MHC and Transplantation Basics
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Questions and Answers

Why is MHC I essential in presenting antigens to CD8 T cells?

  • To present intracellular antigens (correct)
  • To present extracellular antigens
  • To activate CD4 T cells
  • To induce inflammation

What is the main reason for the high diversity of MHC genes (HLA) among humans?

  • Each person carries 3 MHC II + 3 MHC I
  • MHC genes are not involved in self/non-self discrimination
  • There are multiple possible alleles for each MHC gene (correct)
  • MHC genes are not expressed in nucleated cells

Which factors reduce the rejection of transplanted organs?

  • MHC incompatibility
  • ABO blood group mismatch
  • Presence of inflammation
  • Living donor (correct)

What distinguishes hyperacute rejection from acute rejection in transplantation?

<p>Pre-existing 'natural' antibodies causing type II hypersensitivity reaction (B)</p> Signup and view all the answers

How does chronic rejection primarily occur in transplantation?

<p>Through the indirect mechanism involving CD4 T cells supporting B cell activation (D)</p> Signup and view all the answers

What is the primary reason for avoiding ABO blood group mismatch in organ transplantation?

<p>'Natural' antibodies react with ABO blood groups (C)</p> Signup and view all the answers

In which type of rejection do recipient APCs play a significant role?

<p>'Indirect' rejection (D)</p> Signup and view all the answers

Why is MHC compatibility often preferred between siblings for organ transplantation?

<p>'Natural' antibodies are less reactive with sibling MHC antigens (A)</p> Signup and view all the answers

'Direct' rejection in transplantation involves the presentation of antigens by which cells?

<p>'APCs' (C)</p> Signup and view all the answers

What is the primary reason for preventing hyperacute rejection in organ transplantation?

<p>Blood typing and cross-matching before transplantation (A)</p> Signup and view all the answers

What is a major reason why MHC genes (HLA in humans) are very diverse among humans?

<p>To serve as major determinants of self/non-self recognition (A)</p> Signup and view all the answers

Which type of rejection is primarily caused by pre-existing 'natural' antibodies reacting with blood or tissue in transplantation?

<p>Hyperacute rejection (B)</p> Signup and view all the answers

In transplantation, what is the function of the donor antigens that are foreign to the recipient and cause incompatibility?

<p>Induce an immune response leading to rejection (D)</p> Signup and view all the answers

Why does secondary rejection occur faster than primary rejection in transplantation?

<p>Due to the presence of donor APCs presenting antigens to recipient T cells (D)</p> Signup and view all the answers

What is the primary function of MHC I in transplantation regarding T cell interaction?

<p>Presenting intracellular antigens to CD8 T cells (C)</p> Signup and view all the answers

What characteristic distinguishes indirect rejection from direct rejection in transplantation?

<p>The involvement of CD4 T cells in indirect rejection (D)</p> Signup and view all the answers

What feature makes ABO blood group O a universal donor in organ transplantation?

<p>'Natural' antibodies that do not react with either A or B antigens (D)</p> Signup and view all the answers

Why is MHC II essential in presenting antigens to CD4 T cells?

<p>MHC II presents extracellular antigens to CD4 T cells (B)</p> Signup and view all the answers

In organ transplantation, what is the primary cause of hyperacute rejection?

<p>Pre-existing antibodies reacting with blood or tissue (D)</p> Signup and view all the answers

What is the main reason for allograft being the most typical graft type?

<p>It involves MHC compatibility (D)</p> Signup and view all the answers

How does indirect rejection primarily occur in organ transplantation?

<p>Recipient APCs present donor antigens to recipient T cells (C)</p> Signup and view all the answers

What distinguishes chronic rejection from acute rejection in organ transplantation?

<p>Chronic rejection is mediated by direct mechanisms (D)</p> Signup and view all the answers

Why is ABO blood group O considered a universal donor in organ transplantation?

<p>'Natural' antibodies react with A or B but not O (A)</p> Signup and view all the answers

MHC I presents intracellular antigens to CD4 T cells.

<p>False (B)</p> Signup and view all the answers

Each person carries 3 MHC I and 2 MHC II alleles.

<p>False (B)</p> Signup and view all the answers

Hyperacute rejection is primarily caused by CD4 T cells.

<p>False (B)</p> Signup and view all the answers

Living donor transplants are associated with increased inflammation.

<p>False (B)</p> Signup and view all the answers

Chronic rejection in transplantation is primarily mediated by CD8 T cells.

<p>False (B)</p> Signup and view all the answers

ABO blood group O is considered a universal donor because of lacking carb antigens.

