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384  |  Vervelde and Kaufman

          thymus to develop and be appropriately selected and go on to   typically bind short peptides (8–10 residues) with a few so-called
          carry out a huge variety of so-called cellular immune responses.   anchor residues, which are peptide positions with only one or a
          B cells were originally defined in chickens as those lymphocytes   few closely related amino acids whose side-chains bind into deep
          that depend on the bursa of Fabricius for development and even-  pockets. The particular amino acids in the anchor positions (and
          tual production of antibodies (often called humoral immunity).   sometime other positions conserved for other reasons) together
          The bursa is specific to birds, with the bone marrow being the   form the peptide motif. Typically, peptide position 2 and final
          site of B cell development and initial selection in most placental   position are anchor residues for human classical class I molecules;
          mammals.                                              for HLA-B*057:01, alanine, serine and threonine are found at
            During development of a particular lymphocyte, recombina-  peptide position 2 and tryptophan at final position (giving ATS2-
          tion and other processes lead to joining of various V, D and J   Wc in single letter code). In contrast, mammalian classical class II
          gene segments, which in turn leads to particular sequences that   molecules generally bind longer peptides, which can hang out the
          determine binding specificity. The variety of V, D and J segments,   ends and have a 9mer core with four anchor positions which are
          the imprecise joining of these segments, and the combinatorial   not so conserved, resulting in much more promiscuous binding.
          association of the resulting receptor chains lead to an enormous   For both kinds of MHC molecules, high polymorphism is driven
          diversity of antigen-specific receptors overall, each single recep-  primarily by a molecular arm race with pathogens, in which the
          tor found only in one clone of cells. Among these more-or-less   pathogens seek to evade the immune response by changing the
          randomly assembled receptors are those that can recognize self-  sequences of their proteins to avoid peptide binding to MHC
          molecules and could lead to autoimmunity; a variety of processes   molecules, and the host counters by evolving MHC molecules
          are used to control this self-reactivity, starting with selection   with new binding specificities.
          in the thymus for T-cells and in the bone marrow of mammals
          for B cells. It is thought that tolerance in the thymus is similar   Cellular responses and permission/polarisation
          throughout the jawed vertebrates; however, the mechanism for   by the innate immune system
          generation of diversity in the bursa of birds is quite specialized,   There is much complexity to ensure that the immune response is
          with the mechanisms for B cell tolerance in chickens remaining   appropriate to the threat. CD8-bearing CTLs include αβ T-cells
          unclear.                                              that recognize intracellular peptides bound to classical class I mol-
            The antigen-specific receptors of jawed vertebrates typically   ecules, but also peptides bound to some so-called non-classical
          have two protein chains that together create the antigen-binding   class I molecules which are generally not polymorphic and are
          site: heavy (H) and light (L) chains of B cell receptors (BCRs)   specialized in various ways. Also, many γδ T-cells bear CD8 and
          and antibodies, alpha (α) and beta (β) chains of αβ T-cell recep-  recognize a wide range of ligands, often specialized for function
          tors (TCRs), and gamma (γ) and delta (δ) chains of γδ TCRs.   in particular tissues. Finally, both classical and some non-classical
          BCRs and antibodies generally recognize molecular shapes of all   class I molecules are recognized by NK cells, particularly early in
          kinds, the γδ TCRs recognize a wide range of cell surface proteins,   the innate immune response. All cells can be infected by intra-
          and the αβ TCRs are selected to only recognize certain cell sur-  cellular pathogens, and presumably as a result classical class I
          face molecules encoded in the major histocompatibility complex   molecules are widely expressed.
          (MHC), specifically the classical class I and class II molecules.  The complexity of CD4 cells provide a much more nuanced
                                                                response, appropriate to the threat. This so-called polarization
          The MHC and MHC molecules                             leads to Th1 cells that produce the cytokines IFNγ and TNFα
          Classical MHC molecules bind peptides within the cell for dis-  for inflammation and intracellular pathogen control, Th2 cells
          play on the cell surface to αβ T-cells: the class I molecules bind   that produce IL-4, IL-5, IL-13 and GM-CSF for wound healing
          peptides primarily derived from the cytoplasm and nucleus   and multicellular parasite control, Th17 cells that produce IL-17
          (sometimes called ‘intracellular proteins’) and the class II mol-  and IL-23 for extracellular bacterium and fungus control, and
          ecules bind peptides primarily derived from intracellular vesicles   T regulatory (Treg) cells that produce IL-10 and transforming
          which also receive molecules from the extracellular space (thus   growth factor beta (TGFβ) to control the immune response,
          sometimes called ‘extracellular proteins’). These MHC molecules   among others. The cytokines secreted by these various CD4 cells
          play crucial roles in many adaptive immune responses, including   shape the immune response, including determining the antibody
          (and presumably evolved for) resistance to pathogens (as well as   response by B cells.
          responses to tumours). The intracellular peptides presented by   For B cells, cytokines determine the secretion of so-called
          classical class I molecules are recognized by αβ T-cells that bear   immunoglobulin (Ig) isotypes. One end of secreted antibodies
          the co-receptor CD8 and that are generally cytotoxic T-cells   determines  the antigen-binding  specificity, but the  other end
          (CTLs) which can kill virally infected cells. The extracellular pep-  determines the function delivered, whether binding to soluble
          tides presented by classical class II molecules are recognized by αβ   effector proteins like complement and C-reactive protein (CRP)
          T-cells that bear the co-receptor CD4 and that can deliver a range   or binding receptor proteins on specific cells (particularly Fc
          of functions tailored to the pathogen.                receptors on macrophages and various granulocytes). Through-
            The classical MHC molecules are generally highly polymor-  out the jawed vertebrates, immunoglobulin with a mu heavy
          phic, with many alleles each of which binds peptides with different   chain (IgM) provides general multipoint binding to extracellular
          sequence characteristics. Mammalian classical class I molecules   pathogens within the body, while other Ig isotypes provide more
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