أسئلة السابعة ميكرو PPPM (قبل التعديل)
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What is the primary role of IL-2 in the activation of helper T (Th) cells?

  • Directly activating B cells to produce antibodies without antigen binding.
  • Inhibiting macrophage activation to prevent excessive inflammation.
  • Suppressing the production of IFN-gamma to regulate immune responses.
  • Stimulating the Th cells to proliferate and activate themselves. (correct)

A researcher is investigating the mechanisms of B cell activation. Which condition would bypass the requirement for T cell help in B cell activation?

  • Providing a constant supply of IL-2, IL-4, and IL-5 to the B cells.
  • Blocking the interaction between CD40 on B cells and CD40L on T helper cells.
  • Administering a drug that inhibits the interaction between B cell receptors (BCRs) and antigens.
  • Using an antigen that can directly cross-link multiple BCRs on the B cell surface. (correct)

What is the key function of plasma cells, which are differentiated from activated B cells?

  • Producing and secreting antibodies to neutralize or eliminate pathogens. (correct)
  • Secreting cytokines that enhance the activity of other immune cells.
  • Presenting antigens to T cells to initiate the adaptive immune response.
  • Phagocytosing pathogens directly from the bloodstream.

For a CTL to effectively kill a virus-infected cell, what two conditions must be met?

<p>The target cell must express class I MHC molecules bound to a specific antigen, and the CTL must receive IL-2 and IFN-γ from activated helper T cells. (B)</p> Signup and view all the answers

A patient undergoing a kidney transplant is maintained on immunomodulatory drugs. What is the primary goal of this therapeutic approach?

<p>To suppress the immune system's ability to reject the transplanted kidney, while preventing severe infections. (D)</p> Signup and view all the answers

Which mechanism primarily explains how adjuvants enhance vaccine effectiveness?

<p>Stimulating the immune system and boosting the response to a vaccine without specific antigenic effect. (C)</p> Signup and view all the answers

Why are aluminum salts commonly used as adjuvants in human vaccines?

<p>They effectively prolong antigen retention, increase antigen size, and boost local immune cell influx. (D)</p> Signup and view all the answers

What is the primary application of immunosuppressive drugs following organ transplantation?

<p>Preventing the recipient's immune system from rejecting the transplanted organ. (A)</p> Signup and view all the answers

How do anti-proliferative drugs induce immunosuppression?

<p>By inhibiting the synthesis of purines, which are essential for cell division and lymphocyte proliferation. (D)</p> Signup and view all the answers

What is the mechanism by which drugs like Tacrolimus exert their immunosuppressive effects?

<p>Inhibiting T cell activation and subsequent immune responses. (C)</p> Signup and view all the answers

What is the primary effect of anti-inflammatory drugs in the context of immune modulation?

<p>Inhibiting the secretion of inflammatory cytokines, reducing the inflammatory response. (B)</p> Signup and view all the answers

How does a drug that depletes cells by binding to CD3 molecules induce immunosuppression?

<p>By activating complement-dependent cytotoxicity to lyse T cells expressing CD3. (A)</p> Signup and view all the answers

What is the crucial role of MHC class II molecules in the context of antigen presentation by antigen-presenting cells (APCs)?

<p>To present processed antigens to helper T cells, which then coordinate the immune response. (A)</p> Signup and view all the answers

What is the most critical function of IFN-gamma in adaptive immune responses?

<p>Activating macrophages and enhancing phagocytosis. (A)</p> Signup and view all the answers

How does the interaction between helper T (Th) cells and B cells facilitate B cell activation?

<p>Th cells provide co-stimulatory signals and cytokines, such as IL-2 and IL-4, to B cells. (A)</p> Signup and view all the answers

A researcher aims to enhance the cytotoxic activity of CTLs against tumor cells. Which approach would directly augment CTL-mediated killing?

<p>Blocking the interaction between PD-1 on CTLs and PD-L1 on tumor cells. (D)</p> Signup and view all the answers

In the context of organ transplantation, which of the following strategies would be LEAST effective in preventing graft rejection?

<p>Enhancing the expression of MHC class I molecules on the donor organ. (B)</p> Signup and view all the answers

A patient with rheumatoid arthritis is prescribed a TNF-alpha inhibitor. What is the primary mechanism by which this drug alleviates symptoms?

<p>Blocking the interaction of TNF-alpha with its receptors, reducing inflammation. (C)</p> Signup and view all the answers

How might increasing antigen size enhance the immune response?

<p>By facilitating phagocytosis and antigen presentation by macrophages. (C)</p> Signup and view all the answers

Why is the mechanism of action of Tacrolimus critical in preventing graft rejection?

<p>It inhibits T cell activation, a key step in the rejection process, but with potentially less kidney damage compared to cyclosporine. (C)</p> Signup and view all the answers

What is a potential consequence of using anti-inflammatory drugs long-term for immune modulation?

