Chapter 11: Immunological Memory And Vaccination Flashcards

1
Q

In a person with ________________ memory the second infection is usually cleared before it produces any symptoms

A
  • immunological
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2
Q

The __________ formed during a primary immune response prevent reinfection for several months after disease.

A
  • antibodies
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3
Q

Immunological memory is stained by _________ clones of long-lived memory T cells and B cells

A
  • clones

- both effector B and T cells and memory B and T cells are produced during a primary immune response

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4
Q

___________ against a pathogen can generate immunological memory that persists for life

A
  • vaccination
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5
Q

Long lived clones of memory ____ and ______ cells are produced in the _______________ immune response

A
  • B and T

- primary

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6
Q

Pathogen-specific memory B cells are more abundant and make better antibodies in _________ response than do naive B cells

A
  • secondary
  • key features that make the secondary response stringer than the primary response are the greater numbers of antigen specific B cells present at the start of the secondary response and the preferential use of isotype-switched clones of B cells that express higher-affinity immunoglobulins as a result of somatic hypermutation and affinity maturation
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7
Q

Only memory B cells, and not naive B cells, participate in the secondary immune response. How?

A
  • IgG antibody suppress the activation of naive B cells by cross linking the BCR and FC-gamma-RIIB1 on the B cell surface
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8
Q

Immune- complex mediated inhibition of naive B cells is used to prevent hemolytic anemia of the newborn

A
  • Rhesus blood group antigen (Rh) expressed by erythrocytes is absent in a minority of individuals.
  • Rh- mothers carrying Rh+ fetuses become exposed to fetal erythrocytes (in the first pregnancy ) and make Rh- specific antibodies that pass to the fetal circulation and cause fetal red cells to be destroyed (in second pregnancy)
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9
Q

Passive immunization with anti-Rhesus antigen IgG prevents hemolytic anemia of the newborn.

A
  • the immune complexes of fetal erythrocytes coated with IgG prevent a primary B cell response from being made to the Rh antigen
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10
Q

In the response to influenza virus, immunological memory is gradually eroded.

A
  • highly mutable viruses such as influenza gradually escape from immunological memory without stimulating a compensatory immune response
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11
Q

The procedure in which the adaptive immune system is manipulated in an antigen-specific manner to mimic infection by particular pathogen and stimulate protective immunity against it without causing the disease itself is a…

A
  • vaccination
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12
Q

Edward Jenner created a vaccination with the use of cow pox

A
  • used cow pox to vaccinate others against smallpox
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13
Q

Vaccine is…

A
  • the material used for vaccination

- vaccus in latin means cow

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14
Q

Viral vaccines are made from ____________ viruses or viral ___________

A
  • whole

- components

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15
Q

Vaccines today are composed of preparations of the disease causing virus with the ability to cause diease being weakened or destroyed

A
  • chemical treatment with formalin, physically heating, or irradiation.
  • removes the ability of the virus to replicate
  • killed or inactivated virus vaccines
    Examples:
    Influenza
    Rabies
    Salk Polio
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16
Q

Small pox (variola)

A
  • contagious and sometimes fatal
  • highly contagious disease caused by variola virus, a dsDNA orthopoxvirus of the Poxviridae; virus is slightly larger than the smallest bacterium; replicates in host’s cell’s cytoplasm
  • pink-red macules appear on face and trunk
  • they become papules and fluid filled vesicles
  • vesicles become pustules that break open and emit puss, leaving pitted scars
  • smallpox is one of the most dangerous weapons of bioterrorism
  • vaccines ceased in the US in 1972 after eradication occurred (many people not immune)
17
Q

Vaccination with ____________ virus elicits neutralizing antibodies that react with antigenic determinants shared with __________ virus

A
  • cowpox
  • smallpox
  • the shared antigenic determinants of cowpox also elicit protective T-cell immunity against smallpox
18
Q

Live-Attenuated Virus Vaccines

A
  • live virus that has mutated so that it has a reduced ability to grow in human cells and is no longer pathogenic to humans
  • these vaccines are more potent at eliciting protective immunity than the killed virus vaccine
  • it can still replicate and mimic a real infection although they are not pathogenic
  • most of the viral vaccines currently used to protect human are live-attenuated
    Examples:
    Measles
    Mumps
    Polio
    Yellow fever
19
Q

How are attenuated viruses made?

