Page 618 - Veterinary Immunology, 10th Edition
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                           FIG. 20.7  Central and peripheral tolerance mechanisms in B cells.


                  As with T cells, B cell anergy occurs when they encounter
               antigens in the absence of co-stimulation. B cells are difficult to
               maintain in a tolerant state, however, and will reactivate rapidly
               unless steps are taken to maintain tolerance. Self-reactive B cells

               must also bind to a critical threshold of self-antigen to be made
               tolerant. This results in selective silencing of high-affinity B cells.
               Presumably the failure of low-affinity anti-self B cells to become
               tolerant poses little threat of autoimmune disease because the low-

               affinity antibodies will not cause tissue destruction.
                  B cells subjected to repeated exhaustive antigenic stimulation
               may differentiate into short-lived plasma cells. If all B cells develop
               into such plasma cells, no memory B cells will remain to respond to

               antigen, and tolerance will result.
































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