New insights into B cells and why humans can produce trillions of disease-fighting antibodies

Antibody production is at the core of concerns about health and survival, such as the odds of recovering from COVID-19 and how well vaccines can prevent SARS-CoV-2 infection. Over a lifetime, humans are capable of generating 10 trillion different antibody molecules, a number so staggering that it raises the question of how it's even possible.

Antibodies are proteins, which means their production is encoded by genes. But the 10 trillion figure presents what seems a critical mathematical dilemma. How can the human genome, which is composed of 30,000 genes, produce 10 trillion different antibodies? It would seem impossible that a person could make more antibodies than genes existing in the genome, which would have to be orders of magnitude larger to accommodate the vast number of antibodies.

As it turns out, evolution has produced mechanisms to solve that mismatch. Humans can generate a seemingly endless supply of antibodies by joining together separate gene segments before they are transcribed. The process is called somatic hypermutation, which allows B cells to mutate the genes that they use to produce antibodies. This stunning process allows B cells to produce antibodies that keenly bind to SARS-CoV-2—or any other virus or bacterial species that invades the body.

These extraordinary biological events—customizing antibodies and B cells forming memories of the invaders—take place in the germinal cnetres of lymph nodes, a world unto themselves with "geographic" demarcations of dark and light zones. The germinal center is where B cells become activated and proliferate. It is also where various classes of immunoglobulins—antibodies—which are products of B cells, morph into the various immunoglobulin classes—IgA, IgD, IgE, IgG and IgM. In the germinal centers, immunoglobulins also increase their affinity for antigens, fragments from infiltrators that antibodies recognize as dangerous and seek to destroy.

B cells do not enter the light and dark zones of lymph nodes willy-nilly. Their entry and exit of these critical regions depend on a variety of factors, each aimed at producing specific types of B cells and floods of highly specific antibodies.

A B-cell can be a plasma cell whose role is to secrete large quantities of antibodies; or, a B cell can be a memory B cell, which is formed inside germinal centers following primary infection. Memory B cells can survive for decades. Their role is to "remember" an infectious agent, the antigen.

Having a record of a previous cause of disease speeds the response the next time the same antigen is encountered. There are other B cells in the germinal centers, some in intermediary phases of development.

Scientists are  studying a process known as affinity maturation inside the germinal centers of lymph nodes.

Affinity maturation is the process in which antibodies develop their keen affinities for antigens. An antigen can be a fragment of a virus or a snippet of a bacterium, for example, that are brought to the germinal centers by dendritic cells. Dendritics not only sound the alarm about danger, they present the evidence. T cells are also in the germinal centers and are kingpins in the overall immune response, even playing a role in helping B cells to mature. Germinal centers are beehives of activity.

Affinity maturation depends on how efficiently germinal centers positively select B cells in the light zone, where dendritic cells deposit fragments of an infiltrator.

Positively selected germinal center B cells recirculate between the light zone and dark zone and ultimately differentiate into plasmablasts and memory B cells.

The story behind the human ability to produce trillions of antibodies is one of the most amazing in nature, and highlights why the mammalian immune system is one of the most complex networks of surveillance and response in the known universe.

Indeed, the immune systems of humans and other animals have evolved genetic mechanisms that allow them to generate a staggeringly high number of antibodies. By joining separate gene segments together before they are transcribed, an abundance of antibodies can be produced. Not all mammals use the same strategies, but the end result is a molecular army of disease-fighting immunoglobulins that the body tailors to fight infiltrators.

Rinako Nakagawa et al. Permissive selection followed by affinity-based proliferation of GC light zone B cells dictates cell fate and ensures clonal breadth, Proceedings of the National Academy of Sciences (2021). DOI: 10.1073/pnas.2016425118

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