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USMLE - Chapter 2 - Immunology

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  1. Primary Lymphoid Organs to Lymph Node Structural Diagram
    7Topics
  2. Introduction to Lymphatic Drainage to Lymph Node Palpability and Right Lymphatic Duct
    6Topics
  3. Spleen Structure Overview to Thymus-Related Conditions
    6Topics
  4. Components and Mechanism of Immunity to Understanding Immune Privilege
    4Topics
  5. MHC I and II: Introduction and Loci to DQ8, DR3, DR4
    9Topics
  6. Functions of Natural Killer Cells to Major Functions of T Cells
    3Topics
  7. T Cell Development: Bone Marrow & Thymus to Regulatory T Cells and Autoimmunity
    6Topics
  8. T-cell Activation: Antigen Presentation to B-cell Activation: Co-stimulation, Class Switching, and Maturation
    4Topics
  9. Antibody Structure and Function to Antibody Diversity and Specificity
    4Topics
  10. Introduction to Immunoglobulin Isotypes to Thymus-Dependent Antigens
    7Topics
  11. Introduction to Complement System to Convergence and MAC Formation
    9Topics
  12. Early Complement Deficiencies to PNH: Hemolysis & Thrombosis
    4Topics
  13. Interleukin-1: Macrophage Secretion and Acute Response to IL-10 and IL-13: Immune Regulation and IgE Production
    7Topics
  14. Respiratory Burst Introduction to Interferons Clinical Use & Side Effects
    5Topics
  15. T Cell Surface Proteins to Examples of Passive and Active Immunity
    4Topics
  16. Live Attenuated Vaccines: Description to mRNA Vaccine
    8Topics
  17. Overview of Hypersensitivity Types to Type II: Cellular Dysfunction & Clinical Examples
    6Topics
  18. Type III Hypersensitivity: Mechanism & Examples to Type IV Hypersensitivity: Examples & Tests
    5Topics
  19. Allergic and Anaphylactic Transfusion Reactions to Delayed Hemolytic Transfusion Reaction
    5Topics
  20. Autoantibodies in Neuromuscular and Systemic Diseases to Autoantibodies in Metabolic, Hematologic, and Renal Disorders
    5Topics
  21. Bruton's Agammaglobulinemia to Chronic Mucocutaneous Candidiasis
    7Topics
  22. Severe Combined Immunodeficiency (SCID) to Chronic Granulomatous Disease
    7Topics
  23. Intro to Immunodeficiency & T-Cell Bacterial Infections to Parasitic Infections & Key Deficiency Note
    5Topics
  24. Hyperacute Transplant Rejection to Histology of Transplant Rejection
    5Topics
  25. Immunosuppressants: Definition and Risks to Sirolimus & Basiliximab: Clinical Aspects
    5Topics
  26. Azathioprine to Immunotherapy: Interleukin-2 and Interferons
    6Topics
  27. TNF-α Inhibitors: Adalimumab & Infliximab to Omalizumab & Palivizumab: Allergic & Viral
    7Topics
Lesson 9 of27
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Antibody Structure and Function to Antibody Diversity and Specificity

Content August 26, 2025

Antibody structure and function

Fab fragment consisting of light (L) and heavy (H) chains recognizes antigens. Fc region of IgM and IgG fixes complement. Heavy chain contributes to Fc and Fab regions. Light chain contributes only to Fab region.

#boundingbox

C=Constant, V=Variable, L=Light, H=Heavy, SS=Disulfide bond


Fab.

  • Fragment, antigen binding
  • Determines idiotype: unique antigen-binding pocket, only 1 antigenic specificity expressed per B cell

Fc (5 C’s):

  • Constant
  • Carboxy terminal
  • Complement binding
  • Carbohydrate side chains
  • Confers (determines) isotype (IgM, IgD, etc)

#boundingbox

Neutralization: Antibody prevents bacterial adherence

Opsonization: Antibody promotes phagocytosis

Complement activation: Antibody activates complement, enhancing opsonization and lysis


Generation of antibody diversity (antigen independent)

  1. Random recombination of VJ (light-chain) or V(D)J (heavy-chain) genes by RAG1 and RAG2
  2. Random addition of nucleotides to DNA during recombination by terminal deoxynucleotidyl transferase (TdT)
  3. Random combination of heavy chains with light chains

Generation of antibody specificity (antigen dependent)

  1. Somatic hypermutation and affinity maturation (variable region)
  2. Isotype switching (constant region)

Topics Covered:

  • Antibody Structure and Function
  • Fab and Fc Region Characteristics
  • Key Antibody Functions
  • Antibody Diversity and Specificity