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