Section A
1.(a) Describe the molecular structure of antibodies, their classes and their function. (10 marks)
(b) Discuss the immunological role of antibodies in the defence against:
(i) Helicobacter pylori (an extracellular gram-negative
(ii) SARS-CoV-2 virus (enveloped virus) (10 marks)
(iii)
Aspergillus fumigatus (fungus and spores) (10 marks)
(iv)
Schistosoma mansoni (parasite causing schistosomiasis) (10 marks)
Section B
2.Discuss what considerations are needed to develop a point of care test for diagnostic purposes (include in your answer what a point of care test is, how it differs from other diagnostic testing. Use specific examples to illustrate your answer). (50 marks)
1. (a) Describe
antibodies' molecular structure, classes, and function. (10 marks)
Antibodies, also
called immunoglobulin, are defensive proteins produced to respond to foreign
bodies. The structure and function of antibodies vary based on their
composition, where some only consist of single molecules such as IgD, IgE, and
IgG antibodies (Wang et al., 2018). Apart from monoclonal antibodies, other
classes of antibodies include those with double molecules such as IgA and those
with multiple clustered molecules such as the five molecule cluster antibody,
IgM. These examples form the five classes of antibodies. However, these
antibodies are similar in their single molecular structure and basic functions.
A single antibody molecule has a general "Y" shape and comprises two
major parts of its structure, each consisting of two polypeptides. This
includes the heavy chain and the light chain segments of the molecule. The
heavy chain consists of a constant region which further includes an Fc region.
The constant region determines the class of the antibody and its function. The
light chain area includes both a constant and variable region, in which the
variable region contains an antigen-binding site that includes a hypervariable
region responsible for creating an opening that surrounds the protruding
antigen area. Therefore, some of the major functions of an antibody include
agglutination, which involves joining antibodies with bacteria, forming large
complexes that neutralize and remove the bacteria. Another function of
antibodies includes phagocytosis. In this case, antibody molecules contain
complementary proteins in the heavy region that activate phagocytes which are
used to overwhelm antibody and antigen complexes to eliminate them (Wang et
al., 2018). Antibodies are also used to attack the surfaces of antigens and
their cells, which join with natural killer cells in the Fc region to release
perforating enzymes that kill the antibody.