Question 4a in the VCAA 2021 Exam is confusing me a bit and I was wondering if someone could help 🙂
The question:
Varicella (chickenpox) is a highly contagious disease caused by the varicella zoster virus. A live, attenuated
varicella zoster virus vaccine is recommended for children at age 18 months. In Australia, this vaccine is
provided free of charge under the National Immunisation Program.
a. Once the varicella zoster virus vaccine is injected into the arm of a child, an immune response occurs.
Summarise the immune response that occurs within the child to result in long-term protection from
chickenpox. [5 marks]
The VCAA Marker's Guide:
A suitable answer was that the vaccine is taken up by, for example, macrophages and antigen presented on the surface of the cell. The antigen presenting cell moves into the lymphatic system and is taken to the lymph node. Helper T cell stimulates naïve B cells. Each B cell divides to produce plasma cells, which produce specific antibodies. B memory and or T memory cells are produced for long-term immunity
This was very well answered. Many students presented clear logical answers and demonstrated a sound understanding of how long-term immunity is achieved.
I was wondering why we are expected to talk about B cells and antibodies when this question is a virus? As viruses are intracellular pathogens shouldn't a response to this question focus on the cell-mediated response and thus T cells?