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Immunology of Cancer

Description: This quiz is designed to assess your understanding of the fundamental concepts related to the immunology of cancer. It covers topics such as tumor antigens, immune surveillance, immune checkpoints, and cancer immunotherapy.
Number of Questions: 15
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Tags: immunology cancer tumor antigens immune surveillance immune checkpoints cancer immunotherapy
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What are tumor antigens?

  1. Molecules expressed on cancer cells that can be recognized by the immune system

  2. Molecules expressed on normal cells that are not recognized by the immune system

  3. Molecules expressed on cancer cells that are not recognized by the immune system

  4. Molecules expressed on normal cells that can be recognized by the immune system


Correct Option: A
Explanation:

Tumor antigens are molecules that are expressed on cancer cells and can be recognized by the immune system. These antigens can be derived from mutated proteins, overexpressed proteins, or proteins that are normally expressed in low levels.

What is immune surveillance?

  1. The process by which the immune system monitors the body for cancer cells

  2. The process by which the immune system attacks cancer cells

  3. The process by which the immune system prevents cancer cells from growing

  4. The process by which the immune system destroys cancer cells


Correct Option: A
Explanation:

Immune surveillance is the process by which the immune system monitors the body for cancer cells. This process involves the continuous scanning of the body by immune cells, such as cytotoxic T cells and natural killer cells, which can recognize and destroy cancer cells.

What are immune checkpoints?

  1. Molecules that regulate the immune response

  2. Molecules that activate the immune response

  3. Molecules that suppress the immune response

  4. Molecules that are expressed on cancer cells


Correct Option: A
Explanation:

Immune checkpoints are molecules that regulate the immune response. These molecules can be expressed on immune cells or cancer cells, and they can either activate or suppress the immune response.

What is cancer immunotherapy?

  1. The use of the immune system to treat cancer

  2. The use of drugs to treat cancer

  3. The use of surgery to treat cancer

  4. The use of radiation therapy to treat cancer


Correct Option: A
Explanation:

Cancer immunotherapy is the use of the immune system to treat cancer. This can be done by stimulating the immune system to recognize and attack cancer cells, or by blocking molecules that suppress the immune response.

Which of the following is an example of cancer immunotherapy?

  1. Checkpoint inhibitors

  2. Targeted therapy

  3. Chemotherapy

  4. Radiation therapy


Correct Option: A
Explanation:

Checkpoint inhibitors are a type of cancer immunotherapy that block molecules that suppress the immune response. This allows the immune system to recognize and attack cancer cells more effectively.

What are the main types of tumor antigens?

  1. Mutated proteins

  2. Overexpressed proteins

  3. Proteins that are normally expressed in low levels

  4. All of the above


Correct Option: D
Explanation:

Tumor antigens can be classified into three main types: mutated proteins, overexpressed proteins, and proteins that are normally expressed in low levels. Mutated proteins are proteins that have been altered due to mutations in the DNA of cancer cells. Overexpressed proteins are proteins that are expressed at higher levels in cancer cells compared to normal cells. Proteins that are normally expressed in low levels are proteins that are expressed at low levels in normal cells, but are expressed at higher levels in cancer cells.

Which immune cells are primarily responsible for recognizing and destroying cancer cells?

  1. Cytotoxic T cells

  2. Natural killer cells

  3. Helper T cells

  4. Regulatory T cells


Correct Option: A
Explanation:

Cytotoxic T cells are a type of immune cell that is primarily responsible for recognizing and destroying cancer cells. These cells can recognize tumor antigens presented on the surface of cancer cells and kill them through the release of cytotoxic molecules.

What is the role of immune checkpoints in cancer?

  1. They regulate the immune response to prevent excessive inflammation

  2. They suppress the immune response to allow cancer cells to evade detection

  3. They activate the immune response to promote cancer cell destruction

  4. They are not involved in cancer development or progression


Correct Option: B
Explanation:

Immune checkpoints are molecules that play a role in regulating the immune response. In cancer, some immune checkpoints can be exploited by cancer cells to suppress the immune response and evade detection. This allows cancer cells to grow and spread unchecked.

