Protozoan Vaccine Flashcards

1
Q

Which disease has the least effective vaccine?

A

Tuberculosis

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2
Q

True or false: Leishmaniasis, schistosomiasis and next generation malaria are approaching human clinical trials and on WHO priorities list

A

True

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3
Q

Associate the following features to their immune pathway
a. Cytokines, CD8 and CD4 T cells, intracellular pathogens
b. Antibodies, intracellular and extracellular pathogens

A

a. Cell-mediated immunity
b. Humoral immunity

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4
Q

True or false: Vaccines are easier to make for pathogens that do not require antibodies (T cell response)

A

False

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5
Q

What are the targets of malaria vaccine?

A

Sporozoites

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6
Q

Which protein present on merozoites is a target for malaria vaccine?

A

AMA1

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7
Q

RTS,S vaccine for malaria targets which protein?

A

CSP

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8
Q

What is the role of HbS Ag?

A

Forms a complex structure exposing the CSP antigen

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9
Q

How many doses of the RTS,S vaccine are needed?

A

4 doses

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10
Q

What is the main challenge of RTS,S vaccine?

A

GSK does not produce enough vaccines

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11
Q

What is the disadvantage of subunit vaccines?

A

Immune system is not strong enough

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12
Q

What is the disadvantage of live attenuated vaccines?

A

Attenuation can be reversed and cause disease

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13
Q

Why is live attenuated vaccination more advantageous than subunit vaccination?

A

Allows the production of more cells to carry out killing of T-effector cells
Longer response

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14
Q

How are radiation attenuated live sporozoites produced?

A

Infected mosquitoes treated with radiation
Dissection to isolate attenuated sporozoites

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15
Q

Which of the following are advantages of live attenuated vaccine for leishmaniasis?
a. People are immunologically protected for life
b. Promastigotes can be made in large quantities in culture
c. Leishmania strains can be developed using CRISPR-Cas gene editing

A

All of the above

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16
Q

What is the gene required for survival in human host, but not needed to survive in sand fly?

A

Virulence gene

17
Q

Why is it possible to culture Leishmania promastigotes but not Plasmodium sporozoites or merozoites?

A

Promastigotes are programmed to multiply in the blood of the sandfly
Sporozoites need gametocytes to multiply and merozoites cannot multiply outside of RBC

18
Q

Could Imiquimod function as a vaccine adjuvant?

A

Yes, it activates the TH1 response

19
Q

True or false: Imiquimod is an effective vaccine adjuvant when given in the muscle

A

False, it is effective when given in the skin

20
Q

Why is the skin the ideal place for vaccination?

A

Most immune cells are present in the skin