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Antibodies Dr Sherko Ali Omer Dept. of Basic Medical Sciences Learning objectives By the end of this session, students should be able to : Define the natures and structure of antibodies Identify different Immunoglobulin classes and their function Explain antigenic determinants of immunoglobulins Def...

Antibodies Dr Sherko Ali Omer Dept. of Basic Medical Sciences Learning objectives By the end of this session, students should be able to : Define the natures and structure of antibodies Identify different Immunoglobulin classes and their function Explain antigenic determinants of immunoglobulins Define the monoclonal antibodies mAb, explain their production and identify their application in different medical fields Identify the genetic behind immunoglobulins diversity and mechanism to produce different antibody isotypes 2 Antibody or Immunoglobulin Specialized glycoprotein, produced from activated B cells (plasma cells) in response to an antigen. Immunoglobulin (Ig) are capable of combining with the antigen that triggered their production. Arne Tiselius in 1939 subjected the serum to electrophoresis, the serum proteins are separated into four fragments- albumin, globulin α, β and γ. Antibodies are located in the γ-globulin fraction; because they immunologically react with the antigen; they were given the name as immunoglobulin. 3 Antibody or Immunoglobulin p 4 Antibody or Immunoglobulin Both the terms, immunoglobulin (Ig) and antibody are used interchangeably; representing the physiological & functional properties of same molecule respectively. Immunoglobulin constitutes 20-25 per cent of total serum proteins. There are five classes (or isotypes) of immunoglobulins: IgG, IgA, IgM, IgD and IgE 5 Structure of antibody An antibody molecule is a ‘Y-shaped’ heterodimer; composed of four polypeptide chains: Two identical light (L) chains, of molecular weight 25,000 Da each. Two identical heavy (H) chains each having molecular weight 50,000 Da or more. 6 Structure of antibody All four H and L chains are bound to each other by disulfide bonds, and by noncovalent interactions such as salt linkages, hydrogen bonds, and hydrophobic bonds. All the chains have two ends- an amino terminal end (NH3) and a carboxyl terminal end (COOH). 7 Antibody classes, Heavy chain There are five classes of H chains and two classes of light chains. The five classes of H chains are structurally and antigenically distinct; each is designated by the Greek letters γ, α, μ, δ and ε and is present only in a particular class of lg. The five classes of immunoglobulins (lgG, lgA, lgM, lgD and lgE) are classified based on the amino acid sequences of the heavy chains. but these five have somfuesif.itor characteristics 8 Antibody classes There are five classes of H chains: their light chain that only Kappa and lambda are present in L chain whichmight be in 19A or 196 Immunoglobulin class Heavy chain type IgG IgA IgM IgD IgE γ (gamma) α (alpha) µ (mu) δ (delta) ε (epsilon) 9 Antibody structure, Light chain There are of two types of L chain: Kappa (κ) 60 Lambda (λ) 40 These were named after Korngold and Lapari who originally described them. In humans, 60% of the light chains are kappa and 40% are lambda type (ratio 3:2). Both the light chains of an antibody molecule should be of same type, either κ or λ, but never both. L chains are composed of 214 amino acids; whereas the number of amino acids in the heavy chain varies ranging from 446 (in α chain) to 576 (in μ chain). 10 Antibody structure, Variable and Constant Regions old segue don's change id domain the É of Each H and L chain comprises of two regions: theseinvent variable (V) and constant (C) region, depending upon whether the amino acid sequences of the regions show variable or uniform pattern among different antibodies. Mina V region represents the antigen binding site of the antibody. variable it was ifconstant Ii n o EMa IÉ s antigen 11 Antibody structure, Variable and Constant Regions Within the variable region, there are some zones (hot spots) that show relatively higher variability in the amino acid sequences called as hypervariable regions or complementarity determining regions (CDRs). COR a These form the antigen-binding site. There are three hot spots in the L and four in the H 00 0 0 respectively. chain 12 Antibody structure, Variable and Constant Regions The amino acid sequence of constant region shows uniform pattern. Constant region constitutes the remaining part of an Ig molecule other than that of variable region. Length of the constant regions is approximately 104 amino acids for light chain, 330 amino acids for γ, α and δ heavy chains and 440 amino acids for µ and ε heavy chains. 