MD5: Influenza Vaccines Flashcards

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1
Q

what is orthomyxovirus

A

ssRNA, enveloped, recognises sialic acid receptors

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2
Q

what are three envelope proteins

A

hemagglutinin, neuraminidase, M2

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3
Q

what is hemagglutin

A

envelope protein

functions in attachment and penetration

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4
Q

what is neuraminidase

A

envelope protein

cleaves sialic acid from glycoconjugates, facilitates elutiokn of progeny virions from infected cells

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5
Q

what is M2

A

envelope protein

functions in uncoating and virus maturation

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6
Q

what is the structure of heamagglutinin

A

globular head and fibrous stem

globular head binds to cell surface receptor sialic acid

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7
Q

what is the function of neuraminidase

A

an enzyme that breaks down the sialic acid receptor on the cell surface
pathogens have acquired neuramididases to facilitate infection/propagation
once sialic acid is removed from the receptor by neuraminidase, the heamagglutinin protein no longer binds

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8
Q

what is the initial innate response to influenza infection

A

NFkB transcription leads to pro-inflammatory cytokine gene expression of TNFalpha, IFNbeta and IL-8

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9
Q

what do chemokines and cytokines do in the innate response to influenza infection

A

increase inflammatory response by attracting NK, B and T cells to the infection site
these cells produce more inflammatory cytokines to keep the Th1 response cycle going

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10
Q

what is the long term response to influenza infection

A
IFNgamma boosts chemokine gene expression, activation of macrophages, antigen presentation and continual development of specific cell-mediated immunity
Th2 response
T cell stimulation
antigen presentation
B cell mutation
antigen specific IgG production
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11
Q

what infections do influenza A and B viruses cause

A

seasonal epidemics of disease every year

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12
Q

what do influenza C viruses cause

A

mild respiratory illness but do not cause epidemics

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13
Q

what do influenza D viruses cause

A

primarily affect cattle and do not infect people

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14
Q

what are the influenza A sub-types

A

based on the two proteins on the surface of the virus

hemagglutinin and neuraminidase

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15
Q

how many different subtypes of hemagglutinin are there

A

18

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16
Q

how many different subtypes of neuraminidase are there

A

11

17
Q

what is antigenic drift

A

gradual accumulation of amino acid mutations that allow the hemagglutinin to escape neutralising antibodies
epidemic strains of influenza have changes in three or more antigenic sites

18
Q

what is the result of antigenic drift

A

reduced ability of circulating antibodies to recognise the ‘new’ virus

19
Q

how are influenza vaccines produced

A

growing the bacteria or virus in culture media then inactivating it with heat/chemicals
inactivated vaccines cannot replicate; entire dose of antigen is administered in the injection
first dose primes the immune system, does not give immunity

20
Q

what are the advantages of inactivated vaccines

A

generally safer, improved stability

21
Q

what are the disadvantages of inactivated vaccines

A

can be costly, hypersensitivity