Antibody – A Specific Antigen Recognition Molecule
Evolutionary processes
came up with what can only be described as a brilliant solution to the problem
of recognizing an almost infinite diversity of antigens. This solution was to
design antibody molecules in such a way that not only are they able to
specifically recognize the offending pathogen but they can also recruit various
components of the immune response capable of subsequently destroying the
pathogen.
The antibody molecules
have two main parts, one called the variable region that is devoted to binding
to the individual antigen (the antigen recognition function) and
one called the constant region, concerned with linking to complement,
phagocytes, NK cells, and so forth (the effector function). Thus
the body has to make hundreds of thousands, or even millions, of antibody
molecules with different antigen‐recognition sites but that all share
the property of ecruiting other elements of the immune response (Figure
2.1).
Antibody‐mediated activation of the classical complement
pathway
Human antibodies are
divided into five classes: immunoglobulin M (shortened to IgM), IgG, IgA, IgE,
and IgD, which differ in the specialization of their effector “rear ends” for
different biological functions. In Chapter 1 we discussed the
antibody‐independent alternative pathway of complement activation that
relies upon stabilization of the C3bBb C3 convertase by microbial surface
polysaccharides. However, the first complement pathway to be discovered, the classical
pathway, required IgM or IgG antibody for its activation. Antibody of
these two classes, when bound to antigen, will link to the first molecule in
the classical pathway of complement, C1q, and trigger the proteolytic activity
of the C1 complex (Figure 2.2). It was subsequently discovered that a variety
of other sub stances, including members of the pentraxin family of soluble
pattern recognition receptors such as C‐reactive protein (CRP), are also able
to link microbial antigens to C1q and thereby activate the classical pathway.
A C1q is a homohexamer
(six identical molecules that associate together) arranged into a central stem
branching into six arms, each tipped with an antibody‐binding globular head. It
is associated with two further subunits, C1r and C1s, in a Ca2+‐stabilized
complex (Figure 2.2). Both C1r and C1s contain sequences called complement
control protein (CCP) repeats. These are a characteristic structural feature of
several proteins involved in control of the complement system. The changes that
occur in C1q upon binding the antigen–anti body complex brings about the auto activation of C1r that then cleaves C1s. The activity of
C1 is regulated by a C1‐ inhibitor (C1‐Inh) that dissociates C1r and C1s from
C1q and thus prevents excessive activation of the classical pathway.
The next component in
the pathway, C4 (unfortunately components were numbered before the sequence was
established), now binds to the CCPs in C1s and is then cleaved
enzymatically by C1s. As expected in a multienzyme cascade, several molecules
of C4 undergo cleavage, each releasing a small C4a fragment and revealing a
nascent labile internal thiolester bond in the residual C4b (like that in C3,
see Figure 1.31) that can then bind either to the antibody–C1 complex or to the
surface of the microbe itself. In the presence of Mg2+, complement
component C2 can complex with the C4b to become a new substrate
for the C1s: the resulting product C4b2a now has the vital C3 convertase activity
required to cleave C3 (Figure 2.3). The classical pathway C3 convertase has the
same job as the C3bBb generated by the alternative pathway. Activation of a
single C1 complex can bring about the proteolysis of literally thousands
of C3 molecules. The resulting C3b is added to C4b2a to make it into a C5
convertase, which generates C5a, with chemotactic and anaphylactic functions,
and C5b, which forms the first component of the membrane attack complex (Figure
1.33 and Figure 2.4). Just as the alternative pathway C3 convertase is
controlled by factors H and I, so the breakdown of C4b2a is brought about by
Factor I in the presence of either C4‐binding protein (C4bp) or cell surface C3b receptor (CR1) acting as
cofactors.
The lectin and classical complement pathways merge to
generate the same C3 convertase
It is appropriate at
this stage to recall the activation of complement by innate immune mechanisms
involving mannose‐binding lectin (MBL). On complexing with a microbe, MBL binds
and activates the proteolytic activity of the MBL‐associated serine proteases,
MASP‐1 and 2, which structurally resemble C1r and C1s respectively. In an
analogous fashion to the C1qrs complex, MASP‐1 and MASP‐2 split C4 and
C2 to generate the C4b2a C3 convertase (Figure 2.3).
Irrespective of
whether activation occurs via the classical, lectin, or alternative pathway
(indeed, all three pathways will often be activated in response to a particular
infection although the classical pathway will have to wait for the arrival of
antibody), several biologically active complement components are generated that
have important roles in the immune response (Figure 2.5).
Antibody can activate phagocytosis
Microorganisms are
sometimes able to resist phagocytosis. If small amounts of antibody are added
the phagocyte springs into action. It does so through the recognition of two or
more antibody molecules bound to the microbe, using specialized Fc receptors on
the cell surface of the phagocyte (Figure 2.1).
A single antibody
molecule complexed to the microorganism is not enough because it cannot cause
the cross‐linking of the Fc receptors on the phagocyte surface membrane that is
required to activate the cell. There is a further consideration connected with
what is often called the bonus effect of multivalency. For
thermodynamic reasons, which will be discussed in Chapter 5, the association constant
of ligands that use several rather than a single bond to react with receptors
is increased geometrically rather than arithmetically. For example, three
antibodies bound close together on a bacterium could be bound to a macrophage a
thousand times more strongly than a single antibody molecule (Figure 2.6).
Other activities of antibody
In addition to the activation
of complement and the facilitation of phagocytosis, antibodies mediate a
variety of other functions, including participation in a process referred to as
antibody‐dependent cellular cytotoxicity (ADCC), formation of immune complexes
to enable the removal of antigen from the circulation, and, for the IgE class
of antibody, triggering of mast cell and basophil degraulation (Figure 2.7).
Aside from working with other components of the immune system, antibodies can
directly neutralize the binding of viruses to their cell surface receptors,
prevent adhesion of bacteria to body surfaces and neutralize bacterial toxins.
Antibodies are made by lymphocytes
The central role of
the lymphocyte in the production of antibody was established largely by the
work of James Gowans. He depleted rats of their lymphocytes by chronic drainage
of lymph from the thoracic duct using an indwelling cannula, and showed that
they had a grossly impaired ability to mount an antibody response to microbial
challenge. The ability to form antibody could be restored by injecting thoracic
duct lymphocytes obtained from another rat of the same strain.
The majority of
resting lymphocytes are relatively small cells (approximately 10
μm diameter) with a darkly staining nucleus due to condensed chromatin and with
relatively little cytoplasm (Figure 2.8a) containing the odd mitochondrion
required for basic energy
provision (Figure 2.8b). They are derived from hematopoietic stem cells in the
bone marrow which can develop into the common lymphoid progenitors that give
rise to both the antibody‐producing B‐cells and to the T‐cells (Figure 2.9).
The B‐cells can be divided into two populations (B‐1 and B‐2), and the T‐cells
can be divided into those with a γδ T‐cell receptor and those with an αβ T‐cell
receptor. T‐cells, particularly those with an αβ TCR, can be further divided on
the basis of their function into helper T‐cells, regulatory T‐cells, and cytotoxic
T‐cells. The helper T‐cells provide assistance for B‐cells, cytotoxic T‐cells, and macrophages
(Figure 2.10).