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USMLE - Chapter 2 - Immunology

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  1. Primary Lymphoid Organs to Lymph Node Structural Diagram
    7Topics
  2. Introduction to Lymphatic Drainage to Lymph Node Palpability and Right Lymphatic Duct
    6Topics
  3. Spleen Structure Overview to Thymus-Related Conditions
    6Topics
  4. Components and Mechanism of Immunity to Understanding Immune Privilege
    4Topics
  5. MHC I and II: Introduction and Loci to DQ8, DR3, DR4
    9Topics
  6. Functions of Natural Killer Cells to Major Functions of T Cells
    3Topics
  7. T Cell Development: Bone Marrow & Thymus to Regulatory T Cells and Autoimmunity
    6Topics
  8. T-cell Activation: Antigen Presentation to B-cell Activation: Co-stimulation, Class Switching, and Maturation
    4Topics
  9. Antibody Structure and Function to Antibody Diversity and Specificity
    4Topics
  10. Introduction to Immunoglobulin Isotypes to Thymus-Dependent Antigens
    7Topics
  11. Introduction to Complement System to Convergence and MAC Formation
    9Topics
  12. Early Complement Deficiencies to PNH: Hemolysis & Thrombosis
    4Topics
  13. Interleukin-1: Macrophage Secretion and Acute Response to IL-10 and IL-13: Immune Regulation and IgE Production
    7Topics
  14. Respiratory Burst Introduction to Interferons Clinical Use & Side Effects
    5Topics
  15. T Cell Surface Proteins to Examples of Passive and Active Immunity
    4Topics
  16. Live Attenuated Vaccines: Description to mRNA Vaccine
    8Topics
  17. Overview of Hypersensitivity Types to Type II: Cellular Dysfunction & Clinical Examples
    6Topics
  18. Type III Hypersensitivity: Mechanism & Examples to Type IV Hypersensitivity: Examples & Tests
    5Topics
  19. Allergic and Anaphylactic Transfusion Reactions to Delayed Hemolytic Transfusion Reaction
    5Topics
  20. Autoantibodies in Neuromuscular and Systemic Diseases to Autoantibodies in Metabolic, Hematologic, and Renal Disorders
    5Topics
  21. Bruton's Agammaglobulinemia to Chronic Mucocutaneous Candidiasis
    7Topics
  22. Severe Combined Immunodeficiency (SCID) to Chronic Granulomatous Disease
    7Topics
  23. Intro to Immunodeficiency & T-Cell Bacterial Infections to Parasitic Infections & Key Deficiency Note
    5Topics
  24. Hyperacute Transplant Rejection to Histology of Transplant Rejection
    5Topics
  25. Immunosuppressants: Definition and Risks to Sirolimus & Basiliximab: Clinical Aspects
    5Topics
  26. Azathioprine to Immunotherapy: Interleukin-2 and Interferons
    6Topics
  27. TNF-α Inhibitors: Adalimumab & Infliximab to Omalizumab & Palivizumab: Allergic & Viral
    7Topics
Lesson 15 of27
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T Cell Surface Proteins to Examples of Passive and Active Immunity

Content August 26, 2025

Cell surface proteins

Cell type Proteins
T cells TCR (binds antigen-MHC complex), CD3 (associated with TCR for signal transduction), CD28 (binds B7 on APC)
Helper T cells CD4, CD40L, CXCR4/CCR5 (coreceptors for HIV)
Cytotoxic T cells CD8
Regulatory T cells CD4, CD25

Cell type Proteins
B cells Ig (binds antigen), CD19, CD20, CD21 (receptor for Epstein-Barr virus), CD40, MHC II, B7 (CD80/86)
NK cells CD16 (binds Fc of IgG), CD56 (suggestive marker for NK cells)
Macrophages CD14 (receptor for PAMPs [eg, LPS]), CD40, CCR5, MHC II, B7, Fc and C3b receptors (enhanced phagocytosis)
Hematopoietic stem cells CD34

Anergy

State during which a cell cannot become activated by exposure to its antigen. T and B cells become anergic when exposed to their antigen without costimulatory signal (signal 2). Another mechanism of self-tolerance.

Passive vs active immunity

Passive Active
MEANS OF ACQUISITION Receiving preformed antibodies Exposure to exogenous antigens
ONSET Rapid Slow
DURATION Short span of antibodies (half-life = 3 weeks) Long-lasting protection (memory)

Passive Active
EXAMPLES IgA in breast milk, maternal IgG crossing placenta, antitoxin, humanized monoclonal antibody Natural infection, vaccines, toxoid
NOTES After exposure to tetanus toxin, HBV, varicella, rabies virus, botulinum toxin, or diphtheria toxin, unvaccinated patients are given preformed antibodies (passive)—”to Heal very rapidly before dying” Combined passive and active immunizations can be given for hepatitis B or rabies exposure

Topics Covered:

  • T Cell Surface Proteins
  • B Cells, NK Cells, Macrophages, and Stem Cells
  • Anergy and Immunity Acquisition
  • Examples of Passive and Active Immunity