A Levels Biology (9700)•9700/13/O/N/20

Explanation
Monoclonal Antibodies Neutralize Pathogenic Autoantibodies
Steps:
- Identify the problem: In myasthenia gravis, autoantibodies bind and block ACh receptors on muscle cells, impairing nerve signaling.
- Determine treatment goal: Short-term injection must rapidly reduce circulating autoantibodies to restore receptor function.
- Infer monoclonal antibody role: These lab-produced antibodies specifically target and bind to the harmful autoantibodies for clearance.
- Conclude target: The monoclonal antibodies bind the disease-causing antibodies, not the receptors or cells directly.
Why A is correct:
- Monoclonal antibodies are engineered to specifically recognize and neutralize pathogenic immunoglobulins, as defined in immunotherapy protocols for autoimmune diseases like myasthenia gravis.
Why the others are wrong:
- B: Targeting ACh receptors would block them further, exacerbating muscle weakness.
- C: No option provided, so invalid.
- D: Plasma cells produce antibodies long-term; short-term treatment focuses on circulating antibodies, not depleting producers.
Final answer: A
Topic: The immune system
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