203 Immunology Tutorial 2: The Immunology of Infection
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Questions and Answers

What does the large amount of interferon-γ production after stimulation with TB antigens indicate?

  • The patient is immune to TB due to BCG vaccination
  • The patient has an active TB infection
  • The patient has circulating effector memory Th1 cells specific for TB antigens (correct)
  • The patient is at high risk of developing a latent TB infection

What is the purpose of incubating the patient's blood in tubes with the TB antigens CFP10 and ESAT-6 for 16 hours?

  • To induce necrosis in the blood sample for detection
  • To separate the antigens from the blood sample for ELISA analysis
  • To stimulate the production of Interferon-γ in the blood sample (correct)
  • To assess the fluid content of the blood sample

What is the significance of the IFN production in the negative control and PHA wells?

  • It confirms that the test is technically valid (correct)
  • It suggests a potential false positive result
  • It provides evidence of both vaccine-induced and exposure-induced immunity
  • It indicates an active TB infection

Why is the supernatant removed from the tube after incubating the blood with TB antigens?

<p>To isolate the cells at the bottom of the tube for further analysis (D)</p> Signup and view all the answers

Why is it important to understand that the antigens used in the QFT Gold test are not contained in the BCG vaccine?

<p>To differentiate between vaccine-induced and exposure-induced immunity (B)</p> Signup and view all the answers

What is the purpose of analyzing the supernatant for IFN-γ using ELISA?

<p>To detect the presence and quantity of Interferon-γ in the blood sample (D)</p> Signup and view all the answers

Why is the QFT Gold test not a good test for active TB?

<p>It doesn't measure interferon-γ production after stimulation with TB antigens (B)</p> Signup and view all the answers

Based on the given information, what might be offered to a patient with a positive Interferon-γ release assay?

<p>Treatment for active tuberculosis infection (B)</p> Signup and view all the answers

What treatment may be warranted for a patient who has produced large amounts of interferon-γ after stimulation with TB antigens?

<p>Chemoprophylaxis to reduce the risk of progression to active TB (B)</p> Signup and view all the answers

What would be an appropriate interpretation of a positive result in an Interferon-γ release assay?

<p>The patient has active tuberculosis infection requiring immediate treatment (D)</p> Signup and view all the answers

What is the main purpose of the acidic environment, activation of digestive enzymes, and oxidative burst in the context of TB infection?

<p>To destroy the TB organism (A)</p> Signup and view all the answers

Why are some MTB organisms difficult to eliminate within macrophage phagolysosomes?

<p>They inhibit phagosome maturation and phagosome/lysosome fusion (D)</p> Signup and view all the answers

How are CD4 T helper cells activated during TB infection?

<p>By MTB antigens inducing the macrophage to secrete IL-12, leading to a strong Th1 response (B)</p> Signup and view all the answers

What immunological process results in the formation of a Ghon focus in TB infection?

<p>Containment of primary MTB infection by the immune system (C)</p> Signup and view all the answers

What role does lFN-γ play in the context of TB infection?

<p>Promoting phagosome maturation and phagosome/lysosome fusion to eliminate MTB organisms (A)</p> Signup and view all the answers

What is the primary function of Interferon-γ release assay (IGRA)?

<p>To detect latent TB infection (A)</p> Signup and view all the answers

In the context of TB infection, what type of immune response does Interferon-γ release assay (IGRA) measure?

<p>Cell-mediated immune response (B)</p> Signup and view all the answers

Which cells are involved in producing Interferon-γ in response to Mycobacterium tuberculosis antigens?

<p>Helper T lymphocytes (C)</p> Signup and view all the answers

How does Interferon-γ contribute to the immune response against Mycobacterium tuberculosis?

<p>By enhancing the killing ability of macrophages (A)</p> Signup and view all the answers

Which immunological technique is based on the principle of detecting Interferon-γ release from T cells exposed to Mycobacterium tuberculosis antigens?

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

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