13 Antibody structure, Paratope Paratope is the site on the hypervariable regions that make actual contact with the epitope of an antigen. 14 Antibody structure, Domains Light chain contains one variable domain (VL) and one constant domain (CL). Heavy chains possess one variable domain (VH) and 3 or 4 numbers of constant domains (CH). Heavy chain of γ, α and δ have three constant domains-CH1, CH2 and CH3. Heavy chains µ and ε have four constant domains- CH1 to CH 4. variable domain j its constant these two 15 I Antibody structure, Hinge Region typeof amino acid Hinge region is rich in proline and cysteine. It is quite flexible, allowing the Ig molecule to assume different positions, thus helps the antibody in reaching towards the antigen. Hinge region is sensitive to various enzymatic digestions. 16 Antibody Enzymatic Digestion When an immunoglobulin molecule is subjected to enzymatic digestion, it generates various fragments. Types of digestion: Papain digestion Pepsin digestion Mercaptoethanol reduction 17 Antibody Enzymatic Digestion, Papain Digestion Papain digestion of Ig results in three fragments each having a sedimentation coefficient (s) of 3.5: Two Fab fragments Fc fragment 18 Antibody Enzymatic Digestion, Pepsin Digestion Pepsin digestion of Ig results in: Not attacking hinge region One F (ab')2 fragment Many smaller fragments of Fc 0 19 Antibody Enzymatic Digestion, Mercaptoethanol Reduction Mercaptoethanol reduction of Ig molecule- generates four fragments (two H and two L chains) as it cleaves only disulphide bonds sparing the peptide bonds. reduction 0000 20 Functions of Immunoglobulins Antigen binding (Fab region) Through fragment antigen binding, Ig will protect the host. It also Interact with the antigen. In Valency of an antibody refers to the number of Fab regions it possesses. Thus, f a simple monomeric antibody molecule has a valency of two. 21 tomplement Functions of Immunoglobulins In I OLysis bacteria Effector or biological functions (by Fc region) E a a Fixation of complement: Ig coating the target cell binds to Adaptive complement through its Fc receptor which leads to complement edges mediated lysis of the target cell. Binding to various cell types: Phagocytic cells, lymphocytes, platelets, mast cells, NK cell, eosinophils and basophils bear Fc receptors (FcR) that bind to Fc region of Ig. Binding can activate the cells to perform some biological functions. Some Ig (e.g. IgG) also bind to as receptors on placental trophoblasts, which results in transfer of the Ig across the placenta. I 3119 22 Baby Immunoglobulin Classes, Properties and Function Five classes of Ig: lgG, IgA, IgM, IgD and IgE, Each with different property and function. A Polyclonal means 23 Immunoglobulin G (IgG) diff 1g IgG constitutes about 70-80% of total Igs of the body. Mostabundant IgG has maximum daily production, highest serum concentration and longest half-life of 23 days. Ab for secondary immune response 24 Immunoglobulin G (IgG) in Blood Monomer inf.fi IgG has four subclasses- IgG1, IgG2, IgG3 and IgG4; all differ from each other in the amino acid sequences of the constant region of their γ-heavy chain. III Subclasses vary in their biological functions, length of hinge region and number of disulphide bridges. IgG3 has longest hinge region with 11 inter-chain disulphide bonds. 