“…B cells can undergo Ig class switch recombination (CSR) and acquire the ability to produce IgA after CD40-CD40L ligation in the presence of TGF- β with contribution from other cytokines including IL-4, IL-5, IL-6, IL-10, and IL-21 (5–8) (Figure 1). Other costimulatory signals such as B cell-activating factor of the TNF family (BAFF), a proliferation-inducing ligand (APRIL), retinoic acid (RA), and nitric oxide also facilitate CSR for the production of IgA (7, 9, 10).…”