Lymphoreticular system

Lymphoreticular system

Q. 1 Which of  the  following components of  the immune system is responsible for the secretion of lymphokines?
 A B lymphocytes
 B Eosinophils
 C Macrophages
 D T lymphocytes
Q. 1 Which of  the  following components of  the immune system is responsible for the secretion of lymphokines?
 A B lymphocytes
 B Eosinophils
 C Macrophages
 D T lymphocytes
Ans. D

Explanation:

T lymphocytes

Antigen interaction with T lymphocytes precipitates the release of lymphokines, substances that modulate other aspects of the immune response. Examples of lymphokines include the interleukins, granulocyte-monocyte colony-stimulating factor (GM-CSF), and y-interferon. B lymphocytes secrete immunoglobulins, the humoral component of adaptive immunity. Eosinophils, neutrophils, and macrophages are phagocytic cells comprising the cellular component of the natural immune response.


Q. 2

All of the following are functions of CD4 helper cells except:

 A

Immunogenic memory

 B

Produce Immunoglobulins

 C

Activate macrophages

 D

Activate cytotoxic cells.

Ans. B

Explanation:

Ans.B. Produce immunoglobulins

Immunoglobulins are secreted from the B lymphocytes.

However, T helper cells help the B cells, by activating it and produce into plasma cells.

These plasma cells secrete the immunoglobulins.

Thus, T helper cells indirectly help in the secretion of immunoglobulins.


Q. 3

NK cells express –

 A

CD 15, CD 55

 B

CD 1 6, CD56

 C

CD 16,CD 57

 D

CD21 CD 66

Ans. B

Explanation:

Ans. is ‘b’ i.e., CD16, CD56

o NK cells have CD-56 and CD-16 on their surface.


Q. 4

Regarding NK cells, false statement is:

 A

It is activated by IL-2

 B

Expresses CD3 receptor

 C

It is a variant of large lymphocyte

 D

There is antibody induced proliferation of NK cells

Ans. D

Explanation:

Answer is D (There is antibody induced proliferation of NK cells)

Antibodies do not induce proliferation of NK cells. NK cells express CD3, CDI6 & CD56 and also but less commonly CD2 & CD8.

Null cells (NK cells + K cells): Null cells are a heterogeneous group of lymphocytes (non T and non B) called so because

  • They do not form E rosettes° (test to identify T lymphocytes is negative).
  • They lack surface immunoglobulins° (test to identify B lymphocytes is negative).
  • They account for 5-10% of circulatory lymphocytes.Q

NK cells: are also called large granular lymphocytesQ as they are morphologically larger & contain azurophillic granules (which are absent in both T or B cells).

  • They are first line defence against:               Neoplastic cellsQ

Virus laden cellsQ

  • NK cells are unique in the sense, that, they cause direct cell lysis° which is:

–           Not mediated by an immune response.Q

–           Does not involve antigen antibody interaction.Q

  • They are therefore capable of getting rid of non sensitized organisms° i.e. those that have never been exposed before.
  • NK cells are activated to ‘lymphocytes activated killer cells’ (LAK) in presence of IL 2e but not by antibody.
  • NK cells are identified by detection of CD57°.

Killer cells: participate in cell destruction with aid of antibody e.g. antibody dependent cell mediated cytotoxicity.

  • Mechanism: antibody binds to antigenic determinant on the target cell.
  • K cells then attach to target cells by means their Fc receptors and cell lysis results. Even here cell lysis proceeds without phagocytosis. Q
  • They are CD16 positive. Q

Remember that many authors do not believe in the distinction of Null cells into Killer cells and NK cells and attribute both these functions to NK cells (Null cells).


Q. 5 The following feature is common to both cytotoxic T cells and NK cells:

 A Synthesize antibody

 B

Require antibodies to be present for action

 C

Effective against virus infected cells

 D

Recognize antigen in association with HLA class II markers

Ans. C

Explanation:

Answer is C (Effective against virus infected cells) :

Common to both cytotoxic T cells and NK cells is affectivity against virus infected cells.

Natural Killer cells:

  • Are first line of defense against virus laden cells and neoplastic cells.
  • Cytotoxicity is not MHC restricted.

Cvtotoxic T cells:

  • They are antigen specific T cells whose function is to produce antigen specific lysis of target cells by direct cell-to­cell contact.
  • Are usually CD + class I MHC restricted T cells.
  • Are important in defense against viral infections of tissues.

Thus the feature common to both cytotoxic T cells and NK cells is affectivity against virus infected cells.


Q. 6 T cells mature in:

March 2012

 A

Thyroid

 B

Tongue

 C

Thymus

 D

Trachea

Ans. C

Explanation:

Ans: C i.e. Thymus

Immunologically incompetent cells which go to the thymus are “preprocessed” there (thymus) and become T cells. The letter T comes from the word thymus.


Q. 7

All of the following are functions of CD4 helper cells EXCEPT:    

September 2012

 A

Immunogenic memory

 B

Produce immunoglobulins

 C

Activate macrophage

 D

Activate cytotoxic cells

Ans. B

Explanation:

Ans. B i.e. Produce iinmunoglobulins

B cells divide and transforms into plasma cells which synthesize immunoglobulin. T cells produce activation products (lymphokine) and induce cell mediated response


Q. 8

Large granular lymphocytes are ‑

 A

B cells

 B

NK cells

 C

T cell

 D

Plasma cells

Ans. B

Explanation:

Ans. is ‘b’ NK cells

Null cells (Large granular lymphocytes)

  • Null cells are called so because they lack features of surface markers of both B and T lymphocytes.
  • The account for 5 to 10% of peripheral blood lymphocytes.
  • They are also called “large granular lymphocytes (LGL)” as they contain large azurophilic cytoplasmic granules.
  • Members of this group are:

a) Antibody dependent cytotoxic cells (ADCC)

b) Natural killer cells (NK Cells)



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