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B cells and antibodies

Learn it here, then practice it on the patient.

B cells are lymphocytes that make antibodies, proteins that bind one specific antigen. Because antibodies circulate in the blood and body fluids, this arm is called humoral immunity.

Activation

Each B cell carries a surface antibody that fits one antigen. When it binds that antigen and gets help from a helper T cell, it multiplies into plasma cells that pour out antibodies, plus long-lived memory B cells.

What antibodies do

Antibodies neutralize toxins and viruses by blocking them, coat bacteria so phagocytes eat them faster, and switch on complement. They mark germs for destruction rather than killing them directly.

First and second exposure

On first exposure, IgM rises within about a week and IgG follows. On a second exposure, memory cells produce large amounts of IgG within days, which is the basis of lasting immunity.

Antibodies and blood groups

People naturally carry antibodies against the ABO blood group antigens they lack. That is why ABO-mismatched blood can cause a fast, severe transfusion reaction.

ClassWhere it is foundMain role
IgGBlood and tissues, crosses the placentaMain long-term protection
IgMBloodFirst antibody in a new infection
IgAMucus, tears, saliva, breast milkProtects mucous membranes
IgEBound to mast cellsAllergy and defense against parasites
IgDB cell surfaceHelps start B cell activation

At the bedside

Before a transfusion, ABO and Rh typing and the crossmatch prevent a reaction from the patient's own antibodies. On serology, IgM points to a recent infection, while IgG alone usually means past infection or immunity.

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Written by Making Synapses. Topic reference: OpenStax, Anatomy and Physiology 2e (no text adapted).