Adaptive and Innate Immunity

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MCAT Biology › Adaptive and Innate Immunity

Questions 1 - 10
1

The HIV virus infects which of the following cells in order to diminish coordinated immune responses against pathogens?

Helper T-cells

Neutrophils

Macrophages

Cytotoxic T -cells

Basophils

Explanation

The HIV virus readily attacks Helper T-cells because these cells have a signaling-cascade effect on most immune cells. Most importantly, helper T-cells stimulate B-cells to produce antibodies. As the virus destroys the helper T-cells, it effectively negates the adaptive immune system, making the body exceptionally vulnerable to infection.

2

Type 1 diabetes is a well-understood autoimmune disease. Autoimmune diseases result from an immune system-mediated attack on one’s own body tissues. In normal development, an organ called the thymus introduces immune cells to the body’s normal proteins. This process is called negative selection, as those immune cells that recognize normal proteins are deleted. If cells evade this process, those that recognize normal proteins enter into circulation, where they can attack body tissues. The thymus is also important for activating T-cells that recognize foreign proteins.

As the figure below shows, immune cells typically originate in the bone marrow. Some immune cells, called T-cells, then go to the thymus for negative selection. Those that survive negative selection, enter into general circulation to fight infection. Other cells, called B-cells, directly enter general circulation from the bone marrow. It is a breakdown in this carefully orchestrated process that leads to autoimmune disease, such as type 1 diabetes.

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The T-cells and B-cells described in the passage are both examples of lymphocytes. Lymphocytes are involved in adaptive immunity. Which of the following are characteristics of the adaptive immune system?

I. It shows a stronger reaction to a pathogen upon a second exposure, relative to the first

II. It is the first line of defense against a pathogen in the environment

III. It involves the use of macrophages and other professional phagocytes

I, only

I and II

I, II, and III

I and III

II, only

Explanation

The cells of the adaptive immune system are adaptive because they change upon exposure to a pathogen, such as a virus, and mount a stronger response upon a second exposure. Initial exposure allows for the formation of memory B-cells, which will be able to react quickly to a second exposure to the antigen.

The innate immune system, comprised of non-specific cells like macrophages, is the first line of defense against environmental pathogens and does not differ between a first and second encounter with an antigen.

3

Identify the cells that correspond to the adaptive immune system and to the innate immune system.

Adaptive immune system—B-cells and T-cells

Innate immune system—monocytes, neutrophils, and macrophages

Adaptive immune system—monocytes, neutrophils, and macrophages

Innate immune system—B-cells and T-cells

Adaptive immune system—T-cells and macrophages

Innate immune system—monocytes, neutrophils, and B-cells

Adaptive immune system—monocytes, neutrophils, and B-cells

Innate immune system—T-cells and macrophages

Explanation

B-cells and T-cells are part of the adaptive immune system, while monocytes, neutrophils, and macrophages are part of the innate immune system. Activation of the adaptive immune response requires prior exposure to a pathogen and the involvement of antibodies, while the innate immune response will occur whether a pathogen has been exposed before or not.

This list only contains a few examples of immune cells for each response, and is not exhaustive.

4

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by the loss of tolerance to self antigens leading to the presence of high autoantibody titers. Dysregulated peripheral tolerance and hyperactive germinal centers have been proposed to be one of the driving forces behind the accumulation of high autoantibodies.

What immune cell type is the product of germinal centers and most likely the cell mediating the production of autoantibodies?

Plasma cells

Follicular dendritic cells

Tingible body macrophages

Follicular helper T cells

Natural killer cells

Explanation

Plasma cells are the main product of germinal centers and are potent antibody factories. Dysregulated peripheral tolerance and germinal centers can lead to the production of plasma cells that are reactive towards self-nuclear antigens.

5

Inflammation is an important response of the immune system. The vasodilation of blood vessels allows for important cells of the innate immune system to move out of the blood and into the surrounding tissue. Which of the following members of the innate immune system is responsible for causing inflammation at the site of infection?

Mast cells

Macrophages

Dendritic cells

Natural Killer Cells

Explanation

The correct answer is mast cells. Mast cells as well as granulocytes participate in the innate immune system's inflammatory response. Mast cells release histamine as well as other chemicals that allow for other cells to move from the blood stream into the tissue at the site of infection.

6

Which of the following is an example of a primary lymphoid organ?

Thymus

Peyer's patches

Spleen

Lymph nodes

Tonsils

Explanation

The thymus is a primary lymphoid organ (along with bone marrow). The thymus is where T cells differentiate and mature. All of the other organs listed are secondary lymphoid organs, where lymphocytes reside and respond to antigenic challenges and foreign pathogens.

