Lecture 22+23: Immunizations Flashcards
Immunization
The process of producing a state of resistance or protection from a pathogenic organism or toxic substance
Passive immunization
Transfer of preformed antibodies to recipient to provide immediate immunological protection
Does passive immunization activate immune system or generate memory response
NO!
What are the two categories or passive immunization
Natural and artificial
What is natural passive immunization
Goal is to protect fetus until its owner immune system is mature
Transfer of maternal antibodies to offspring across the placenta and/or colostrum/milk
What is artificial passive immunization
Goal is to protect an individual from a challenge before their immune system can be activated
Injection with preformed antibodies (ex: antitoxins/antivenins, pooled immune globulin
What is the half life for IgG
21 days
Describe how the transfer of maternal antibodies in utero occurs
IgG crosses the placenta, placental cells internalize serum containing maternal IgG. Neonatal Fc receptors (FcRN) are expressed in internal vesicles and when acidified they can bind material IgG. Transcytosis of maternal IgG and release into fetal circulation
What antibodies are transferred in milk/colostrum
Secretory IgA (and/or IgM) and IgG transferred into milk to newborn (not significant source of IgG)
What antibodies are transferred into the gut
Secretory IgA remains in gut- absence of maternal sIgA alters composition of microbiota
Describe how the transfer and intestinal absorption of maternal antibodies in colostrum and/or milk occurs
Maternal IgG can be absorbed from the GI tracts, neonatal Fc receptors (FcRN) are expressed on surface of enterocytes within the duodenum. Transcytosis of maternal IgG and release into neonatal circulation
Clinical application: Failure of Passive Transfer
Horse and ruminant newborns don’t have any maternal antibody protections so are immunologically naive at birth
Neonates are agammaglobulineimic and are dependent on antibodies absorbed into bloodstream from colostrum
If neonates don’t get adequate colostrum they are are higher risk of infections
How does artificial passive immunization occur
Injection of preformed antibodies from one animal species into another for immediate protection
Serum is collected from animal that has been hyperimmunized with desired antigen
Ig’s are harvest, purified and sometimes cleave Fc region to reduce antigenicity
Injected into patient to provide immediate protection
What are some potential risks to consider for artificial passive immunization
Hypersensitivity reactions as horse antibodies are seen as non-self to dog
May prevent patient from mounting an active immune response to antigens
Clinical application: antitoxins: tetanus (ex of Artificial passive immunization)
Used to prevent and treat tetanus in domestic animals
Tetanus is a potent neurotoxin that inhibits muscle relaxation, antitoxin neutralizes toxin and confers immediate passive immunity for 1-2 weeks
Clinical application: Antivenin (ex: of artificial passive immunization)
Used for treatment of snakebites in domestic animals
What is active immunization
Acquisition or administration of infectious organism, portion of an organism of toxin
Does active immunization produce immunological memoryq
Yes! Immune system in immunized patient is actively developing immune response
What are two categories or active immunization
Natural and artificial
What is active natural immunization
Infection with pathogenic substance
What is artificial active immunization
Vaccination with either preventative or therapeutic vaccines
What type of immunization induces production of antibodies ad development of effector T cells due to exposure of pathogen or vaccination
Active immunization
Repeat exposure ___ antibody titers
Increases
What do vaccination and boosters induce
Class switching, increased antibody titer and increased avidity
Live (infectious) vaccine characteristics
Replicate in host, single dose, less stable, short shelf life, can potentially cause disease, better immunity, no adjuvant required, may revert to virulence, IgG, IgA and cell mediated immune response
Non-living (non-infectious) vaccine characteristics
Can’t cause disease, stable, less robust immunity, often require multiple diseases, requires safe method of inactivation, mainly IgG and little to no cell-mediated immune response