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    Bone marrow cells were sorted using 4 cell-surface markers, CD45R (B220), CD43 (leukosialin), membrane-associated Immunoglobulin M (mIgM), and membran
    Question

    Bone marrow cells were sorted using 4 cell-surface markers, CD45R (B220), CD43 (leukosialin), membrane-associated Immunoglobulin M (mIgM), and membrane-associated Immunoglobulin D (mIgD). The sorted cells were then analyzed for immunoglobulin (Ig) gene rearrangements for the heavy chain. With this information, the sorted cells were categorized into different stages of B-cell development. The observations and the inferences drawn are given below.

    Which of the following combinations is correct?​​

    Which of the above inferences are correct?

    A.

    B and D only

    B.

    A, B, C and E only

    C.

    A, C and E only

    D.

    B, D, and E only

    Correct option is C

    Explanation-

    Background on B-cell development (from stem cell to mature B cell):
    1. Pro-B cell:
        (i)   CD45⁺, CD43⁺
        (ii)  Germline or DJ rearranged heavy chain
        (iii) No surface IgM
    2. Pre-B cell (large & small stages):
         (i)  CD45⁺, CD43⁻ (CD43 gets downregulated as cells progress)
         (ii)  VDJ rearranged (μ chain made)
         (iii)  No IgD yet
         (iv)  Surface or cytoplasmic μ (IgM⁻ or IgMlow)
    3. Immature B cell:
         (i)  CD45⁺, CD43⁻
         (ii) Expresses IgM⁺ but not IgD
    4. Mature B cell:
         (i)  CD45⁺, CD43⁻
         (ii) Expresses both IgM and IgD (IgMhi, IgDhi)

    Analysis of Each Row:

    Correct Inference
    A: CD45R⁺, CD43⁻, mIgMhi, mIgDhi → VHDJH–Cμ → Mature B cell   
    Fully rearranged Ig heavy chain and expression of both surface IgM and IgD.
    C: CD45R⁺, CD43⁻, mIgMlow, mIgD⁻ → VHDJH–Cμ → Late pre-B cell   
    Low surface IgM suggests small pre-B stage transitioning to immature.
    CD43 has been lost → post-pro-B.
    E: CD45R⁺, CD43⁺, mIgM⁻, mIgD⁻ → Germline configuration → May not be B-cell precursor 
    No rearrangement, no surface Ig → could be non-B lineage. Early progenitor or irrelevant cell type.
    Incorrect Inference
    B: CD45R⁺, CD43⁺, mIgM⁻, mIgD⁻ → Germline → Pro B cell
    This would be true if DJH rearrangement had occurred. But “germline” suggests no rearrangement at all, which is before pro-B. So calling it pro-B is premature.
    D: CD45R⁺, CD43⁻, mIgM⁻, mIgD⁻ → VHDJH → Immature B cell
    Immature B cells must express surface IgM. But mIgM is negative.
    VHDJH rearrangement suggests a pre-B cell that hasn’t expressed μ protein yet.

    Final Answer: Option c – A, C and E only are correct.

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