CorpusHuman Anatomy

B lymphocyte

Also known as: B cell, B cells, B-cell, B lymphocytes

Lymphocytes that mature in the bone marrow, recognise intact antigen through a membrane-bound antibody (the B-cell receptor) and, when activated, become antibody-secreting plasma cells and memory B cells; they also present antigen to helper T cells.

Adaptive Immune Response

Overview

B cells (named after the bursa of Fabricius, where they were discovered in birds) develop in the bone marrow. Pro-B cells rearrange their heavy-chain genes (D–J, then V–DJ) using RAG1/RAG2, with TdT adding junctional diversity; pre-B cells express the heavy chain with a surrogate light chain (the pre-BCR), whose signalling through Bruton tyrosine kinase (BTK) permits proliferation and light-chain (κ, then λ) rearrangement. Immature B cells express surface IgM; those binding self-antigen strongly undergo receptor editing, deletion or anergy (central tolerance). Survivors migrate to the spleen and mature into naive follicular B cells co-expressing IgM and IgD.

The B-cell receptor (BCR) is membrane immunoglobulin associated with the signalling chains Igα/Igβ (CD79a/CD79b), with a co-receptor complex (CD19, CD21 — the complement receptor CR2, also used by EBV — and CD81). B-cell markers include CD19, CD20 (target of rituximab) and CD22. Unlike T cells, B cells recognise native, unprocessed antigen of any chemical type (proteins, polysaccharides, lipids, nucleic acids).

T-independent antigens (e.g. bacterial capsular polysaccharides with repeating epitopes) cross-link many BCRs and activate B cells — particularly marginal-zone and B-1 cells — without T-cell help, producing mainly IgM, little class switching and weak memory; infants under about 2 years respond poorly to them. T-dependent (protein) antigens are internalised by the BCR, processed and presented on MHC class II to a helper T cell recognising the same antigen; the T cell provides CD40L–CD40 contact and cytokines (IL-4, IL-21). The B cell then forms early extrafollicular plasmablasts or enters a germinal centre, where somatic hypermutation, affinity maturation and class switching occur (IFN-γ favours IgG subclasses, IL-4 favours IgE, TGF-β favours IgA), producing long-lived plasma cells and memory B cells.

Location

Bone marrow (development), follicles of lymph nodes, spleen and MALT, splenic marginal zone, blood (≈ 10–15% of lymphocytes).

Parts & subdivisions

  1. Membrane IgM (and IgD) plus Igα/Igβ; each B cell expresses a single specificity.
  2. The majority: recirculate through follicles; T-dependent responses and germinal centres.
  3. In the splenic marginal zone; rapid IgM responses to blood-borne polysaccharide antigens — explains vulnerability after splenectomy.
  4. B-1 cells
    Innate-like B cells (peritoneal and pleural cavities) producing "natural" IgM, including anti-A/B isohaemagglutinins.
  5. Long-lived, mostly class-switched high-affinity cells that respond rapidly on re-exposure.

Anatomy

Development

B-lymphopoiesis occurs in the fetal liver and then the bone marrow throughout life, from common lymphoid progenitors under IL-7 and the transcription factor PAX5.

Function

  • Recognise native antigen via the BCR and differentiate into antibody-secreting plasma cells (humoral immunity).
  • Act as antigen-presenting cells for helper T cells (MHC class II).
  • Generate memory B cells for secondary responses.
  • Secrete cytokines; some (regulatory B cells) produce IL-10.

Clinical significance

Antibody deficiencies

X-linked (Bruton) agammaglobulinaemia (BTK mutation): B-cell development arrests at the pre-B stage, so boys have no circulating B cells, absent tonsils and lymph-node follicles, and recurrent bacterial (pneumococcal, H. influenzae) and enteroviral infections after ≈ 6 months. Common variable immunodeficiency: low IgG and IgA with poor vaccine responses, presenting in adolescence or adulthood with recurrent sinopulmonary infections, bronchiectasis, autoimmunity and granulomas. Treated with immunoglobulin replacement.

B-cell malignancy and B-cell depletion

Most non-Hodgkin lymphomas, CLL, ALL (precursor B) and myeloma arise from B-lineage cells. Rituximab and ocrelizumab (anti-CD20) deplete B cells and are used in lymphoma, rheumatoid arthritis, ANCA vasculitis and multiple sclerosis.

Compiled from standard anatomy and physiology references — see the Lymphatic & Immune System sources. For education only; not medical advice.