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BMS3031 - Molecular mechanisms of disease - S1 2026

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During an immune response, B cells can modify the antibodies

they produce without changing antigen specificity. This modification alters how

antibodies interact with other components of the immune system.

Which observation would provide the strongest

evidence that class switch recombination has occurred in a population of B

cells?

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Activated B cells can alter the class of antibody they

produce, changing how antibodies interact with Fc receptors and complement

while preserving antigen specificity. This process allows the immune system to

tailor effector responses to different stages or types of infection.

Which experimental result would most strongly

support that class switch recombination has taken place?

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Following antigen encounter, antigen-specific B cells and

CD4⁺ T cells must interact to initiate a T cell–dependent antibody response.

This requires coordinated changes in cell migration within secondary lymphoid

organs.

Which observation would provide the strongest

evidence that this migratory coordination between B cells and T cells is

functioning correctly?

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T cell–dependent antibody responses require precise spatial

and temporal coordination between antigen-specific B cells and CD4⁺ helper T

cells. After antigen encounter, both cell types undergo regulated changes in

chemokine receptor expression that guide their migration within secondary

lymphoid organs.

Which finding best demonstrates that this

coordinated cellular migration is occurring normally?

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Random antigen receptor generation during development produces

a lymphocyte population comprising both foreign and self-antigen recognition.

Mechanisms of tolerance act at multiple stages to prevent harmful, anti-self immune

responses.

Which observation would provide the strongest evidence that

immune tolerance has failed in an individual?

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Each mature B cell expresses a single, unique antigen

receptor generated during development, allowing the immune system to recognise

a wide range of potential antigens. In a normal immune response, antigen

exposure leads to selective activation and rapid expansion of only those B

cells whose receptors bind the antigen, while unrelated B cells remain

inactive.

In a hypothetical organism that lacks clonal

selection but retains all other features of adaptive immunity, which finding,

after immunisation with a single purified protein would most clearly

differentiate it from a normal system?

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B cells each express a unique antigen receptor before

encountering antigen. During an immune response, only B cells whose receptors

can bind a given antigen are activated and undergo rapid proliferation.

A hypothetical immune system lacks clonal

selection but retains all other features of adaptive immunity. Following

exposure to a single protein antigen, which outcome would most strongly

distinguish this system from a normal B-cell response?

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Certain avian influenza viruses occasionally infect humans,

causing severe disease in those affected. However, most of these viruses fail

to cause widespread human outbreaks because their replication is inefficient in

the upper respiratory tract, which limits human-to-human transmission. Public

health experts monitor these viruses closely because small genetic changes

could increase their transmissibility.

Which statement best explains why some bird flu viruses are

considered a “pandemic waiting to happen”?

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Although antimicrobial resistance represents a major global

health concern, investment by large pharmaceutical companies in antibiotic

development has steadily declined. In contrast, research spending remains high

in fields such as oncology, autoimmune disease, and metabolic disorders.

Which consideration most strongly contributes to this disparity

in investment?

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A pharmaceutical scientist is developing a novel

antimicrobial agent intended for systemic use against a wide range of bacterial

pathogens. To be clinically successful, the compound must selectively target

bacteria while remaining safe for human tissues and be able to access

intracellular and periplasmic bacterial components.

Which set of physicochemical and pharmacological

properties would best support these goals?

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