<p>True (A)</p> Signup and view all the answers

Acute rejection in transplantation involves the accumulation of antibodies over years.

<p>False (B)</p> Signup and view all the answers

Direct rejection in transplantation requires no MHC similarity between donor and recipient.

<p>False (B)</p> Signup and view all the answers

Indirect rejection in transplantation primarily involves donor APCs presenting antigens to recipient T cells.

<p>False (B)</p> Signup and view all the answers

MHC compatibility is often preferred between siblings in organ transplantation due to less genetic diversity.

<p>False (B)</p> Signup and view all the answers

Peripheral T cell tolerance can be achieved through clonal deletion, anergy, suppression, and ignorance.

<p>True (A)</p> Signup and view all the answers

B cell tolerance mechanisms are more consistent and reliable compared to T cell tolerance mechanisms.

<p>False (B)</p> Signup and view all the answers

Younger individuals tend to be more tolerant to self-antigens compared to older ones.

<p>True (A)</p> Signup and view all the answers

Autoimmune diseases primarily involve T cells rather than antibodies.

<p>False (B)</p> Signup and view all the answers

Hormonal factors play a significant role in autoimmune diseases, with men being more prone to developing them compared to women.

<p>False (B)</p> Signup and view all the answers

Absence of AIRE gene function prevents positive selection of T cells.

<p>False (B)</p> Signup and view all the answers

Peripheral B cell apoptosis occurs if somatic hypermutation leads them to be non-self-reactive.

<p>False (B)</p> Signup and view all the answers

Tolerance through anergy may fail if self-antigens resemble pathogenic antigens or under certain cytokine conditions.

<p>True (A)</p> Signup and view all the answers

Defects in regulatory T cells (Tregs) have no impact on autoimmune diseases.

<p>False (B)</p> Signup and view all the answers

Autoimmune diseases are solely caused by genetic factors and not influenced by non-genetic elements.

<p>False (B)</p> Signup and view all the answers

Which mechanism of tolerance is unique to B cells?

<p>Peripheral apoptosis (D)</p> Signup and view all the answers

What could lead to the failure of anergy as a tolerance mechanism?

<p>Presence of self-antigen resembling a pathogenic antigen (C)</p> Signup and view all the answers

Which is a non-genetic factor that can precipitate autoimmune disease?

<p>Hormonal influences (C)</p> Signup and view all the answers

What type of autoimmune diseases involve both antibodies and T cells?

<p>Myasthenia gravis (A)</p> Signup and view all the answers

What is a reason that younger hosts are more tolerant to antigens?

<p>Non-genetic factors (B)</p> Signup and view all the answers

Which organ of the body primarily prevents negative selection of T cells?

<p>Thymus (C)</p> Signup and view all the answers

Which autoimmune disease involves the transfer of symptoms with antibodies?

<p>Myasthenia gravis (C)</p> Signup and view all the answers

'Anergy' as a tolerance mechanism may fail under what condition?

<p>'Anergy' around inflammatory cytokines (D)</p> Signup and view all the answers

'Peripheral apoptosis' is a unique mechanism of tolerance for which immune cell type?

<p>B cells (A)</p> Signup and view all the answers

Which is a characteristic feature of autoimmune diseases?

<p>Majority are antibody-mediated. (B)</p> Signup and view all the answers

In autoimmune diseases, which factor primarily contributes to the failure of tolerance mechanisms?

<p>Non-genetic factors only (A)</p> Signup and view all the answers

What distinguishes B cell tolerance mechanisms from T cell tolerance mechanisms in autoimmune diseases?

<p>Presence of anergy in B cells (B)</p> Signup and view all the answers

Why are younger hosts more tolerant to antigens compared to older hosts?

<p>Tolerance induction in early life (D)</p> Signup and view all the answers

Which organ of the body plays a crucial role in preventing negative selection of T cells?

<p>Thymus (C)</p> Signup and view all the answers

What type of autoimmune diseases primarily involve both antibodies and T cells?

<p><strong>Systemic lupus erythematosus (SLE)</strong> (C)</p> Signup and view all the answers

Which tolerance mechanism may fail if self-antigens resemble pathogenic antigens or under inflammatory cytokine conditions?

<p><strong>Anergy</strong> (D)</p> Signup and view all the answers

'Peripheral apoptosis' is a unique mechanism of tolerance for which type of immune cells?

<p><strong>B cells</strong> (A)</p> Signup and view all the answers

'Absence of AIRE prevents (-) selection of T cells' - What does this statement imply about AIRE function?

