lecture 28 part 1- immunology
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Questions and Answers

What is the primary target of immunosuppressive drugs in transplantation procedures?

  • Macrophages
  • Natural killer cells
  • T cells (correct)
  • B cells

Which proteins are targeted by drugs like cyclosporine and tacrolimus to inhibit T cell activation?

  • Calcineurin and cyclophilin (correct)
  • CD4 and CD8
  • Interferon alpha and beta
  • Tumor necrosis factor alpha

Which aspect of the immune response do immunosuppressive drugs aim to reduce in transplantation procedures?

  • T cell activation (correct)
  • Inflammation
  • Antigen presentation
  • Phagocytosis

What is the role of immunosuppressive drugs in transplantation procedures?

<p>Prevent graft rejection (D)</p> Signup and view all the answers

Which type of proteins do some immunosuppressive drugs target on T cells or antigen-presenting cells (APCs)?

<p>Cell surface proteins (D)</p> Signup and view all the answers

How does cyclosporine exert its immunosuppressive effects?

<p>By disrupting IL-2 signaling (D)</p> Signup and view all the answers

Which enzyme does cyclosporine inhibit to suppress the production of IL-2?

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

What is the primary role of IL-2 in the context of graft rejection?

<p>Facilitating T cell activation and proliferation (D)</p> Signup and view all the answers

What milestone did the introduction of cyclosporine in 1983 mark in transplantation medicine?

<p>Revolutionizing immunosuppression (D)</p> Signup and view all the answers

In what way did the use of cyclosporine impact the five-year survival rates of cardiac allograft patients?

<p>Increased survival rates (B)</p> Signup and view all the answers

What is the primary mechanism of action of cyclosporine in transplant patients?

<p>Prevention of T cell proliferation through IL-2 signaling (B)</p> Signup and view all the answers

What is the primary mechanism of action of CTLA-4 Ig?

<p>Preventing CD28 interaction with B7 (B)</p> Signup and view all the answers

Which enzyme is inhibited by cyclosporine to prevent the expression of IL-2?

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

Why are anti-inflammatory corticosteroids often included in immunosuppressive protocols?

<p>To block cytokine synthesis (C)</p> Signup and view all the answers

Which type of rejection is chronic rejection now a typical reason for in allograft failure?

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

What role does IL-2 play in the immune response following T cell activation?

<p>Driving T cell proliferation and differentiation (A)</p> Signup and view all the answers

How do immunosuppressive drugs impact the immune response against transplanted tissue?

<p>Prevent T cell activation (B)</p> Signup and view all the answers

Why is careful management and monitoring crucial for transplant patients on immunosuppressive drugs?

<p>To avoid infections and complications due to reduced immunity (B)</p> Signup and view all the answers

Why are immunosuppressive drugs like cyclosporine crucial in transplant patients?

<p>To inhibit IL-2 expression and prevent T cell proliferation (C)</p> Signup and view all the answers

Apart from immunosuppressive drugs, what is another important aspect often involved in transplantation procedures?

<p>Using anti-inflammatory corticosteroids (C)</p> Signup and view all the answers

What role does cyclosporine play in transplantation procedures?

<p>Enhancing success rates (C)</p> Signup and view all the answers

Which protein does Rapamycin inhibit?

<p>Mammalian target of rapamycin (mTOR) (B)</p> Signup and view all the answers

What is the primary aim of immunosuppressive drugs targeting T cell proliferation?

<p>Inhibit T cell proliferation (B)</p> Signup and view all the answers

Which class of immunosuppressive drugs is described as toxins that poison T cell proliferation?

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

What is the mechanism of action of cyclosporine in transplantation procedures?

<p>Inhibiting T cell proliferation (C)</p> Signup and view all the answers

How do corticosteroids contribute to transplant success?

<p>By reducing inflammation and dampening the immune response (A)</p> Signup and view all the answers

Why are immunosuppressive protocols typically a combination of drugs?

<p>To minimize side effects (D)</p> Signup and view all the answers

What is the purpose of maintenance therapy in transplantation?

<p>To provide long-term immunosuppression and prevent graft rejection (D)</p> Signup and view all the answers

Which type of rejection is more challenging for current immunosuppressive protocols?

<p>Chronic rejection, which develops gradually over time (B)</p> Signup and view all the answers

What effect does immunosuppressive therapy have on a patient's susceptibility to infections?

<p>Increases susceptibility to infections (D)</p> Signup and view all the answers

Which enzyme is inhibited by mycophenolate mofetil, contributing to the suppression of T cell proliferation?

<p>Inosine monophosphate dehydrogenase (B)</p> Signup and view all the answers

What is the mechanism of action of basiliximab and daclizumab in relation to T cell activation and proliferation?

<p>Block IL-2 signaling by targeting the IL-2 receptor (C)</p> Signup and view all the answers

Which co-stimulatory pathway interaction is inhibited by belatacept, leading to T cell activation prevention?

<p>CD80/86 on APCs and CD28 on T cells (B)</p> Signup and view all the answers

Which pro-inflammatory cytokines are commonly inhibited by corticosteroids as part of immunosuppressive protocols?

<p>Interleukins and tumor necrosis factor-alpha (TNF-α) (A)</p> Signup and view all the answers

How does mycophenolate mofetil contribute to the suppression of T cell proliferation?

<p>Inhibiting purine synthesis (D)</p> Signup and view all the answers

Which component interaction does belatacept specifically target to prevent T cell activation?

<p>CD80/86 on APCs and CD28 on T cells (C)</p> Signup and view all the answers

What is the primary mechanism of action of corticosteroids in immunosuppressive therapy?

<p>Inhibition of pro-inflammatory cytokine production (D)</p> Signup and view all the answers

What is the main target of basiliximab and daclizumab in the context of immunosuppression?

<p>IL-2 receptor on activated T cells (D)</p> Signup and view all the answers

How do drugs like belatacept interfere with T cell activation?

<p>Inhibiting CD80/86-CD28 interaction (D)</p> Signup and view all the answers

How do monoclonal antibodies like basiliximab modulate the immune response?

<p>Inhibiting IL-2 signaling pathway (D)</p> Signup and view all the answers

What role do corticosteroids play in preventing graft rejection?

<p>Inhibiting cytokine production, including interleukins and TNF-alpha (A)</p> Signup and view all the answers

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