In addition to producing autoantibodies, B cells act as
critical antigen presenting cells in autoimmune disease.
Tight regulation of B-cell activity is required to ensure
humoral immunity against pathogens, on the one hand,
and to avoid detrimental autoreactivity, on the other. Activation
of B cells is mediated through cross-binding of
the B-cell antigen receptor (BCR) and is greatly enhanced
by co-engagement of complement receptor type 2 (CD21,
CR2) and its signaling element, CD19. Feedback inhibition
of B-cell activity is mediated by the binding of IgG
antibodies to Fc?RIIB (CD32). The extent to which the individual
receptors are engaged depends on the context
in which antigen is encountered, be it as antigen alone,
as complement-opsonized antigen, or as antigen complexed
with IgM or IgG antibodies. Both over-expression
of CD19 and deficiency of elements centrally involved in
negative signaling, e.g. Fc?RIIB and Lyn, lead to autoimmune
disease in mice. Upon formation of complementactivating
ICs with natural or disease-associated antibodies,
self-antigen binds to B cells via CD21 and CD35 (CR1)
and induces proliferation of self-reactive B cells and
CD4+ T cells. Here, we review the role of BCR, CD21/
CD19 and Fc?RIIB in regulating B-cell activity in immune
and autoimmune responses.