“…14, 15 Anti-allotype antibodies have been detected when individuals who do not possess the allotype in their genome are exposed to antibodies that carry the allotypic amino-acid sequence, such as after platelet transfusion or after multiple childbirths 16, 17, 18 However, the presence of novel amino acids in a normally conserved sequence may also function as a CD4+ T helper cell epitope, as has been shown in mice. 19, 20, 21, 22, 23 Productive, cognate interactions between immunoglobulin allotype-specific helper T cells and B cells in rodents have been demonstrated in vitro . 24, 25, 26, 27 Therefore, a CD4+ T helper cell epitope in the constant region of an exogenously administered antibody could potentially support the development of antibody responses to other novel regions of the protein, as exemplified by the complementarity determining regions, in humans.…”