Regulation of mucosal IgA responses: lessons from primary immunodeficiencies

A Cerutti, M Cols, M Gentile, L Cassis… - Annals of the New …, 2011 - Wiley Online Library
A Cerutti, M Cols, M Gentile, L Cassis, CM Barra, B He, I Puga, K Chen
Annals of the New York Academy of Sciences, 2011Wiley Online Library
Adaptive co‐evolution of mammals and bacteria has led to the establishment of complex
commensal communities on mucosal surfaces. In spite of having available a wealth of
immune‐sensing and effector mechanisms capable of triggering inflammation in response to
microbial intrusion, mucosal immune cells establish an intimate dialogue with microbes to
generate a state of hyporesponsiveness against commensals and active readiness against
pathogens. A key component of this homeostatic balance is IgA, a noninflammatory antibody …
Adaptive co‐evolution of mammals and bacteria has led to the establishment of complex commensal communities on mucosal surfaces. In spite of having available a wealth of immune‐sensing and effector mechanisms capable of triggering inflammation in response to microbial intrusion, mucosal immune cells establish an intimate dialogue with microbes to generate a state of hyporesponsiveness against commensals and active readiness against pathogens. A key component of this homeostatic balance is IgA, a noninflammatory antibody isotype produced by mucosal B cells through class switching. This process involves activation of B cells by IgA‐inducing signals originating from mucosal T cells, dendritic cells, and epithelial cells. Here, we review the mechanisms by which mucosal B cells undergo IgA diversification and production and discuss how the study of primary immunodeficiencies facilitates better understanding of mucosal IgA responses in humans.
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