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Immunology · USMLE Step 1

USMLE Immunology: Immune Cell Types and Surface Markers

B cells, T cells, NK cells, and antigen presenting cells matched with their characteristic CD surface markers and functions tested on USMLE Step 1.

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What surface marker is characteristic of essentially all mature T cells?
CD3
What surface marker distinguishes helper T cells?
CD4
What surface marker distinguishes cytotoxic T cells?
CD8
What MHC class does CD4 interact with when a helper T cell recognizes antigen?
MHC class II
What MHC class does CD8 interact with when a cytotoxic T cell recognizes antigen?
MHC class I
What surface marker is a general marker for mature B cells?
CD19 (and CD20)
What surface marker is used therapeutically as the target of rituximab on B cells?
CD20
What surface marker characterizes natural killer (NK) cells?
CD56
How do NK cells recognize and kill target cells that have lost MHC class I expression?
Loss of inhibitory signaling normally provided by MHC class I removes the 'brake' on NK cell cytotoxic activity, so the NK cell kills the target
What surface marker on NK cells (and some other cells) binds the Fc portion of IgG to mediate antibody-dependent cellular cytotoxicity?
CD16
What cell type is the most potent professional antigen presenting cell for activating naive T cells?
The dendritic cell
What surface marker is commonly used to identify dendritic cells?
CD11c (along with high MHC class II expression)
What are the three classic professional antigen presenting cell types?
Dendritic cells, macrophages, and B cells
What surface marker distinguishes macrophages and monocytes broadly?
CD14
What co-stimulatory molecules on antigen presenting cells bind CD28 on T cells to provide the second signal for T cell activation?
CD80 (B7-1) and CD86 (B7-2)

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