L23: Vaccination Flashcards

1
Q

What are the 4 phases of infection

A

1) establishment of infection
2) induction of the adaptive responce
3) adaptive immune responce
4) immunological memory

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2
Q

If someone has a vaccination and they have an entry of the micro-organism they are vaccinated against, which phase of infection does vaccine work at

A

Phase 1: establishment of infection

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3
Q

What happens to the antibodies levels in a t independent response with a vaccination in the primary and secondary response

A

Primary response: the antibodies rise and then go back to 0

Secondary: with a booster the antibodies rise and then go back to 0 again

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4
Q

What happens to the antibodies in a t-dependent antibody response with a vaccination

A
Primary response: antibody levels rise but do not go back to 0 due to class swithcing of antibodies igg and iga 
Secondary response: antibody levels increase further due to Igg increasing
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5
Q

In the primary response of a t-independent reaction which antibody is found the most

A

Igm

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6
Q

In the secondary response of a t-dependents response which type of antibody is found the most

A

Igg and iga

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7
Q

In a t-dependent response which antibody is found only

A

Igm

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8
Q

What causes the creation of igg and iga in the t-dependent response

A

Class switching

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9
Q

Where does class switching occur

A

In the germinal centres

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10
Q

If someone has igm in their serum against a particular antigen what does this mean

A

They have a current infection

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11
Q

Why does levels of IGM in the serum indicate a current infection

A

Usually the igm will go to 0

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12
Q

What does it mean if someone has igg against a particular antigen in their blood serum

A

They have been exposed or vaccinated against the antigen

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13
Q

Which antibodies have a high affinity

A

Igg iga

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14
Q

Why does igg and iga have a higher affinity

A

They undergo somatic hypermutation in the germinal centres which allows them to develop a high affinity

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15
Q

How effective are vaccines

A

Has causes a declined in infectious disease

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16
Q

What are the features of an ideal vaccine

A
Safe
Protective 
Sustained protection for several years
Induce neutral information antibody 
Practical: cost effective, easy to administer and no side effects
17
Q

What is passive immunity in vaccination

A

When you pass the immune such as giving the antibodies straight away

18
Q

What is active immunity via vaccination

A

When you activate the host to develop their immunity

19
Q

What are the disadvantages of passive immunity

A

Doesn’t last long

20
Q

What type of micro-organism is given in an active vaccination

A

Dead micro-organism or live micro-organism that is live but doesn’t spread
Whole micro-organism
Part of a micro-organism

21
Q

If we do not have T cell help i.e t-dependent repsonce what do we get

A

No memory

Low affinity

22
Q

How do we vaccinate against encapsulated proteins

A

By conjugate vaccines

23
Q

What are conjugate vaccines

A

When you give conjugate polysaccharide to protein antigen which becomes present by the APC to the CD4 T cells to give a t dependent antibody response

24
Q

How do we solve proteins that are poorly immunogenic

A

Add adjuvants

25
Q

What is an adjuvant

A

A substance that enhances the immunogenicity of substances mixed with it

26
Q

What are the 3 ways adjuvants work

A

1) Convert soluble antigens to particulate material to enhance APC uptake
2) include bacteria or bacterial products
3) toll receptor agonists as adjuvants

27
Q

What is a herd immunity

A

When enough of a population is vaccinated

28
Q

Why is it important to ask people if they are allergic to egg for a flu vaccine

A

Flu vaccine get developed in egg so small egg may be present

29
Q

Apart from preventing infection what are the other uses of vaccination

A

Prevent cancer as some viruses can cause cancer