A Levels Biology (9700)•9700/12/M/J/18

Explanation
T-cell suppression prevents transplant rejection
Steps:
- Transplant rejection occurs when the recipient's immune system identifies the donor organ as foreign.
- T-lymphocytes (T-cells) are key players in cell-mediated immunity that attack non-self tissues.
- Immunosuppressive drugs target T-cell activity to block this response.
- This allows the organ to be accepted while balancing infection risk through controlled suppression.
Why D is correct:
- T-lymphocytes drive acute rejection via cytotoxic T-cells that directly kill foreign cells, so their suppression (e.g., via drugs like cyclosporine) prevents organ damage per immunological principles of adaptive immunity.
Why the others are wrong:
- A: B-lymphocytes produce antibodies for humoral immunity, which can contribute to rejection but aren't the primary target for prevention.
- B: Natural active immunity builds long-term protection against pathogens, not transplants, and would worsen rejection.
- C: Natural passive immunity transfers pre-formed antibodies (e.g., from mother to child), irrelevant to suppressing transplant responses.
Final answer: D
Topic: The immune system
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