Alloantibodies produced by B cellsAllospecific B cells are activated only after receiving help from an allospecific T cells recognizing the alloantigen derived peptide presented by the B cell. Because this interaction is self-restricted, only T cells that recognize alloantigens in an indirect way are able to provide the necessary help and no humoral response can occur when the alloresponse is dominated by T cells recognizing the alloantigen through the direct pathway. The T-B encounter occurs when a recirculating B cell migrates through the T cell zone of the lymph node. Activation of the B cell occurs only when its surface immunoglobulin (Ig) sees the antigen retained on the surface of a dendritic cell. The antigen is then internalized by the B cell via its surface Ig, processed and presented on MHC II. The animation illustrates the principle of the “linked” or “cognate” recognition of antigen by T and B cells in a three-cell DC-T-B interaction. The helper T cell must see the same peptide first on a DC and then on a B cell. The B cell receives costimulatory signals from the Th.
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