Which sequence correctly describes the major steps of antigen processing for MHC class I presentation?

Study for the NBME Immunology Test. Study with flashcards and multiple choice questions, each question includes hints and explanations. Prepare to excel!

Multiple Choice

Which sequence correctly describes the major steps of antigen processing for MHC class I presentation?

Explanation:
Endogenous protein processing for MHC class I starts with proteasomal degradation of cytosolic proteins into peptides, then TAP transports those peptides into the endoplasmic reticulum, where they bind to newly synthesized MHC class I molecules and the complex is delivered to the cell surface for presentation to CD8+ T cells. This sequence matches A because it reflects the cytosolic origin of the antigen, the role of TAP in ER peptide loading, and the ER-based assembly of the peptide–MHC I complex before surface expression. The other options mix in endosomal processing, MHC II loading, or endocytosis pathways that pertain to the MHC II presentation route, not the MHC I pathway.

Endogenous protein processing for MHC class I starts with proteasomal degradation of cytosolic proteins into peptides, then TAP transports those peptides into the endoplasmic reticulum, where they bind to newly synthesized MHC class I molecules and the complex is delivered to the cell surface for presentation to CD8+ T cells. This sequence matches A because it reflects the cytosolic origin of the antigen, the role of TAP in ER peptide loading, and the ER-based assembly of the peptide–MHC I complex before surface expression. The other options mix in endosomal processing, MHC II loading, or endocytosis pathways that pertain to the MHC II presentation route, not the MHC I pathway.

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