,Table of Contents
x@ x@
Chapter 01 Properties and Overview of Immune Responses
x@ x@ x@ x@ x@ x@ x@ 1
Chapter 02 Cells and Tissues of the Immune System
x@ x@ x@ x@ x@ x@ x@ x@ 3
Chapter 03 Leukocyte Circulation and Migration Into Tissues
x@ x@ x@ x@ x@ x@ x@ 6
Chapter 04 Innate Immunity
x@ x@ x@ 10
Chapter 05 Antibodies and Antigens
x@ x@ x@ x@ 17
Chapter 06 Antigen Presentation to T Lymphocytes and the Functions of Major
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Histocompatibility Complex Molecules
x@ x@ 20
Chapter 07 Immune Receptors and Signal Transduction
x@ x@ x@ x@ x@ x@ 27
Chapter 08 Lymphocyte Development and Antigen Receptor Gene Rearrangement
x@ x@ x@ x@ x@ x@ x@ x@ 30
Chapter 09 Activation of T Lymphocytes
x@ x@ x@ x@ x@ 34
Chapter 10
x@ x@ Differentiation and Functions of CD4+ Effector T Cells
x@ x@ x@ x@ x@ x@ x@ 38
Chapter 11
x@ x@ Differentiation and Functions of CD8+ Effector T Cells
x@ x@ x@ x@ x@ x@ x@ 42
Chapterx@ 12 x@ B Cell Activation and Antibody Production
x@ x@ x@ x@ x@ 46
Chapterx@ 13 x@ Effector Mechanisms of Humoral Immunity
x@ x@ x@ x@ 52
Chapter 14 Specialized Immunity at Epithelial Barriers and in Immune Privileged Tissues
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ 56
Chapter 15 Immunologic Tolerance and Autoimmunity
x@ x@ x@ x@ x@ 62
Chapter 16 Immunity to Microbes
x@ x@ x@ x@ 67
Chapter 17 Transplantation Immunology
x@ x@ x@ 72
Chapter 18 Tumor Immunology
x@ x@ x@ 77
Chapter 19 Hypersensitivity Disorders
x@ x@ x@ 81
Chapter 20 Allergy
x@ x@ 86
Chapter 21 Primary and Acquired Immunodeficiencies
x@ x@ x@ x@ x@ 89
,Chapter 01: Properties and Overview of Immune Responses
x@ x@ x@ x@ x@ x@ x@
Abbas, Lichtman, and Pillai: Cellular and Molecular Immunology, 11th Edition
x@ x@ x@ x@ x@ x@ x@ x@ x@
MULTIPLE CHOICE x@
1. The principal function of the immune system is:
x@ x@ x@ x@ x@ x@ x@
a. Defense against cancer x@ x@
b. Repair of injured tissues x@ x@ x@
c. Defense against microbial infections x@ x@ x@
d. Prevention of inflammatory diseases x@ x@ x@
e. Protection against environmental toxins x@ x@ x@
ANS: C x @
The immune system has evolved in the setting of selective pressures imposed by mic
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
robial infections. Although immune responses to cancer may occur, the concept that
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
―immunosurveillance‖ against cancer is a principal function of the immune system is x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@controversial. Repair of injured tissues may be a secondary consequence of the imm
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
une responses and inflammation. Although the immune system has regulatory feature
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
s that are needed to prevent excessive inflammation, prevention of inflammatory dise
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ases is not a primary function. The immune system can protect against microbial toxi
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ns, but it generally does not offer protection against toxins of nonbiologic origin.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
2. Which of the following infectious diseases was prevented by the first succ
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
essful vaccination? x@
a. Polio
b. Tuberculosis
c. Smallpox
d. Tetanus
e. Rubella
ANS: C x @
In 1798, Edward Jenner reported the first intentional successful vaccination, which w
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
as against smallpox in a boy, using material from the cowpox pustules of a milkmaid
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
. In 1980, smallpox was reported to be eradicated worldwide by a vaccination progr
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
am. Effective vaccines against tetanus toxin, rubella virus, and poliovirus were devel
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
oped in the 20th century and are widely used. There is no effective vaccine against
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@Mycobacterium tuberculosis. x@
3. Which of the following is a unique property of the adaptive immune system?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a. Highly diverse repertoire of specificities for antigens
x@ x@ x@ x@ x@ x@
b. Self-nonself discrimination x@
c. Recognition of microbial structures by both cell-associated and soluble receptors
x@ x@ x@ x@ x@ x@ x@ x@ x@
d. Protection against viral infections x@ x@ x@
e. Responses that have the same kinetics and magnitude on repeated exposure
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
to the same microbe
x@ x@ x@
ANS: x @ A
, Highly diverse repertoires of specificities for antigens are found only in T and B ly
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mphocytes, which are the central cellular components of the adaptive immune syste
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
m. Both the innate and the adaptive immune systems use cell-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
associated and soluble receptors to recognize microbes, display some degree of self-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
nonself discrimination, and protect against viruses. On repeated exposure to the same
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@microbe, the adaptive immune response becomes more rapid and of greater magnitu
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
de; this is the manifestation of memory.
