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. Author manuscript; available in PMC: 2014 Apr 1.
Published in final edited form as: J Immunol. 2013 Apr 1;190(7):3039–3046. doi: 10.4049/jimmunol.1203067

Table 1.

Potential factors contributing to the inefficient acquisition of protective Abs.

Factor References
Clonal Ag variation (15)
Ag genetic diversity (14)
GC disruption (92)
Lack of Ab avidity maturation (93)
Marginal zone B cell induction (94)
B cell ‘exhaustion’ (71)
Increased immature transitional B cells (95)
CD4+ T cell exhaustion (76)
Polyclonal B cell activation (77, 96)
BAFF/BAFF-R dysregulation (81)
TLR tolerance (90)
Self-reactive antibodies/anergy (97)
Clonal imprinting/OAS (46)