25 Functions of IgG IgG can cross placenta- hence provide immunity to the fetus and new born. Among subclasses, IgG2 has the poorest ability to cross placenta. Complement fixing: Complement fixing ability of subclasses varies - IgG3> IgG1> IgG2. IgG4 does not fix complements. Phagocytosis: Aid phagocytosis as it bind to antigen and has receptors on phagocytes. I re and 26 Functions of IgG 1 Activate 1.5 by classicalpathway 1 Direct 8 a 9M opsonin 199 19sn iifniis pnaoistos D8 IgG mediates precipitation and neutralization reactions. IgG plays a major role in neutralization of toxins as it can easily diffuse into extravascular space. I IgG is raised after long time following infection and represents chronic or past infection (recovery). tube t.E.io ii ii 27 ie Arsinoe Immunoglobulin M (IgM) III d Among all Igs, IgM has highest molecular weight, and maximum sedimentation coefficient (19 S). IgM is present only in intravascular compartment, not in body fluids or secretions. got in serum of your Blood im Efjgo IgM exists in both monomeric and pentameric forms where five units are joined by J chain, but it present as membrane-bound antibody on B cells as monomeric form. When present in secreted form, it is pentameric in nature. expressed they normally Decarated Navid 41mmonomen i 28 BC I am 196 1 go.saa.ws Functions of IgM primary Immuneresponse 1 2 3 4 5 6 7 Note'ation fires our cells Form in acute infection assist Complement fixing Antigen receptor AYBE Pmostly 19m maybe1yd also don B cells Acts as an opsonin Fetal immunity? Protection against intravascular organisms Mediate agglutination io I ftp.jfg.iq indiffHan 29 www Immunoglobulin A (IgA) Second most me IgA is the second most abundant class of Ig next to IgG, constituting about 10-15% of total serum Ig. IgA exists in both monomeric and dimeric forms. iii iiiiii so lgA in serum is predominantly in monomeric form. Serum lgA interacts with the Fc receptors expressed on immune effector cells, to initiate various functions such as antibody-dependent cell-mediated cytotoxicity (ADCC), degranulation of immune cells, etc. 30 gained Secretory IgA in not Dimeric in nature; two IgA monomeric units joined by a J chain. monomer serum of Blood my Secretory component: Location-Predominant antibody found in body secretions like milk, saliva, tears, intestinal & respiratory tract mucosal secretions. Secretory component is derived from poly Ig receptor present on the serosal surfaces of the epithelial cells. 31 Jiajing'wt d e we need secretory why provide immunity to to enterned Surfaced Formation of secretory IgA Wtf Dimeric sIgA is synthesised by plasma cells situated near mucosal epithelium, J chain is also produced in the same cell. Dimeric sIgA binds to poly Ig receptor on the basolateral surface of mucosal epithelium produces Receptor- IgA complex is endocytosed into mucosal epithelial cells Receptor is partially cleaved leaving behind a part of it (secretory component) Subsequently sIgA (complex of dimeric IgA with J chain and secretory component) is released into the mucosal secretions. 32 Function of secretory IgA Secretory IgA (sIgA) play role in: Local or mucosal immunity Effective against bacteria like Salmonella,Vibrio, Neisseria, and viruses like polio and influenza Breast milk is rich in sIgA and provides good protection to the immunologically immature infant gut Secretory component protects IgA from denaturation by bacterial proteases produced by intestinal flora. it can't altivat e s by Pathway it can classial Pathway activate it by Alternative 33 Subclasses of IgA Depending upon the amino acid sequences in the constant region of heavy chain, IgA exists in two isotypes or subclasses: IgA1 IgA2 34 Philic Ab Immunoglobulin E (IgE) small amount in Blood Minimum daily production, lowest serum concentration, and shortest half life. IgE is the only heat labile antibody (inactivated at 56°C in one hour). IgE has affinity for the surface of tissue cells (mainly mast cells) of the same species (homocytotropism). FEET.int also parasitic IgE is the mediator of type I hypersensitivity (allergy) infection reactions and it is elevated in helminthic infections. 7 93 eosinophils 35 major h Immunoglobulin D (IgD) IgD is found as membrane Ig on the surface of B cells and acts as a B cell receptor along with IgM. Has the highest carbohydrate content among all the Igs. No other function is known for IgD so far. 36 Properties and functions of Immunoglobulins Properties of various immunoglobulins Property IgG IgA IgM IgD IgE Usual form Monomer Monomer,dimer Monomer Monomer Valency 2 2 or 4 Monomer,Penta mer 2 or 10 2 2 Other chains None J chain None None Subclasses G1, G2, G3, G4 J chain, secretory component A1, A2 None None None Molecular weight (kDa) 150 150-600 900 150 190 Serum level mg/mL 9.5–12.5 IgA1- 3.0 IgA2 - 0.5 1.5 0.03 0.0003 % of total serum Ig 75–85% 10–15% 5–10% 0.3% 0.019% Half-life, days 23* 6 