x@ x@ x@ x@ x@ x@
4. Antibodies and T lymphocytes are the respective mediators of which two ty
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
pes of immunity?
x@ x@
a. Innate and adaptive x@ x@
b. Passive and active x@ x@
c. Specific and nonspecific x@ x@
d. Humoral and cell-mediated x@ x@
e. Adult and neonatal x@ x@
ANS: D x @
Both B and T lymphocytes are principal components of adaptive immunity. B lympho
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cytes produce antibodies, which are the recognition and effector molecules of humoral
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
immune responses to extracellular pathogens. T cells recognize and promote eradicati
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on of intracellular pathogens in cell-
x@ x@ x@ x@ x@
mediated immunity. Passive and active immunity both can be mediated by either B or
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@T lymphocytes. Specific immunity is another term for adaptive immunity. Both B and
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
T lymphocytes participate in adult adaptive immunity but are still developing in the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
neonatal period. x@
5. The two major functional classes of effector T lymphocytes are:
x@ x@ x@ x@ x@ x@ x@ x@ x@
a. Helper T lymphocytes and cytotoxic T lymphocytes
x@ x@ x@ x@ x@ x@
b. Natural killer cells and cytoWtoWxW
ic.TTlB
x@ yS
mMph.oW
cyStes x@ x@ x@
c. Memory T cells and effector T cells x@ x@ x@ x@ x@ x@
d. Helper cells and antigen-presenting cells
x@ x@ x@ x@
e. Cytotoxic T lymphocytes and target cells x@ x@ x@ x@ x@
ANS: A x @
T cells can be classified into effector subsets that perform different effector functions.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@Most effector T cells are either helper T lymphocytes, which enhance the responses
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@of other immune cells, including phagocytes and B cells, to infections, or cytotoxic
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@T lymphocytes, which directly kill infected cells. Natural killer cells are not T lym
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
phocytes.
Antigen-presenting cells usually are not T cells. Memory T cells are not effector T cells.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
6. Which of the following cell types is required for all adaptive humoral immune responses?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a. Natural killer cells x@ x@
b. Dendritic cells x@
c. Cytolytic T lymphocytes x@ x@
d. B lymphocytesx@
e. Helper T lymphocytes x@ x@
ANS: D x @
Humoral immune responses are antibody-
x@ x@ x@ x@
mediated immune responses, and all antibodies are made by B lymphocytes and no
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
other cell type.
x@ x@ x@
x@ x@
Chapter 01 Properties and Overview of Immune Responses
x@ x@ x@ x@ x@ x@ x@ 1
Chapter 02 Cells and Tissues of the Immune System
x@ x@ x@ x@ x@ x@ x@ x@ 3
Chapter 03 Leukocyte Circulation and Migration Into Tissues
x@ x@ x@ x@ x@ x@ x@ 6
Chapter 04 Innate Immunity
x@ x@ x@ 10
Chapter 05 Antibodies and Antigens
x@ x@ x@ x@ 17
Chapter 06 Antigen Presentation to T Lymphocytes and the Functions of Major
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Histocompatibility Complex Molecules
x@ x@ 20
Chapter 07 Immune Receptors and Signal Transduction
x@ x@ x@ x@ x@ x@ 27
Chapter 08 Lymphocyte Development and Antigen Receptor Gene Rearrangement
x@ x@ x@ x@ x@ x@ x@ x@ 30
Chapter 09 Activation of T Lymphocytes
x@ x@ x@ x@ x@ 34
Chapter 10
x@ x@ Differentiation and Functions of CD4+ Effector T Cells
x@ x@ x@ x@ x@ x@ x@ 38
Chapter 11
x@ x@ Differentiation and Functions of CD8+ Effector T Cells
x@ x@ x@ x@ x@ x@ x@ 42
Chapterx@ 12 x@ B Cell Activation and Antibody Production
x@ x@ x@ x@ x@ 46
Chapterx@ 13 x@ Effector Mechanisms of Humoral Immunity
x@ x@ x@ x@ 52
Chapter 14 Specialized Immunity at Epithelial Barriers and in Immune Privileged Tissues
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ 56
Chapter 15 Immunologic Tolerance and Autoimmunity
x@ x@ x@ x@ x@ 62
Chapter 16 Immunity to Microbes
x@ x@ x@ x@ 67
Chapter 17 Transplantation Immunology
x@ x@ x@ 72
Chapter 18 Tumor Immunology
x@ x@ x@ 77
Chapter 19 Hypersensitivity Disorders
x@ x@ x@ 81
Chapter 20 Allergy
x@ x@ 86
Chapter 21 Primary and Acquired Immunodeficiencies
x@ x@ x@ x@ x@ 89
,Chapter 01: Properties and Overview of Immune Responses
x@ x@ x@ x@ x@ x@ x@
Abbas, Lichtman, and Pillai: Cellular and Molecular Immunology, 11th Edition
x@ x@ x@ x@ x@ x@ x@ x@ x@
MULTIPLE CHOICE x@
1. The principal function of the immune system is:
x@ x@ x@ x@ x@ x@ x@
a. Defense against cancer x@ x@
b. Repair of injured tissues x@ x@ x@
c. Defense against microbial infections x@ x@ x@
d. Prevention of inflammatory diseases x@ x@ x@
e. Protection against environmental toxins x@ x@ x@
ANS: C x @
The immune system has evolved in the setting of selective pressures imposed by mic
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
robial infections. Although immune responses to cancer may occur, the concept that
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
―immunosurveillance‖ against cancer is a principal function of the immune system is x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@controversial. Repair of injured tissues may be a secondary consequence of the imm
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
une responses and inflammation. Although the immune system has regulatory feature
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