<p><strong>AIRE induces negative selection of T cells</strong> (A)</p> Signup and view all the answers

'AI disease caused by Ab’s, T cells, or both' - Which autoimmune disease involves antibody-mediated responses primarily?

<p><strong>Myasthenia gravis</strong> (A)</p> Signup and view all the answers

Which congenital immunodeficiency disorder is characterized by the absence of B cells and antibodies?

<p>Bruton’s X-linked hypogammaglobulinemia (B)</p> Signup and view all the answers

What is the primary consequence of IL-12 deficiency in the immune system?

<p>Absence of T helper cells (C)</p> Signup and view all the answers

Which type of immunodeficiency disorder is characterized by high levels of IgM and the inability to class switch?

<p>Hyper IgM (A)</p> Signup and view all the answers

What is the characteristic feature of SCID among combined B and T cell immunodeficiencies?

<p>Deficiency in lymphocyte precursors (A)</p> Signup and view all the answers

Which complement deficiency disorder leads to dangerous laryngeal edema?

<p>Hereditary angioedema (A)</p> Signup and view all the answers

In which immunodeficiency disorder do neutrophils form large, obstructive granulomas due to their inability to kill ingested microbes?

<p>Chronic granulomatous disease (D)</p> Signup and view all the answers

What is the primary cause of T cell deficiency in DiGeorge syndrome?

<p>No thymus present (D)</p> Signup and view all the answers

'Chronic mucocutaneous Candidiasis' is primarily deficient in responding to which pathogen?

<p>(Fungal) Candida (B)</p> Signup and view all the answers

'ADA/PNP deficiency' mainly impacts which stage of immune cell development?

<p>(Pre-thymic) Lymphocyte precursors (C)</p> Signup and view all the answers

What is the primary reason for avoiding ABO blood group mismatch in organ transplantation?

<p>Hyperacute rejection due to pre-existing antibodies (C)</p> Signup and view all the answers

In organ transplantation, what is the primary cause of hyperacute rejection?

<p>Antibodies reacting with blood or tissue (A)</p> Signup and view all the answers

Why is ABO blood group O considered a universal donor in organ transplantation?

<p>Lacks carb antigens that can trigger immune responses (B)</p> Signup and view all the answers

'Peripheral apoptosis' is a unique mechanism of tolerance for which immune cell type?

<p>B cells (C)</p> Signup and view all the answers

'Anergy' as a tolerance mechanism may fail under what condition?

<p>Presence of pathogenic antigens mimicking self-antigens (A)</p> Signup and view all the answers

'Absence of AIRE prevents (-) selection of T cells' - What does this statement imply about AIRE function?

<p>AIRE facilitates negative selection of autoreactive T cells (C)</p> Signup and view all the answers

'AI disease caused by Ab’s, T cells, or both' - Which autoimmune disease involves antibody-mediated responses primarily?

<p><strong>Systemic lupus erythematosus</strong> (B)</p> Signup and view all the answers

'Absence of AIRE prevents (-) selection of T cells' - What does this statement imply about AIRE function?

<p><strong>AIRE facilitates negative selection of autoreactive T cells</strong> (A)</p> Signup and view all the answers

'AI disease caused by Ab’s, T cells, or both' - Which autoimmune disease involves antibody-mediated responses primarily?

<p><strong>Systemic lupus erythematosus</strong> (B)</p> Signup and view all the answers

Why are younger hosts more tolerant to antigens compared to older hosts?

<p>Higher regulatory T cell activity (C)</p> Signup and view all the answers

Which type of infection is commonly seen in individuals with TLR7 deficiency?

<p>Legionella (C)</p> Signup and view all the answers

Which condition results in common variable hypogammaglobulinemia in young adults?

<p>Viral infection (A)</p> Signup and view all the answers

Which virus binds to CD4 on T cells, macrophages, and dendritic cells?

<p>HIV (C)</p> Signup and view all the answers

Which type of vaccine expresses more than one epitope or epitopes from multiple pathogens?

<p>Conjugate vaccine (D)</p> Signup and view all the answers

Which statement is true about passive immunization?

<p>It can be achieved through monoclonal antibodies. (C)</p> Signup and view all the answers

Which is a characteristic of tumor antigens (TAA’s)?

<p>Overexpressed proteins at the right time in the right place (B)</p> Signup and view all the answers

Which method uses dye-tagged detection antibodies to detect antigens on live cells?

<p>Immunofluorescence (B)</p> Signup and view all the answers

'FACS' is a technique used to identify, count, and isolate cells from a mixed population based on what characteristic?

<p>'Fluorescence' (A)</p> Signup and view all the answers

'Stacking' and immobilizing Ag’s and Ab’s for detection is primarily associated with which technique?