<p>Impaired wound healing and increased risk of opportunistic infections due to inhibited inflammatory cell migration and cytokine secretion. (C)</p> Signup and view all the answers

What is the most likely reason killed Mycobacteria are included with the initiation injection?

<p>To induce a strong, initial inflammatory response that recruits immune cells to the injection site, enhancing antigen presentation. (C)</p> Signup and view all the answers

How does blocking IL-2 binding to its receptor lead to immunosuppression?

<p>By inhibiting T cell proliferation, which is essential for clonal expansion and a robust immune response. (B)</p> Signup and view all the answers

What is the primary mechanism by which anti-proliferative drugs induce immunosuppression?

<p>Inhibiting the synthesis of purines required for cell division, thereby suppressing lymphocyte proliferation. (C)</p> Signup and view all the answers

In the context of antigen presentation by APCs, what would be the most significant consequence if class II MHC molecules were non-functional?

<p>Helper T cells would not be activated, impairing the coordination of the adaptive immune response. (B)</p> Signup and view all the answers

What is the expected outcome after administering a drug that depletes cells by binding to CD3 molecules?

<p>Depletion of T cells, resulting in immunosuppression due to T cells role in immune response. (C)</p> Signup and view all the answers

Flashcards

Helper T Cell Activation

IL-2 acts on helper T cells, leading to their proliferation and activation. IFN-gamma activates macrophages and enhances phagocytosis.

B Cell Activation Signals

B cell activation requires binding of antigen to BCR (signal 1) and cytokines from Th cells (signal 2, T cell help).

B Cell Differentiation

Activated B cells differentiate into plasma cells (secrete antibodies) and memory B cells.

CTL Target Recognition

CTLs recognize and bind to peptide antigens bound to class I MHC molecules on target cells, leading to target cell death.

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Immunomodulation

Immunomodulation alters the immune response, either suppressing (immunosuppression) or enhancing (immunostimulation).

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Immunopotentiation

Enhancing the immune response rate/duration, often using an adjuvant.

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Adjuvant

A substance that boosts vaccine response without a specific antigenic effect itself.

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Common Adjuvant Example

Aluminum salts, commonly used in human vaccines.

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Immunosuppression

Suppressing the body’s immune system to reduce its ability to fight diseases.

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Uses of Immunosuppression

Prevention of graft rejection, treatment of hypersensitivity and autoimmune diseases.

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Cyclosporine & Tacrolimus

Inhibits T-cell activation, commonly used for graft rejection prevention.

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Antigen Presentation to T cells

APCs present peptide-class II MHC complex to T cell receptors (TCRs) → activation of helper T (Th) cells.

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Two Signals for B Cell Activation

B cell activation requires two signals: antigen binding to BCR and T cell help via cytokines (e.g., IL-2, IL-4, IL-5).

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CTL Activation Requirements

CTL activation requires IL-2 and IFN-γ from activated helper T cells to effectively kill target cells.

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Type of Immune Modulation Indicated

Immunosuppression reduces immune system activity, indicated for the patient to prevent organ rejection.

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Indications for Immunosuppression

Immunosuppression is required in graft rejection prevention, hypersensitivity, and autoimmune diseases.

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Examples of Immunosuppressants

Examples include cyclosporine and tacrolimus used to inhibit T-cell activation.

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What is Immune Modulation?

Adjustment of the immune response to a desired level, either enhancing (immunopotentiation) or suppressing (immunosuppression) it.

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What is Immuno-potentiation?

Enhancement of the immune response by increasing its rate or duration; often achieved using adjuvants.

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What are Adjuvants?

Agents that stimulate the immune system and increase response to a vaccine, without specific antigenic effects themselves.

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What is Immuno-suppression?

Suppression of the body’s immune system and its ability to fight infections and other diseases.

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What is Immuno-suppression used for?

  1. Prevention of graft rejection. 2. Treatment of hypersensitivity. 3. Treatment of autoimmune diseases.
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How does Cyclosporine work?

Suppresses immune system by inhibiting T cell activation.

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How do Anti-proliferative drugs work?

Drugs that inhibit synthesis of purines, which are required for cell division and inhibit lymphocyte proliferation

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How do Anti-inflammatory drugs work?

Inhibit the secretion of inflammatory cytokines, inhibit the migration of inflammatory cells and inhibit cell proliferation.

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Study Notes

Immuno-Modulation

  • Adjustment of the immune response is needed to reach a desired level like immunopotentiation, or immunosuppression.

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Explore immune modulation, the adjustment of immune response. Learn about immuno-potentiation, which enhances the response, and adjuvants, agents that stimulate the immune system. Discover different types of adjuvants like inorganic, organic, and oil-based.

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