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Kaplan Qbank USMLE



Author14 Posts
  #1

14. Cells froma pancreatic carcinoma express very small amounts of Class I MHC and are resistant to recognition and killing by CD8+ T lymphocytes isolated from the host individual. Substantial tumor cell lysis is observed when these cells are cultured in the presence of a mixed leukocyte population isolated from the peripheral blood of a normal (cancer-free) individual. Which of the following leukocytyes in the blood of the normal individual are most likely responsible for the in vitro lysis of the tumor cells?

A. B-lymphocyte effector (plasma) cells
B. CD4+ T cells
C. CD8+ T cells
D. Eosinophils
E. Macrophages
F. Natural killer cells
G. Neutrophils

???C/F???


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  #2

F


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  #3

Thanks. smiling face

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  #4

I had C

Change to F

Thank you

  #5

its NK cells ...sudden substantial lysis is through NK cells and see its written.....only a small number of cells have MHC I smiling face so automatically rule out CD8+

  #6

why is it not E macrophages??

  #7

in immunity vs tumor cells, macrophages are not imp. intracellular ags--> think abt t lymphos and NK cells. macrophages themselves, need t cell activation to deal with the organisms sitting within thme!!

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  #8

Can anyone explain why not C? MHC I is present on all nucleated cells and it's associated with LT CD8+.
LT CD 8+ kill tumor/virus/graft cells. So, why not C?

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  #9

dear klimt
the question stem says the tumor cells don't express mhc1 w

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  #10

F-
The answer is NK cells.

NK Killer cells are :

NOT thymus depepndent.
NOT MHC restricted
No memory
Would work if there are no MHC-1 receptor.

In This case , the tumor cells don't express mhc1 and so the answer is NK cells.

Please REMEMBER:

cytotoxic T cells act on tumor cells that have " altered self/ MHC calss 1 receptor

Hope this helps..

Love and wishes

Dr Shabree

Sabarinath Radhakrishnan

  #11

agree F

  #12

F. Nk cells , at the stem of the Q the CD8+ automatically been roled out, so just u have to choose NK cells.

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  #13

F NO MHC RESTRICTION

  #14

F








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