s that are needed to prevent excessive inflammation, prevention of inflammatory dise
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ases is not a primary function. The immune system can protect against microbial toxi
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ns, but it generally does not offer protection against toxins of nonbiologic origin.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
2. Which of the following infectious diseases was prevented by the first succ
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
essful vaccination? x@
a. Polio
b. Tuberculosis
c. Smallpox
d. Tetanus
e. Rubella
ANS: C x @
In 1798, Edward Jenner reported the first intentional successful vaccination, which w
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
as against smallpox in a boy, using material from the cowpox pustules of a milkmaid
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
. In 1980, smallpox was reported to be eradicated worldwide by a vaccination progr
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
am. Effective vaccines against tetanus toxin, rubella virus, and poliovirus were devel
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
oped in the 20th century and are widely used. There is no effective vaccine against
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@Mycobacterium tuberculosis. x@
3. Which of the following is a unique property of the adaptive immune system?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a. Highly diverse repertoire of specificities for antigens
x@ x@ x@ x@ x@ x@
b. Self-nonself discrimination x@
c. Recognition of microbial structures by both cell-associated and soluble receptors
x@ x@ x@ x@ x@ x@ x@ x@ x@
d. Protection against viral infections x@ x@ x@
e. Responses that have the same kinetics and magnitude on repeated exposure
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
to the same microbe
x@ x@ x@
ANS: x @ A
, Highly diverse repertoires of specificities for antigens are found only in T and B ly
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mphocytes, which are the central cellular components of the adaptive immune syste
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
m. Both the innate and the adaptive immune systems use cell-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
associated and soluble receptors to recognize microbes, display some degree of self-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
nonself discrimination, and protect against viruses. On repeated exposure to the same
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@microbe, the adaptive immune response becomes more rapid and of greater magnitu
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
de; this is the manifestation of memory.
x@ x@ x@ x@ x@ x@
4. Antibodies and T lymphocytes are the respective mediators of which two ty
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
pes of immunity?
x@ x@
a. Innate and adaptive x@ x@
b. Passive and active x@ x@
c. Specific and nonspecific x@ x@
d. Humoral and cell-mediated x@ x@
e. Adult and neonatal x@ x@
ANS: D x @
Both B and T lymphocytes are principal components of adaptive immunity. B lympho
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cytes produce antibodies, which are the recognition and effector molecules of humoral
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
immune responses to extracellular pathogens. T cells recognize and promote eradicati
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on of intracellular pathogens in cell-
x@ x@ x@ x@ x@
mediated immunity. Passive and active immunity both can be mediated by either B or
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@T lymphocytes. Specific immunity is another term for adaptive immunity. Both B and
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
T lymphocytes participate in adult adaptive immunity but are still developing in the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
neonatal period. x@
5. The two major functional classes of effector T lymphocytes are:
x@ x@ x@ x@ x@ x@ x@ x@ x@
a. Helper T lymphocytes and cytotoxic T lymphocytes
x@ x@ x@ x@ x@ x@
b. Natural killer cells and cytoWtoWxW
ic.TTlB
x@ yS
mMph.oW
cyStes x@ x@ x@
c. Memory T cells and effector T cells x@ x@ x@ x@ x@ x@
d. Helper cells and antigen-presenting cells
x@ x@ x@ x@
e. Cytotoxic T lymphocytes and target cells x@ x@ x@ x@ x@
ANS: A x @
T cells can be classified into effector subsets that perform different effector functions.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@Most effector T cells are either helper T lymphocytes, which enhance the responses
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@of other immune cells, including phagocytes and B cells, to infections, or cytotoxic
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@T lymphocytes, which directly kill infected cells. Natural killer cells are not T lym
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
phocytes.
Antigen-presenting cells usually are not T cells. Memory T cells are not effector T cells.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
6. Which of the following cell types is required for all adaptive humoral immune responses?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a. Natural killer cells x@ x@
b. Dendritic cells x@
c. Cytolytic T lymphocytes x@ x@
d. B lymphocytesx@
e. Helper T lymphocytes x@ x@
ANS: D x @
Humoral immune responses are antibody-
x@ x@ x@ x@
mediated immune responses, and all antibodies are made by B lymphocytes and no
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
other cell type.
x@ x@ x@