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Kaplan Qbank USMLE



Author12 Posts
  #1

A 58-year-old man comes to the physician because of blood in his urine. He had a nephrectomy 10 years ago because of injuries sustained in a motor vehicle collision. Evaluation shows renal cell carcinoma in his remaining kidney and pulmonary metastases. Interleukin-2 (IL-2) therapy is started. Three weeks later, CT scan confirms regression of the tumor. Which of the following most likely caused the regression?
A ) An effect of IL-2 on tumor vascularization
B ) Cytotoxic effects of IL-2 on tumor cells
C ) Increased natural killer cell activity
D ) Induction of antitumor antibodies by IL-2
E ) Induction of B-lymphocyte proliferation
F ) Spontaneous remission




  #2

I am thinking C, b/c IL-2 can induce the production of lymphokine activated killer cells in treatment of tumors.

LAK cells are an activated form of natural killer cells.


  #3

I didn't know that IL-2 activates NK cells?!!! Are you sure?

  #4

yes, kaplan immuno page 386.

  #5

C

NK is activated by IL2, IFN gamma, and TNF beta


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  #6

thanks. NK cells secrete INF gamma which activates macrophages and macrophages secrete IL-12 which activate NK cells.

  #7

good answers

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  #8

386p (not sure i have the same one;2004ver)

NK cells are stimulated by IFN-a,IFN-b, and IL-12, and kill targets lacking MHC I.


441p (immunology 2001 ed)

LAK stimulated in vitro by IL-2 and IFN-gamma


Edited by Lim on 08/17/06 - 10:41 PM

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  #9

yes C..

  #10

D ) Induction of antitumor antibodies by IL-2 <--- my first choice is wrong .. thnks for discussion
the answer seems C

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  #11

good quiz ...thanx

  #12

nice..

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