MICROBIOLOGY- Vaccination to prevent infection Flashcards
Name the 2 ways our body protects us from infection
- Innate immunereponse
2. Adaptive immune response
How does our innate immune repose protect us?
- Anatomical barriers
- Temperature, pH
- Chemical eg enzymes, complement interferons
- Cellular
Which cells are involved in our adaptive immune response
B cells (humoral) T cells (cell mediated immunity)
Name cells involved in the innate immune response
- Neutrophils
2. Eosinophils
Define immunisation
Conferring immunity by artificial means
Define vaccination
Conferring immunity to a disease using a vaccine or special antigenic material to stimulate the formation of appropriate antibodies
What is passive immunity
Using antibodies derived from another host
What is active immunity
Modified, killed, pathogens or their antigenic products presented in a way that stimulated an immune response
Name the 3 ways we can prepare antibodies derived from humans
- Hyperimmune where we screen donors with appropriate antibodies
- Normal immunoglobulin
- Humanised monoclonal antibodies
How long do antibodies live?
3-4 weeks
What are the disadvantages of passive immunity
Antibodies are short lived so no long term memory or protection to re infection
What type of vaccines do we have?
- Live vaccines
2. Antigenic component vaccines (Dead vaccines)
How do we use live organisms in a virus
- Inoculation via a different route
- Jennerian approach
- Attenuate the virus
- genetically modify the virus
Give an example of a live vaccine we inoculate via a different route
Adenovirus vaccines
What is the jennerian approach
We use an animal virus that is antigenically related to the virus we want vaccinate from
Give an example of a live vaccine we use the jennerian approach to vaccinator from
Rotavirus
How do we use antigenic compounds in a virus
- Killed
- Use the toxoid
- Partially purified
- Recombinant DNA
- DNA viruses
Gives some advantages of live vaccines
- More closely mimics natural infection
2. Only need 1-2 immunisations
Give some disadvantages of live vaccines
- May get systemic side effects
- No boosting effect (low antigenic load)
- Require cold chain
Give some advantages of non live vaccines
- Boosting effect (high antigenic load)
2. Only local side effects
Give some disadvantages of non love vaccines
- Have to give multiple doses to produce sustainable responses
- Requires adjuvants
What are adjuvants
Agents which modify effect of others
What do we want adjuvants to do in immunology
Augemnt the repose to immunogenicity (antigens)
Give some examples of adjuvants
- Freunds
2. Aluminium hydroxide
What are the benefits of adjuvants
They improve antibody response to antigens
How do adjuvants improve antibody response
- Translocate antigens to lymph nodes
- Prolong delivery
- Stimulate inflammation and ligands for toll like receipts
Are polysaccharide vaccines effective on their own?
No they are poorly immunogenic especially in young children
How can we improve polysaccharide vaccines
By covalently linking these to a happen (protein) to make them t dependent antibodies
What do we call polysaccharide vaccines that have had protein linked with them?
Conjugated vaccines
What is the advantages of having a universal vaccine
We can immunise the whole population and this can help stop the vaccine spreading (herd immunity)
Give examples of infection that we are carrying out targeted vaccination against
- TB
- Hep B
- Varicella zoster vaccine (chicken pox)
Name some vaccines recommended for travellers
- Hep A
- Rabies
- Yellow fever
- Typhoid
- Japanese encephalitis
What is vaccine efficacy
Effectiveness of a vaccine to prevent disease (NOT necessarily prevent infection)
Give an example of how we can test vaccine efficacy
By checking the ability of the vaccine to induce antibodies
What does the ability of a vaccine to eradicate disease depend on?
Depend on:
- Ability to prevent infection
- Efficacy of virus
- Infectivity of organism