In terms of immune response mechanisms, how does mucosal immunity primarily utilize B lymphocytes?

Prepare for the NBME Form 26 Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Mucosal immunity primarily relies on B lymphocytes to produce Immunoglobulin A (IgA), which plays a crucial role in the defense of mucosal surfaces. When B cells are activated in mucosal tissues, they undergo class switching to produce IgA, a key antibody for neutralizing pathogens at mucosal surfaces, including those in the gastrointestinal, respiratory, and urogenital tracts.

IgA is particularly significant because it exists in two forms: serum IgA and secretory IgA (sIgA). The secretory form is produced by plasma cells in mucosal tissues and is transported across epithelial cells into mucosal secretions, such as saliva, tears, and intestinal secretions. This localized production and secretion help to provide a first line of defense against pathogens at these entry points, preventing their adherence and invasion.

The other answer choices do not accurately reflect the primary role of B lymphocytes in mucosal immunity. While B cells can produce IgM during the initial immune response, this is not specific to mucosal immunity. Activating macrophages is primarily a function of T lymphocytes and other factors rather than B cells. Similarly, while antibodies can circulate in vascular systems, the specific mechanism emphasized in mucosal immunity involves the production and

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