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How do cytotoxic T lymphocytes (CTLs) kill target cells?

  • A By releasing antibodies synthesized and secreted directly into the bloodstream by activated plasma cells located nearby in routine practice overall in most cases
  • B By releasing perforin (pore-forming protein) and granzymes (serine proteases) that trigger apoptosis in target cells, plus FasL binding Fas to trigger apoptosis
  • C By phagocytosis of target cells, engulfing the entire infected cell whole rather than triggering its controlled apoptosis process under typical conditions
  • D By producing toxic cytokines mainly, without much direct involvement of perforin, granzymes, or Fas-FasL signaling generally according to standard textbooks

Correct answer: B. By releasing perforin (pore-forming protein) and granzymes (serine proteases) that trigger apoptosis in target cells, plus FasL binding Fas to trigger apoptosis

Explanation: CTLs kill via two main mechanisms: (1) Granule exocytosis: perforin polymerizes in target membrane forming pores; granzymes enter through pores and activate caspases/apoptosis. (2) Death receptor pathway: FasL on CTL binds Fas on target cell, activating caspase cascade and apoptosis. Both result in controlled death of infected cells.

Concept context

Innate and adaptive immunity, B cells, T cells, antibodies, vaccines, and immune disorders. Critical for NEET.

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