Which immunoglobulin isotype is the first produced during a primary immune response?

Study for the NBME Immunology Test. Explore questions with hints and detailed explanations. Get ready for success in your exam!

Multiple Choice

Which immunoglobulin isotype is the first produced during a primary immune response?

Explanation:
In a primary immune response, the initial antibody response comes from naive B cells that express membrane-bound IgM (and IgD) on their surface. Upon encountering antigen with help from T cells, these B cells differentiate into plasma cells that first secrete soluble IgM. IgM is a pentamer, which gives it high overall avidity and makes it particularly effective at activating the classical complement pathway early in infection. As the response matures, B cells undergo class-switch recombination, guided by cytokines, to produce other isotypes such as IgG, IgA, or IgE. So IgM is the first isotype produced in a primary response, with other isotypes appearing later after further maturation and memory formation.

In a primary immune response, the initial antibody response comes from naive B cells that express membrane-bound IgM (and IgD) on their surface. Upon encountering antigen with help from T cells, these B cells differentiate into plasma cells that first secrete soluble IgM. IgM is a pentamer, which gives it high overall avidity and makes it particularly effective at activating the classical complement pathway early in infection. As the response matures, B cells undergo class-switch recombination, guided by cytokines, to produce other isotypes such as IgG, IgA, or IgE. So IgM is the first isotype produced in a primary response, with other isotypes appearing later after further maturation and memory formation.

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