Which of the following statements is most correct? Immunoglobulin gene rearrangement:

Correct Answer: C

Rationale: The correct answer is C because immunoglobulin gene rearrangement creates a complete V exon in the B cell DNA. This process happens during B cell development, where segments of V, D, and J gene regions are rearranged to form a functional immunoglobulin gene. This rearrangement occurs before transcription, so option A is incorrect. Option B is incorrect because the V exon is not complete in the germline DNA, but rather created through rearrangement in the B cell DNA. Option D is incorrect as it combines two incorrect statements.

Correct Answer: D

Rationale: The correct answer is D because the adaptive immune response relies on the initiation by the innate immune response (A), involves both humoral (antibody production) and cell-mediated (T cell activation) responses (B), and produces cytokines that can modulate the activity of innate immune cells like macrophages (C). Therefore, all of the statements are true regarding the adaptive immune response, making option D the correct choice.

Correct Answer: D

Rationale: The correct answer is D because it is the only statement that is not entirely true regarding the microbiota. The rationale for this is that bacteria found in obese mice are actually more efficient at extracting energy from food, not less efficient as mentioned in option D. This increased efficiency contributes to the higher energy extraction from food, leading to weight gain in obese individuals. The other options (A, B, C) are correct as they align with current research and understanding of the microbiota. Option A is true as the microbiota begins to colonize our body at birth. Option B is also true as the composition of the microbiota in adults can indeed be influenced by various factors such as diet and exercise. Option C is true as obesity has been linked to alterations in gut microbiota composition, and studies have shown that transferring microbiota from obese to lean mice can induce weight gain in the lean mice.

Correct Answer: C

Rationale: The correct answer is C: Peptidoglycan. NOD1 recognizes peptidoglycan, a component of bacterial cell walls. This recognition triggers an immune response. Flagellin (A) is recognized by TLR5, CpG DNA (B) is recognized by TLR9, and K+ efflux (D) is not a PAMP recognized by NOD1. Thus, only peptidoglycan is the correct choice for NOD1 recognition.

Correct Answer: C

Rationale: The correct answer is C because the C3 convertase is an enzyme that cleaves C3 into C3a and C3b, an essential step in the complement cascade. This enzyme is crucial for the initiation of both the classical and alternative pathways. Choice A is incorrect as opsonins enhance phagocytosis but are not directly related to C3 convertase. Choice B is incorrect as the MAC is formed by the terminal complement components, not the C3 convertase. Choice D is incorrect as C3b is not an inhibitor but a product of C3 cleavage by the C3 convertase.