Hypersensitivity reactions occur when body tissues are affected by an abnormal immune reaction. The result is damage to normal tissues and clinical illness. A peanut allergy is an example of a hypersensitivity reaction, but there are three additional broad classes.

One class involves the abnormal production or deposition of antibodies. Antibodies are B-cell derived molecules that normally adhere to pathogens, rendering them unable to continue an infection. When antibodies are produced against normal tissues, however, disease can result. Figure 1 depicts a schematic structure of an antibody.

Antibodies can be divided into two peptide chains: heavy and light. Heavy chains form the backbone of the antibody, and are attached to light chains via covalent bonding. Each heavy and light chain is then further divided into constant and variable regions. Variable regions exhibit molecular variety, generating a unique chemical identity for each antibody. These unique patterns help guarantee that the body can produce antibodies to recognize many possible molecular patterns on invading pathogens.

Before antibodies enter into circulation, they exist as B-cell receptors (BCRs). BCRs are transmembrane proteins that are identical to the antibodies that exist in free circulation, with the exception of one component. Which component is likely present in BCRs, but not in antibodies in solution with blood?

Hypersensitivity reactions occur when body tissues are affected by an abnormal immune reaction. The result is damage to normal tissues and clinical illness. A peanut allergy is an example of a hypersensitivity reaction, but there are three additional broad classes.

One class involves the abnormal production or deposition of antibodies. Antibodies are B-cell derived molecules that normally adhere to pathogens, rendering them unable to continue an infection. When antibodies are produced against normal tissues, however, disease can result. Figure 1 depicts a schematic structure of an antibody.

Antibodies can be divided into two peptide chains: heavy and light. Heavy chains form the backbone of the antibody, and are attached to light chains via covalent bonding. Each heavy and light chain is then further divided into constant and variable regions. Variable regions exhibit molecular variety, generating a unique chemical identity for each antibody. These unique patterns help guarantee that the body can produce antibodies to recognize many possible molecular patterns on invading pathogens.

A patient presents to their local primary care clinic with a 1-day old influenza infection. Their blood is drawn and analyzed for antibodies. Four months after the infection, their physician draws their blood again and studies the presence of antibodies. Which of the following is most likely to be true?

Hypersensitivity reactions occur when body tissues are affected by an abnormal immune reaction. The result is damage to normal tissues and clinical illness. A peanut allergy is an example of a hypersensitivity reaction, but there are three additional broad classes.

One class involves the abnormal production or deposition of antibodies. Antibodies are B-cell derived molecules that normally adhere to pathogens, rendering them unable to continue an infection. When antibodies are produced against normal tissues, however, disease can result. Figure 1 depicts a schematic structure of an antibody.

Antibodies can be divided into two peptide chains: heavy and light. Heavy chains form the backbone of the antibody, and are attached to light chains via covalent bonding. Each heavy and light chain is then further divided into constant and variable regions. Variable regions exhibit molecular variety, generating a unique chemical identity for each antibody. These unique patterns help guarantee that the body can produce antibodies to recognize many possible molecular patterns on invading pathogens.

The readily reversible interactions between antigens and antibodies most probably use which of the following interactions?

I. Hydrogen bonding

II. Dipole-dipole interactions

III. Nonpolar covalent

The receptor on the surface of a B-lymphocyte is a membrane-bound antibody. Which of the following is not a function of an antibody?

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.

A doctor discovers that a newborn baby has a rare infection of her lungs. He does an analysis of the baby's blood and finds a near-total lack of antibodies in the plasma. The remainder of her immune system is intact. In which of the numbered arrows of the given figure is there most likely to be a breakdown in normal functioning?

Which of the following statements is false concerning the humoral immune system?

What component of the adaptive immune system binds to antibodies and allows for holes to be placed into bacterial cell membranes?

A patient requiring a blood transfusion is discovered to have type AB- negative blood. Which donor blood types can they accept?

There are a large variety of over-the-counter pregnancy tests, although all of them share a set of common principles.

These home pregnancy tests are immunoassays which detect the presence of the peptide hormone human chorionic gonadotropin (hCG). hCG is produced by the fertilized ovum and released into the mother's bloodstream, preventing the degradation of the corpus luteum and thereby preventing menstruation. By the time of the mother's first missed period, hCG levels in the urine are high enough to detect.

The home pregnancy test generally involves dipping a stick containing immobilized hCG monoclonal antibodies into a urine sample. If hCG is present in the urine, it will bind to the monoclonal antibodies on the dipstick. The dipstick is then placed in a solution containing a second monoclonal antibody which recognizes the bound hCG antibody complex on the surface of the dipstick. This second antibody is conjugated to colloidal gold particles which change color when they are immobilized, indicating a positive test result (i.e., pregnancy).

The monoclonal antibodies used in the home pregnancy test __________.