7

In the crusade to create a vaccine for Poliomyelitis, Jonas Salk and Albert Sabin created two separate vaccines that proved to be successful in preventing Polio onset.

The Salk vaccine, which is given by standard injection, contained virus particles inactivated by an organic solvent. This method has the advantage of inactivating each of the three Polio strains with no bias.

Albert Sabin's vaccine, given by oral inoculation via sugar water, contained live virus particles that had been genetically attenuated. With this method, each of the three Polio strains acquired separate mutations that made them unable to infect the human host cells. Strain 2 in particular contained one single nucleotide polymorphism in the internal ribosomal entry site (IRES) that prevented successful viral replication.

What type of immune response does inoculation with either vaccine stimulate?

The adaptive immune response

The innate immune response

The lymphatic immune response

Humoral immunity

Explanation

The adaptive immune response is responsible for encountering antigens and creating lasting immunity against it. The humoral immune response plays a role in adaptive immunity, but is more active during the secondary exposure to an antigen.

8

Cryptosporidium is a genus of gastrointestinal parasite that infects the intestinal epithelium of mammals. Cryptosporidium is water-borne, and is an apicomplexan parasite. This phylum also includes Plasmodium, Babesia, and Toxoplasma.

Apicomplexans are unique due to their apicoplast, an apical organelle that helps penetrate mammalian epithelium. In the case of cryptosporidium, there is an interaction between the surface proteins of mammalian epithelial tissue and those of the apical portion of the cryptosporidium infective stage, or oocyst. A scientist is conducting an experiment to test the hypothesis that the oocyst secretes a peptide compound that neutralizes intestinal defense cells. These defense cells are resident in the intestinal epithelium, and defend the tissue by phagocytizing the oocysts.

She sets up the following experiment:

As the neutralizing compound was believed to be secreted by the oocyst, the scientist collected oocysts onto growth media. The oocysts were grown among intestinal epithelial cells, and then the media was collected. The media was then added to another plate where Toxoplasma gondii was growing with intestinal epithelial cells. A second plate of Toxoplasma gondii was grown with the same type of intestinal epithelium, but no oocyst-sourced media was added.

A patient is hiking through Nepal and comes down with a case of diarrhea caused by cryptosporidium. You determine that his body was fighting this infection mainly by mounting an antibody response. Where do the cells most directly responsible for this response develop?

Bone marrow

Thymus

Adrenal glands

Liver

Spleen

Explanation

Antibodies are produced by B-cells, which develop in the bone marrow. T-cells develop in the thymus.

You can remember B for bone marrow, T for thymus.

9

Which of the following is not part of the innate immune response of the body?

Plasma cells

Neutrophils

Macrophages

Digestive enzymes

Explanation

Innate immunity can be considered the general immune response that attacks any oncoming pathogens. The skin, digestive enzymes, and phagocytic cells are all part of the innate immune response. Plasma cells are modified B-cells, and are part of the acquired immune response. They are responsible for synthesizing free antibodies in response to a specific identified pathogen.

10

One component of the immune system is the neutrophil, a professional phagocyte that consumes invading cells. The neutrophil is ferried to the site of infection via the blood as pre-neutrophils, or monocytes, ready to differentiate as needed to defend their host.

In order to leave the blood and migrate to the tissues, where infection is active, the monocyte undergoes a process called diapedesis. Diapedesis is a process of extravasation, where the monocyte leaves the circulation by moving in between endothelial cells, enters the tissue, and matures into a neutrophil.

Diapedesis is mediated by a class of proteins called selectins, present on the monocyte membrane and the endothelium. These selectins interact, attract the monocyte to the endothelium, and allow the monocytes to roll along the endothelium until they are able to complete diapedesis by leaving the vasculature and entering the tissues.

The image below shows monocytes moving in the blood vessel, "rolling" along the vessel wall, and eventually leaving the vessel to migrate to the site of infection.

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A scientist is investigating what attracts monocytes to the site of infection, thus prompting diapedesis. He finds that a class of soluble mediators are given off by infected cells. This soluble mediator is most likely __________.

a chemokine protein

a JAK-STAT protein

an sonic hedgehog (SHH) protein

a Wnt protein

a fibroblast growth factor (FGF) protein

Explanation

Chemokines and cytokines are the main inflammatory mediators that drive a cellular response to inflammation or infection.

The JAK-STAT pathways are most linked to cell growth and division, while the hedgehog pathway (including SHH) is linked to early development. Wnt proteins are also linked to early development, but have been linked to carcinogenesis as well. Finally, fibroblast growth factor is linked with wound healing, but not with the initial immune response or recruitment.

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