It seems that B cells, the lymphocytes responsible for producingantibodies, are eager to share their secrets. Their revelationswere first uncovered indirectly in serum through reactions withmicrobes, cells, and toxins; increases in gamma globulin afterimmunization; agammaglobulinemia associated with immune deficiency;and the paraproteins in multiple myeloma and related disordersthat ultimately revealed the structure of immunoglobulins andprompted the two-gene–one-antibody hypothesis. Furtherrevelations, often surprising and unique, came from the B cellsthemselves: clonal expansion, allelic exclusion, light-chainrestriction, somatic recombination of immunoglobulin V genes,isotype switching, and the deliberate hypermutation of V genesthat leads to . . . [Full Text of this Article]
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From the Division of Laboratory Sciences, Centers for Disease Control and Prevention, Atlanta (R.F.V.); and the Division of Hematology, Mayo Clinic, Rochester, MN (R.A.K.).
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