Capítulo 5. Aplicación del Lean
5.3 Sistema de kanban tradicional
(CR2) that binds the receptor for the C3d component of complement. CD21 also hinds CD23 (Aubry et al., 1992) and is the receptor for EBV
(Matsumoto et al., 1993). TAPA-1 is a tetra-span-transmembrane protein
that is expressed in many cell types and can associate with MHC class 11
(Angelisova et al., 1994; Schick and Levy, 1993). Leu-13 coprecipitates
with CD 19 in some B cell lines but not all and is not an essential part of
the complex (Matsumoto et al., 1993). The ligand for CD 19 has not been
identified but artificial ligation via monoclonal antibodies to CD 19 have
found that stim ulating B cells through CD 19 can have both costimulatory
and inhibitory effects. Crosshnking CD 19 and the BCR costimulates B
cells and induces proliferation (Carter and Fearon, 1992). This
32
complexes binding to the BCR and CD21 and thereby reducing the
threshold for B cell activation and proliferation (Matsumoto et al., 1993).
However, if ligated independently of the BCR, CD 19 can inhibit B cell
proliferation and activation but not BCR expression (Rigley and Callard,
1991; Callard et al., 1992).
1,3.2 P r o lif e r a tio n a n d a c ti v a t i o n o f B c e lls by T c e ll in d e p e n d e n t m e c h a n is m s
Some antigens such as polysaccharides are capable of eliciting a B cell
response in the absence of direct T ceU help. These T independent (TI)
antigens may be subdivided into type 1 or type 2 antigens according to
their ability to give antibody responses in X id mice. Their properties are summarised in table l.l.(M ond et al., 1995).
Table 1.1. C haracteristics o f T cell dependent and T cell
Tl-1 TI-2 TD
prototype antigen B. abortus capsular polysaccharides proteins
T cells required no no yes
T cell regulation no yes yes
Onset of
responsiveness
early late early
Induction of memory no no yes
isotyi) e/idiotyp e restriction
TI antigens capable of inducing a B cell antibody response in X id (CBA/N)
mice are classed as TI type 1 (TI-1) and those that do not as TI type 2 (TI-
2). Xid mice have mutations in the btk gene and are unable to signal efficiently through sIgM. TI-2 antigens appear to act by crosshnking
surface immunoglobuhn. Furthermore, mice with deletions in the
cytoplasmic domain of the inb-l gene fail to respond to TI-2 type antigens again suggesting stimulation through the BCR is required for the
response. Although, TI-2 antigens do not require T cells the response may
be regulated by T cells in mice and man (Braley MuUen, 1974; Baker, 1992, Kalthoff et al., 1991; Hoon et al., 1991; Griffioen et al., 1992).
Response to TI-2 antigens (unhke both TI-1 and TD antigens) occurs late
in human development at about 2 years of age and coincides with the
formation of the mantle zone in lymphnodes (Mond et al., 1995).
TI-1 type are typically bacterial polysaccharides, polymeric proteins, and
hpopolysaccharide antigens. At high concentrations, TI-1 antigens are
polyclonal B cell activators and mitogens but act independently of the
BCR. It is hkely that during normal infections the iri vivo concentrations of TI-1 antigens are low, and only antigen-specific B ceUs are hkely to be
activated.
1,3,3 T a n d B c ell c o lla b o r a tio n in T d e p e n d e n t r e s p o n s e s
Antibody responses to most proteins depends on cohaboration between B
34
On leaving the bone marrow, mature naive B cells circulate through the
periphery and pass through secondary lymphoid organs where they meet
antigen (MacLennan, 1994b). Antigen bound by the B cell is internalised,
processed and re-expressed in association with class II and presented to T
cells via MHC class II. The subsequent cell surface interactions between B
and T cells involves a number of different molecules as shown in figure 1.4
and are described below.
CD40/CD40L
CD40 is a type 1 integral membrane protein belonging to the TNFR
superfamily (Banchereau et al., 1994a). It is expressed on a wide variety of
cell types but plays a central role in B cell differentiation. Ligating CD40
promotes B cell proliferation (Fanslow et al., 1992; Saeland et al., 1993;
Armitage et al., 1993; Splawski et al., 1993; Renard et al., 1994), rescues B
cells from apoptosis (Valentine and Licciardi, 1992; Parry et al., 1994) and
promotes immunoglobulin class switching (Gascan et al., 1991; Fanslow et
al., 1992; Armitage et al., 1993; Jumper et al., 1994; Galibert et al., 1994).
The ligand for CD40 (CD40L) is expressed on activated but not resting T
cells and the interaction between CD40 and CD40L provides an important
signal(s) for T cell B cell collaboration. In humans, mutations in the
CD40L gene results in the immunodeficiency disease X-hnked hyper IgM
B c e l l C D 5 8 C D 2 0 C D 1 1 a / 1 8 C D 4 0 T c e l l C D 2
s urf ace IgM
C D 2 2