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Immunology Flashcards

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  1. Which cytokine is known as the 'master regulator' of Th1 cell differentiation?

    Answer: IL-12

    IL-12, produced mainly by dendritic cells and macrophages, drives naive T cells to differentiate into Th1 cells that produce IFN-γ.

  2. What is the significance of the RAG1 and RAG2 enzymes in lymphocyte development?

    Answer: They catalyze V(D)J recombination to generate diverse antigen receptors

    RAG1 and RAG2 (recombination activating genes) are essential for V(D)J recombination, the process that generates the enormous diversity of B cell and T cell receptors.

  3. Which complement protein forms the membrane attack complex (MAC)?

    Answer: C5b-9

    The membrane attack complex (MAC) is formed by complement proteins C5b, C6, C7, C8, and multiple C9 molecules, creating pores in target cell membranes.

  4. A patient develops symptoms 48–72 hours after exposure to an antigen. Which type of hypersensitivity is most likely?

    Answer: Type IV (delayed-type)

    Type IV hypersensitivity is T cell-mediated and takes 48–72 hours to develop, as seen in contact dermatitis and the tuberculin skin test.

  5. What distinguishes central tolerance from peripheral tolerance in the immune system?

    Answer: Central tolerance eliminates self-reactive cells during development; peripheral tolerance controls mature autoreactive cells

    Central tolerance occurs in the thymus (T cells) and bone marrow (B cells) to eliminate strongly self-reactive lymphocytes during development, while peripheral tolerance controls any self-reactive cells that escape into circulation.

  6. Which surface marker distinguishes naive B cells from plasma cells?

    Answer: CD138 (syndecan-1)

    Plasma cells (terminally differentiated antibody-secreting B cells) are identified by high expression of CD138 (syndecan-1), while naive B cells express CD19 and CD20.

  7. What is the role of the AIRE (autoimmune regulator) gene in central tolerance?

    Answer: It drives expression of tissue-specific antigens in thymic medullary epithelial cells for negative selection

    AIRE allows thymic medullary epithelial cells to express peripheral tissue antigens, enabling deletion of T cells that would react against those tissues in the periphery.