Defense And Vaccination Against Infection Flashcards

1
Q

Who needs to be vaccinated

A

Risk of suffering with severe disease
Risk of infecting others
Risk of exposure to the disease
Age health status and vaccination history
Special risk factors
Reactions to previous vaccine doses + allergies

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2
Q

The delay associated with acquire immunity is associated with

A

The time taken for colonial expansion to occur for B and T cells

In secondary infection the response is much quicker and there is a greater amount of cells than primary infection

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3
Q

What are some examples of passive vaccination

A

Transfer of specific antibodies (gamma globulins)
tetanus
gangrene
snake bite
hepatitis B
rabies

Transfer of normal serum gammaglobulins
hypogammaglobulinemia

Maternal antibodies
Placental IgG
Colostral IgA

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4
Q

What do live vaccines consist of ( examples of each) (naturally and artificially attenuated)

A

Naturally attenuated (e.g. related strain or species)
Smallpox (variola) and cowpox (vaccinia)
Veterinary and experimental vaccines

Artificially attenuated (random and “designer”)
Oral polio vaccine, measles, mumps, rubella, yellow fever

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5
Q

What do non living vaccines contain

A

Killed whole organisms
Antigenic components of the organism
DNA/RNA from the organism

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6
Q

what are subunit vaccines and Examples of subunit vaccines

A

subunit vaccines only contain the required antigenic components that best elicit an immune response

DTP (diphtheria, tetanus and pertussis)

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7
Q

How do adjuvants enhance immunogenicity and some examples of adjuvants

A

Inducing inflammation
Providing microbial signals to boost innate immunity
Providing long lasting depot of antigen

Eg lipid nano particles, AS04, AS03, MF59

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8
Q

Examples of diseases that have been eradicated

A

Small pox eradicated on 8th May 1980

Near eradication of polio which is transmitted orally and then into blood where damages nerve cells —> paralysis of infected tissues

Near end of cervical cancer due to HPV vaccination

40 year fight against HIV

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9
Q

Comparison of the two vaccines against polio

A

Salk is the dead vaccine whilst Sabin is the attenuated version.

Salk prevents entry of virus into cells but infection of gut remains whilst Sabin induces immunity in the gut preventing infection

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10
Q

Live attenuated vaccines examples

A

Sabin oral polio vaccine

M bovis BCG for TB meningitis

MMR vaccine

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11
Q

Inactivated vaccines examples

A

Rabies, Salk polio, hep A, influenza

Vibrio cholerae, pertussis, salmonella typhi and E. coli

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12
Q

Which strains of the virus cause more than 70% of all cervical cancers in the UK?

A

HPV 16 and 18

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13
Q

How does SARs-Cov-2 cause illness

A

Infects cells through its spike S protein binding to the ACE2 receptor
Causes severe immunothrombotic disease in some people

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14
Q

What were the 2 vaccines mostly used for COVID in the uk

A

AstraZeneca is an adenovirus vaccine in which the isolated genetic material and is inserted into a harmless virus = production of spike mRNA and protein by host cells

Pfizer is a mRNA vaccine in which the spike protein acts as the mRNA from which the host cell then produces spike proteins

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