B淋巴細胞抗原CD19(B-lymphocyte antigen CD19),也稱為CD19分子(Cluster of Differentiation 19),B淋巴細胞表面抗原B4、T細胞表面抗原Leu-12和CVID3是一種跨膜蛋白,在人體中由基因CD19編碼[5][6],該蛋白存在於人體中所有B譜系細胞的表面[7][8],包含漿細胞確實表達CD19。[9][10] CD19在人類B細胞中起著兩個主要作用:一方面,它可以做為信號轉導接頭蛋白,接收細胞質內的訊息傳遞分子;另一方面,它在CD19/CD21複合體內工作,降低B細胞受體信號通路的閾值。由於其在所有B細胞上的存在,它是B淋巴細胞發育、淋巴瘤診斷的生物標記,並且可以作為白血病免疫治療的靶點[8]。
在人類體內,CD19蛋白轉譯自「CD19」基因。該基因位於第16號染色體短臂上,長約7.41kb[11][12]。該基因包含至少15個外顯子,其中4個外顯子轉譯為該蛋白的胞外結構,9個外顯子轉譯為細胞質結構,總共包含556個氨基酸[12]。實驗顯示存在多種mRNA轉錄物,但只有其中兩個在體內發現[11]。
CD19是一種95 kDa 免疫球蛋白超家族中的I型跨膜糖蛋白(IgSF),具有兩個細胞外C2型Ig樣結構域,和一條存在於細胞質部分的多肽尾端。該肽鏈由240個氨基酸所構成,相對胞外結構域較大,在哺乳動物物種演化中高度保守[11][13][14]。細胞外C2型Ig樣結構域由一個潛在的二硫鍵非Ig樣結構域和N-鏈糖基化位點分隔。[14][15] 細胞質尾部含有至少9個酪氨酸殘基,接近C端[11][14] 在這些殘基中,Y391、Y482和Y513對CD19的生物功能至關重要。[16]。Y482和Y513位點的苯丙氨酸替代導致其他酪氨酸的磷酸化受阻[11][17]。
CD19存在於自原始B細胞(Progenitor B cell)後期以後的各階段,包括漿細胞。當造血幹細胞開始往在B細胞譜系開始發育時,其免疫球蛋白(Ig)基因會開始進行基因重組,同時細胞表面開始出現CD19的表面標記[8]。在發育過程中,CD19的表面密度受到高度調控[11],成熟B細胞的CD19表達量會增加為未成熟B細胞的三倍[11],但到發育為將細胞後又會逐漸下降[18]。B細胞譜系的惡性腫瘤也會有CD19的表達[7][17],也因為CD19廣泛存在於大多數的B細胞,因此可以作為B細胞的表面標記,也是B細胞惡性腫瘤的治療標靶[8][11]。
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