Past Papers 9 Flashcards

1
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Examples:

HAV
HBV

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1
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Engerix/ Fendrix

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Engerix/ Fendrix - HBV

Subunit vaccine

HBsAg

Made by yeast cells inserting recombinant DNA plasmid which produces HBsAg. Following HBsAg production, solution is then purified to remove yeast

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2
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Twinrix

What is:
Antigenic component or specific viral strain
Manufacturing process

A

HAV/HBV combination vaccine

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3
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Avaxim/ Havrix/ Vaqta

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Avaxim/ Havrix/ Vaqta - HAV immunisation

HAV vaccines consist of inactivated hepatitis A antigen purified from human cell culture
inactivated using traces of formaldehyde

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4
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Gardasil

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Gardasil - HPV vaccine

subunit vaccine

The antigen for HPV vaccines is the L1 major capsid protein of HPV, produced by using recombinant DNA technology. L1 proteins self-assemble into noninfectious, nononcogenic units called virus-like particles (VLPs).

Recombinant DNA plasmid in yeast cells to produce L1 proteins (VLPs)

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5
Q

Which viruses have subunit vaccines available?

A

HBV
HPV

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6
Q

Which viruses have inactivated vaccines available?

A

Influenza

HAV

Polio (IPV)

Rabies

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7
Q

Which viruses have live attenuated vaccines available?

A

MMR
Rotavirus
Yellow Fever
Vaccinia/ MPox
VZV

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8
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Polio IPV Salk

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Strain - Salk - contains all 3 polio types

live polio virus grown Vero cell line derived from African green monkey kidney cells is used in polio vaccine production

virus inactivated with formalin

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9
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - inactivated influenza vaccine

What is:
Antigenic component or specific viral strain
Manufacturing process

A

antigens - haemagluttinin and neuraminidase

Two methods
- egg based inactivated
- mammalian cell culture

Egg-based vaccine manufacturing is used to make both inactivated (killed) vaccine and live attenuated vaccine
The egg-based production with candidate vaccine viruses (CVVs) grown in chicken eggs .

These CVVs are then injected into fertilized chicken eggs and incubated for several days to allow the viruses to replicate. The fluid containing virus is harvested from the eggs.

For inactivated influenza vaccines the vaccine viruses are then inactivated with formalin, and the virus antigen is purified.

This method can also be used for live influenza vaccine

The process of creating cell culture-based flu vaccines involves several steps. First, CDC or one of its laboratory partners, uses influenza viruses that have been grown in cultured mammalian cells to make CVVs, which are then provided to a vaccine manufacturer. Next, the vaccine manufacturer inoculates the CVVs into cultured mammalian cells (instead of into chicken eggs) and allows the CVVs to replicate (i.e., make copies) for a few days. Then, the virus-containing fluid is collected from the cells and the virus antigen is purified. The manufacturing process continues with purification, virus inactivation, and testing.

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10
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - live influenza vaccine

What is:
Antigenic component or specific viral strain
Manufacturing process

A

antigens - haemagluttinin and neuraminidase
Strain- A H1N1/ A H3N2/ B Victoria/ Yamagata

Manufacturing process
- virus grown in chick eggs or mammalian cells
- replicated viruses purified

  • live vaccine - purified virus used
  • inactivated - purified virus ianctivated with formalin

For the nasal live attenuated vaccine, the starting CVVs are used to make live, but weakened viruses that are then used in vaccine production.

Live nasal vaccine weakened as modified to replicate at 25degC, below body temperature. So when administered intranasally, it is less likely to replicate and cause disease

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11
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Rabipur

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Rabipur - rabies vaccine

Inactivated vaccine

Virus propagated through chick embryo cell culture until inactive. Purified via centrifugation

RABIPUR is an inactivated rabies virus vaccine, derived from the fixed-virus strain, Flury LEP. The virus is propagated in a Purified Chick Embryo Cell (PCEC) culture, inactivated using β-propiolactone and purified via centrifugation

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12
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - oral polio vaccine Sabin

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Live attenuated polio vaccine

grown in vero cells derived from the kidney of an African green monkey

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13
Q

Vero cells derived from kidney of African green monkey, are commonly used for vaccine production

What are the benefits of this?

A

They intrinsically contain a deletion in type I interferon genes so cannot produce interferon alpha or beta, making them more susceptible to viral infection

they are also similar to human cells

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14
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Vaccinia

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Live attenuated Vaccinia protects against Smallpox and Mpox

Uses Ankara virus strain.
serial passage through chick embryo fibroblasts

virus can infect cells, but cannot complete life cycle as cannot form full virions

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15
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Yellow fever

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Yellow fever vaccine is a live, attenuated preparation

17D strain of yellow fever virus attenuated with serial passage through embryonated chick eggs

16
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Rotarix

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Rotarix - rotavirus
Live attenuated

Rotarix (GlaxoSmithKline) contains 1 strain of attenuated human rotavirus (G1P[8] strain). It protects against non-G1 serotypes based on other shared epitopes.

VP7 protein on outer capsid is a major antigen that stimulates immune response

The vaccine-manufacturing process has three stages: Vero cells are grown and infected with a small amount of rotavirus, which then rapidly multiplies; the attenuated virus is filtered from the cells and concentrated; and the final vaccine is formulated, freeze dried and packaged for distribution

17
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Measles

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Live attenuated
Based on Edmonston-Enders strain

Haemagluttinin is major antigen

Grown in MRC-5 fibroblast cell culture

18
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Mumps

What is:
Antigenic component or specific viral strain
Manufacturing process

A

Jeryl Lynn strain

The live, attenuated measles vaccines are typically cultured in primary chick embryo or human diploid (e.g., Edmonston-Zagreb) cells for several days

19
Q

Name the antigenic component or specific viral strain within these viral vaccines and the
manufacturing process

Candidates will see name of a viral vaccine - Rubella

What is:
Antigenic component or specific viral strain
Manufacturing process

A

RA 27/3 strain

Most of the currently licensed vaccines are based on the live, attenuated RA 27/3 strain of rubella virus propagated in human diploid cells.