5 3 2.5 Daily production mg/kg 34 24 3.3 0.4 0.0023 37 Properties and functions of Immunoglobulins Properties of various immunoglobulins Property Intravascular distribution (%) Sedimentation coefficient Complement activation Classical Alternative Binds to Fc receptors of phagocytes Placental transfer Mediates coagglutination Mucosal transport Mast cell degranulation Marker for B cells Heat stability IgG 45% IgA 42% IgM 80% IgD 75% IgE 50% 7 7 19 7 8 ++ (IgG3>1>2) ++ – + - +++ ? ** – - – - Yes (except IgG2) Yes (except IgG3) + Yes + + + + + yes 38 Antigenic Determinants of Immunoglobulins The entire Ig molecule is not immunogenic, but it contains some antigenic determinants at specific sites. Based on the location of antigenic determinants, the Ig molecules are divided into: Isotypes person first Allotypes constan of hedggin to Alording have unique Idiotypes isotype Als of 39 in a Ig Isotypes but people the isotype are we only have game one allotype The five classes of Igs and their subclasses are called as isotypes. Vary from each other in the amino acid sequences of the constant on region of their heavy chains. differ Such variation is called as isotypic variation. s b O a O 15s 40 Ig Allotypes Immunoglobulin allotypes are genetically determined antigenic. differences in Immunoglobulins that varies in different members of the same species. These differences are located in C region so that a particular isotype may have several alternative allelic structure. IgG w̅ I I II heÉ factors Ige Beta Allotype 9 41 Ig Allotypes To date, three systems of allotypic markers have been characterized for humans: f Kappa light chain (Km system). 2 γ heavy chain (Gm system. 3 α heavy chain (Am system). Antibody to allotype determinants can be produced by injecting Igcontaining these determinants from one member to another within a given species. Anti allotype specific antibodies may also be developed following blood transfusion or by maternal passage of IgG into the fetus. 42 Ig Idiotypes antigenic determinant mshsen.hn one EffI Unique amino acid sequence present in paratope region (in VH and VL regions) of if one member of a species acts as antigenic determinant to other members of the same species. Such antigenic determinants are called as idiotopes and the sum total of idiotopes on an Ig molecule constitutes its idiotypes. typing of Ab to ie accord then variation 0 10 i'fighter 43 Ig Idiotypes Idiotypes in an individual arise continuously from mutations (somatic hypermutations) in the genes of variable region. Idiotypes may act as foreign to the host itself; however do not evoke autoimmune response because they are present in small numbers. 44 Abnormal Immunoglobulins Abnormal Ig Explanation Bence Jones proteins Produced in a neoplastic condition of plasma cells called multiple myeloma (light chain disease) Waldenstrom’s macroglobulinemia Lymphoma affecting B cells producing excess IgM Heavy chain diseases Characterized by an excessive production of heavy chains that are short and truncated Cryoglobulinemia Condition where the blood contains cryoglobulins; a type of Ig that becomes insoluble (precipitate) at low temperatures but redissolves again if the blood is heated 45 Polyclonal vs. Monoclonal Nature of Antibody Naturally antigen having multiple epitopes enters the body where each epitope may stimulate one clone of B cells producing one type of antibody. So the serum contains mixture of antibodies (polyclonal antibody) derived from different clones of B cells. When only one clone of B cell is stimulated by a single epitope of an antigen and then is allowed to proliferate and produce antibodies; such antibodies are referred to as monoclonal antibodies (mAb). iu5yJ o5iB ea7monodondm.s antibody cabg 46 Monoclonal Antibody So we produce them Antibodies derived from a single clone of plasma cell; all having the same antigen specificity- i.e. produced against a single epitope of an antigen. mAb (Hybridoma technique) was developed by Georges Kohler and Cesar Milstein in 1975 ; for which they were awarded Nobel Prize in 1984. 