<p>'ELISA' (C)</p> Signup and view all the answers

Which congenital immunodeficiency disorder is characterized by the absence of B cells and antibodies?

<p>Bruton’s X-linked hypogammaglobulinemia (C)</p> Signup and view all the answers

What complement deficiency disorder leads to dangerous laryngeal edema?

<p>Hereditary angioedema (D)</p> Signup and view all the answers

In which combined B and T cell immunodeficiency disorder does gene therapy offer a potential solution?

<p>SCID (A)</p> Signup and view all the answers

Which T cell deficiency disorder is primarily characterized by a lack of thymus or parathyroid glands?

<p>DiGeorge syndrome (A)</p> Signup and view all the answers

Which type of immunodeficiency disorder is characterized by neutrophils forming large, obstructive granulomas due to their inability to kill ingested microbes?

<p>Chronic granulomatous disease (C)</p> Signup and view all the answers

Which congenital immunodeficiency disorder is primarily deficient only in response to Candida?

<p>Chronic mucocutaneous Candidiasis (D)</p> Signup and view all the answers

Which primary immunodeficiency disorder leads to mycobacterial infections due to the absence of Th1 cells?

<p>IL-12 deficiency (D)</p> Signup and view all the answers

'No T cell help' is a characteristic feature of which X-linked immunodeficiency disorder affecting male infants?

<p>Wiskott-Aldrich syndrome (A)</p> Signup and view all the answers

Which hereditary immunodeficiency disorder involves high IgM levels and the inability to class switch due to failed CD40L?

<p>Hyper IgM syndrome (B)</p> Signup and view all the answers

Which congenital immunodeficiency disorder reduces lymphocyte precursors and offers the potential for gene therapy as a treatment?

<p>SCID (B)</p> Signup and view all the answers

Congenital B cell immunodeficiencies manifest as fungal infections.

<p>False (B)</p> Signup and view all the answers

DiGeorge syndrome is characterized by the absence of B cells and antibodies.

<p>False (B)</p> Signup and view all the answers

Hyper IgM syndrome is caused by low levels of IgM and successful class switching.

<p>False (B)</p> Signup and view all the answers

SCID is primarily an X-linked disorder affecting IL-2 receptors.

<p>True (A)</p> Signup and view all the answers

Complement deficiencies lead to chronic granulomatous disease.

<p>False (B)</p> Signup and view all the answers

Phagocyte deficiencies result in large, obstructive granulomas forming in the body.

<p>True (A)</p> Signup and view all the answers

Deficiencies in PRRs affect the recognition of bacterial flagella primarily.

<p>False (B)</p> Signup and view all the answers

Wiskott-Aldrich syndrome affects females due to an autosomal inheritance pattern.

<p>False (B)</p> Signup and view all the answers

ADA/PNP deficiency results in excessive production of lymphocyte precursors.

<p>False (B)</p> Signup and view all the answers

Ataxia-Telangiectasia is characterized by successful DNA repair mechanisms.

<p>False (B)</p> Signup and view all the answers

Monoclonal antibodies produced by fusing a spleen lymphocyte from an immunized mouse with a mouse myeloma cell are immortal and can produce antibodies to multiple epitopes.

<p>False (B)</p> Signup and view all the answers

Vaccines protect against all strains of a pathogen, not just the strain to which the immune response is raised.

<p>False (B)</p> Signup and view all the answers

Passive immunization involves transferring antibodies made in another individual or organism to confer immediate immunity.

<p>True (A)</p> Signup and view all the answers

Herd immunity is achieved when vaccinated individuals are unlikely to come in contact with unvaccinated individuals in their subpopulation.

<p>True (A)</p> Signup and view all the answers

Antigens expressed on tumor cells may be self proteins over-expressed, mutated, or expressed at the right time and place.

<p>False (B)</p> Signup and view all the answers

NK cells primarily target tumor cells with high MHC expression levels.

<p>False (B)</p> Signup and view all the answers

Flow cytometry and FACS can identify, count, and isolate dead cells from a mixed population.

<p>False (B)</p> Signup and view all the answers

Immunofluorescence uses radioactive detection antibodies to detect antigens on live cells.

<p>False (B)</p> Signup and view all the answers

Western blot is clinically important for confirming HIV infection through the initial detection by radioimmunoassay.

<p>False (B)</p> Signup and view all the answers

ELISA links an enzyme to a primary antibody and catalyzes a color-producing reaction detected with a spectrophotometer.

<p>True (A)</p> Signup and view all the answers

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