A
  • selected by growing human viruses in non-human cells
20
Q

Subunit Vaccines

A
  • are made by using surface components of the virus
    Examples:
    Hepatitis B virus vaccine uses hepatitis B virus surface antigen (HBsAg)
21
Q

Bacterial Vaccines

A
  • are made from whole bacteria, their secreted toxins or capsular polysaccharides
  • many bacteria produce toxin that cause the disease
  • need to stimulate an antibody response against the toxin
  • Diphtheria toxin and tetanus toxin are inactivated with formalin to produce a toxoid, which is used in vaccine preparations
  • Toxoids are similar to the toxin but do not cause disease
  • most bacterial vaccines are subunit vaccines
22
Q

Current schedule for recommended childhood immunizations in the US include multiple vaccinations to develop long term memory….

A
  • B cells and T cells
23
Q

Adjuvants nonspecifically enhance the immune response

A
  • they are substances that induce inflammation by antigen independent mech
24
Q

Most effective adjuvant in experimental immunology is Freund’s Complete Adjuvant

A
  • is an emulsion of killed mycobacteria and mineral oil into which antigen are vigorously mixed
  • the mixing caused the antigens to precipitate, which prevents the antigen/adjuvant from being rapidly dispersed and degraded throughout the body
  • provides a persistent and localized stimulation of the immune response
  • the mycobacteria can activate macrophages and dendritic cells
25
Most common adjuvant used and approved for use in human vaccines are...
Alum - they are a form of aluminum hydroxide MF59 - emulsion of squalene, oil, and water
26
The need for a vaccine and the demands placed on t change with the prevalence of the disease
- some vaccines can mutate and cause disease | - need for vaccine is greater than the risks
27
Resurgence of the disease is an outcome of the concerns of the safety (like seen in whooping cough of the 1970s)
- caused by Bordatella pertussis - beginning of 20th century 2000 cases per million children suffered/died from whooping cough - in 1940s the DPT vaccine was introduced
28
Herd Immunity
- when a vast majority of the population has immunity against a pathogen due to vaccination or previous infection - there will be no epidemics and even the non-vaccinated individual will be protected - however if herd immunity is lost, there could be epidemics
29
As fewer children were vaccinated for measles...
- the incident of infections increased
30
Vaccines have not yet been found for....
- many chronic pathogens
31
Genome sequencing of humans open up new avenues of vaccine design
- complete genome of many bacterial and viral pathogens are known by DNA sequencing - manipulation of pathogens genes (recombinant DNA techniques) can produce an attenuated pathogen that is good is use as a vaccine (live-attenuated vaccine) - the success of vaccines against chronic infections will depend critically on their ability to steer the CD4 T cell responses in way that are helpful
32
The inclusion of cytokines in vaccine might help to drive...
- immunity in the desired direction
33
Vaccine development faces greater __________ scrutiny than drug development
- public - vaccine are different than most other drugs Other drugs are given to people who are already sick and are grateful for any improvement in their condition; are given on a case by case basis based on the symptoms/disease of the individual
34
Vaccines are administered to ____________ individuals, often very young
- healthy - parents might be more concerned about the adverse effect of vaccine than the benefit from the vaccine - they are also given to the greater population as mandated by government laws - the only situation which a vaccine’s benefit can truly be felt is when exposure is obvious, because other unvaccinated members of the local community are suffering and succumbing in numbers to the disease
35
Production of live-attenuated viral strains by recombinant DNA techniques
- if a viral gene that is necessary for virulence but not for growth or immunogenicity can be identified, this gene can be either mutated or deleted by using recombinant DNA techniques - this procedure creates an avirulent (nonpathogenic) virus that can be used as a virulence gene are usually many, so that the virus cannot easily revert to the wild type
36
Effector functions of adaptive immunity begin to work only after...
- 4 days or more
37
In the long term, immunological memory enables the strength of the secondary response to far surpass the primary response
- periodt