The fuse provides power to the D+ line and lights the alternator light and excites the alternator to initiate charging. When the alternator provides power it overrides the fused power to extinguish the light; basically, the voltage is the same on both sides of the light once the alternator puts out power. The transistor symbol simply says the D+ goes to the instrument cluster circuit board. According to the diagnostic chart, D+ also tells the car that the engine is running.
Compared to modern cars, the charging system on the W140 is very old fashioned. Just an alternator and regulator. No PWM telling the alternator how much power to put out, no need to reprogram the car if you change the battery, simple to diagnose.
Edit: the D+ line is the key to the alternator starting to work. If the alternator light is burned out, the alternator never gets voltage on D+ and it doesn't start working. D+ literally kick starts the alternator charging each time you start the car.
Jon