surface   short. This conundrum was solved when it was shown that BCR
           molecule that could uniquely identify individual T-cell clones.   and TCR each associate noncovalently with signal transduction
           A year later, Kappler and a consortium of colleagues demonstrated   complexes: heterodimeric Igα:Igβ (also known as CD79a:CD79b,
           that these surface molecules were heterodimers composed of   respectively) for B cells and multimeric CD3 for T cells. Loss
           variable and constant region domains, just like Igs. Subsequently,   of function mutations in either of these complexes leads to
           Davis and Mak independently cloned the β chain of the T-cell   cell death, which becomes clinically manifest as hypogam-
           receptor (TCR). Initial confusion regarding the identity of the   maglobulinemia in the case of B cells (Chapter 34), or severe

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