Which of the following is an example of an immune checkpoint molecule?

  1. PD-1

  2. CTLA-4

  3. ICOS

  4. CD28


Correct Option: A
Explanation:

PD-1 (Programmed cell death protein 1) is an example of an immune checkpoint molecule. It is expressed on the surface of T cells and plays a role in regulating the immune response. In cancer, PD-1 can interact with its ligand PD-L1, which is expressed on cancer cells, leading to the suppression of T cell activity and allowing cancer cells to escape immune surveillance.

What is the primary mechanism of action of checkpoint inhibitors in cancer immunotherapy?

  1. They directly kill cancer cells

  2. They stimulate the production of antibodies against cancer cells

  3. They block immune checkpoints to unleash the anti-tumor immune response

  4. They enhance the activity of natural killer cells


Correct Option: C
Explanation:

Checkpoint inhibitors work by blocking immune checkpoints, such as PD-1 or CTLA-4, which are expressed on T cells. By blocking these checkpoints, checkpoint inhibitors unleash the anti-tumor immune response, allowing T cells to recognize and attack cancer cells more effectively.

Which type of cancer is commonly associated with mutations in the BRAF gene?

  1. Melanoma

  2. Lung cancer

  3. Breast cancer

  4. Prostate cancer


Correct Option: A
Explanation:

Melanoma is commonly associated with mutations in the BRAF gene. BRAF is a protein involved in the MAPK signaling pathway, which plays a role in cell growth and proliferation. Mutations in BRAF can lead to uncontrolled cell growth and the development of melanoma.

What is the significance of tumor-infiltrating lymphocytes (TILs) in cancer?

  1. They indicate a strong anti-tumor immune response

  2. They are associated with poor prognosis

  3. They are not relevant to cancer development or progression

  4. They promote tumor growth and metastasis


Correct Option: A
Explanation:

Tumor-infiltrating lymphocytes (TILs) are immune cells, such as T cells, that infiltrate and accumulate within the tumor microenvironment. The presence of TILs is often associated with a strong anti-tumor immune response and a better prognosis for cancer patients. TILs can recognize and attack cancer cells, contributing to tumor regression and improved patient outcomes.

Which type of cancer is characterized by the presence of the Philadelphia chromosome?

  1. Chronic myeloid leukemia (CML)

  2. Acute lymphoblastic leukemia (ALL)

  3. Non-Hodgkin lymphoma

  4. Multiple myeloma


Correct Option: A
Explanation:

Chronic myeloid leukemia (CML) is characterized by the presence of the Philadelphia chromosome, which is a result of a translocation between chromosomes 9 and 22. This translocation leads to the formation of the BCR-ABL1 fusion gene, which produces a constitutively active tyrosine kinase that drives the development of CML.

What is the role of cancer stem cells in tumor development and progression?

  1. They are responsible for tumor initiation and metastasis

  2. They are differentiated cells that have lost their tumorigenic potential

  3. They are not involved in cancer development or progression

  4. They are immune cells that protect against cancer


Correct Option: A
Explanation:

Cancer stem cells are a small population of cells within a tumor that possess the ability to self-renew and differentiate into various types of cancer cells. They are considered to be responsible for tumor initiation, growth, and metastasis. Cancer stem cells are often resistant to conventional therapies, making them a challenging target for cancer treatment.

Which type of cancer is commonly associated with the human papillomavirus (HPV) infection?

  1. Cervical cancer

  2. Lung cancer

  3. Breast cancer

  4. Prostate cancer


Correct Option: A
Explanation:

Cervical cancer is commonly associated with the human papillomavirus (HPV) infection. HPV is a sexually transmitted infection that can cause cervical cancer in women. Persistent infection with certain types of HPV can lead to the development of precancerous lesions and eventually cervical cancer.

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