47 mAb, Principles of Hybridoma Technique Hybridoma technique fuse B cells from an immunized animal (typically a mouse) with a myeloma cell line and growing the cells under conditions in which the unfused normal and tumor cells cannot survive. Tosi The resultant fused cells that grow out are called hybridomas; each hybridoma makes only one Ig, i.e. mAb. 48 mAb, Principles of Hybridoma Technique Different Mouse is injected with an antigen, after an interval, the mouse splenic B cells are obtained. Myeloma (cancerous immortal plasma) cells Used as a source of immortal cell. myeloma cells are genetically modified with two mutation so that they lose the ability to produce their own antibody but retain immortal property. Fusion between B and myeloma cells occur in polyethylene glycol broth. T Bcen7,8s O 49 mAb, Principles of Hybridoma Technique Following the fusion three types of cells will result Unfused myeloma cells Unfused mouse splenic B cells Fused hybridoma cells Sub culturing the cells on HAT (hypoxanthine, aminopterin and thymidine) media, only fused hybridoma cell survive Due to HAT media, HGPRT (hypoxanthine guanine phosphoribosyl transferase) and thymidine kinase are needed for cell survival, so any cell (e.g. myeloma cell) that lacks HGPRT cannot grow on HAT medium 50 mAb, Principles of Hybridoma Technique Unfused splenic B cells can grow but do not survive long as they are not immortal Unfused myeloma cells- Cannot grow as they lack HGPRT enzyme to perform the salvage pathway of purine synthesis Hybridoma cells can grow and survive long cells is dispensed into multi-well plates to such an extent that each well contains only one cell Hybridoma cells producing the desired mAb by RIA or ELISA techniques using the specific antigen fragments, and are selectively proliferated. 51 mAb, Principles of Hybridoma Technique The selected hybridoma cells can be maintained in two ways: Hybridoma cell is cultured to generate a clone of identical cells; producing pure form of mAb. Desired hybridoma cell is injected into the peritoneal cavity of mouse where it can multiply and produce mAb in ascitic fluid. 52 Modifications in mAb by recombination monoclonal Mouse mAb - 100% mouse derived proteins Chimeric mAb is prepared by recombination of 34% mouse proteins (variable region) and 66% human proteins (constant region). Humanized mAb- Only the antigen binding site (i.e. CDRcomplementarity determining regions) is mouse derived (10%) and the remaining part of mAb is human derived. Human mAb- 100% of amino acids are human derived. It is the best accepted mAb in humans. 53 Types of monoclonal antibodies Mouse mAb can induce immune response in humans producing human anti-mouse antibody (HAMA); It is eliminated faster from the body. Hence mouse derived monoclonal antibodies are not the best for human human use. use O nam aum.Q 54 Applications of monoclonal antibodies Diagnostic reagents- mAb used widely for detection of antigen using different techniques Detection of infections, such as hepatitis B, serogrouping of streptococci, etc. Pregnancy detection test—by using monoclonal antibody against human chorionic gonadotropin Blood grouping can be done by using anti-A and anti-B monoclonal antibodies Tumor detection and imaging: By using mAb specific for tumor antigens secreted by tumor cells (e.g. prostate specific antigen) Tissue typing for transplantation can be done by using anti-HLA monoclonal antibodies. 55 Applications of monoclonal antibodies Isolation and purification- mAb can be used to purify individual molecule from a mixture even when they are present in low concentration. e.g. interferon and coagulation factor VIII. Identification of cells and clones- TH and TC cells are identified by using anti-CD4 and anti-CD8 mAb using flocytometry. Monitoring proteins and drug level in serum. As a passive immunity Ig - as in post exposure prophylaxis against various infections, mAb targeting specific antigens of the infecting organism can be administered, examples include- immunoglobulins against hepatitis B, rabies, and tetanus. 56 Applications of monoclonal antibodies Therapeutic use- Treatment of various inflammatory & allergic diseases and cancer. The mechanisms by which monoclonal antibodies work as therapeutic: Suppress immune system Kill or inhibit malignant cells Inhibit angiogenesis Monoclonal Targeted against antibody Suppress immune system Adalimumab and TNF-α Infliximab Used in treatment of Omalizumab Daclizumab Muromonab Anticancer Trastuzumab Rituximab Inhibit angiogenesis Bevacizumab IgE IL-2 receptor CD3 Asthma Rejection of kidney transplants HER-2 CD20 Breast cancer Lymphoma VEGF(Vascular endothelial growth factor) Platelet receptor GpIIb/IIIa Colorectal cancers Abciximab Rheumatoid arthritis Crohn's disease Coronary artery 57 disease Applications of monoclonal antibodies Used as immunotoxin- mAb conjugated with bacterial/chemical toxins (e.g. diphtheria toxin) can be used to kill the target cells such as cancer cells. mAb against surface receptors helps in binding to the target cells and the toxin helps in target cell killing. Used as enzymes- Abzyme is a monoclonal antibody with catalytic activity. 58 Genetics of Antibody Production The mechanism of organization of Ig gene is unique and different from the classical ‘one gene-one polypeptide’ genetic model. In contrast, Ig polypeptide chains are coded by more than one gene. 59 Multigene organization of Immunoglobulin There are three basic principles of this model which are summarized below. 1. Ig molecule is not coded by a single gene 2. Heavy chain is coded by four gene segments- V (variable), D (diversity) and J (joining) and C (constant) gene segments. Light chains are coded by three genes V, J and C gene segments. 3. Ig genes are encoded in different chromosomes: H chain gene family is located on chromosome 14 Kappa light chain gene family is located on chromosome 2 Lambda light chain gene family is located on chromosome 22 60 Multigene organization of Immunoglobulin Multiple genes exist for each genetic segment of Ig chain. Ig molecule is produced by recombination between various gene segments. Gene rearrangement occurs at: Rearrangement at DNA level Rearrangement at RNA level 61 Multigene organization of Immunoglobulin 62 Rearrangement at DNA level There is rearrangement and splicing between the DNA segments of variable region of both H and L chains. H chain gene region undergoes rearrangement first followed by L chain gene region. H chain, D-J joining occurs first followed by V-DJ joining whereas in L chain, only V -J joining takes place. Recombination of gene segments occurs at the time of joining which is mediated by special recombinase enzymes, encoded by RAG (recombination activation genes). C gene segments of both H & L chains are not joined at DNA level; but remain separate. 63 Rearrangement at RNA level V, D, J and C gene segments are transcribed to generate primary RNA transcript. C region RNA transcripts combine with variable region RNA transcripts to generate complete H and L chains. Differential Ig RNA processing- It is an important event which occurs at post translational level which is responsible for Directing the synthesis of immunoglobulin as membrane bound Ig or secretory Ig. Simultaneous expression of membrane Ig (IgM and IgD) on surface of mature B cells. 64 Antibody Diversity Human immune system is capable of producing vast number of antibodies (108 or even more) corresponding to various epitopes of different antigens. Gene segment V D J C Number of genes H chain κ L chain λ L chain 51 40 30 27 0 0 6 5 4 9 1 4 Type of joining Possible combinations V-D-J combinations in heavy chain V-J combinations in κ chain 51VH X 27DH X 6JH genes = 8262 40Vκ X 5Jκ genes = 200 V-J combinations in λ chain Combinations of H & L chains 30Vλ X 4Jλ genes = 120 8262 X 200 X 120 = 2.64 X 106 65 Mechanism of antibody diversity Multiple genes for each segment coding for Ig chain Many possible combinations of joining of variable region gene segments Junctional flexibility :V-DJ, D-J and V-J joining can take place at any level of several nucleotides present at the ends of V, D, J segments. Junctional diversity: The V/D/J joining is a highly inaccurate process that results in the addition or subtraction of variable number of nucleotides and, thus, generates junctional diversity. Somatic hypermutation: following antigenic stimulus to B cells,V region genes undergo point mutations (resulting from nucleotide substitutions) at a higher frequency, hence named as hypermutation. This helps in affinity maturation of B cells. 66 Class switching or isotype switching Class switching allows any given VH domain to associate with the constant region of any isotype. This enables antibody specificity to remain constant while the biological effector activities of the molecule vary. 67

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