The Immune System Part 3 Flashcards

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1
Q

Herd Immunity is:

A

a type of immunity that occurs when the vaccination of a portion of the population provides protection to the unprotected individuals of that population
- protection is provided to all individuals in the population due to the inability of the pathogen to spread

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2
Q

What are the four strategies of vaccines for artificial?

A

Attenuated organisms
killed/subunit organisms
small fragements
toxins

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3
Q

Attenuation is:

A

process by which virulence is reduced so that although the organism is still active; it is no longer causing disease - live with an ability to replicate in host cells
- a LIVE vaccine **

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4
Q

True or false: in a attenuated vaccine the virus must be dead to replicate properly

A

FALSE! the virus must stay alive to be able to replicate the vaccine cells

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5
Q

What is critical in regards to storage of an attenuated vaccine?

A

temperature can reduce or increase replication of virus therefore leading to a pathogen causing disease
- polio vaccine must be monitored to ensure it wasnt exposed to high temperatures.

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6
Q

In regards to maternal antibodies, when should a baby receive their MMR?

A

12 months old - because this is when the maternal antibodies decrease
-when the baby is born, maternal antibodies are given to the lil bebe that will provide protection from live attenuated vaccines - so they will likely be killed = be sure that the maternal antibodies are gone

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7
Q

Where is their a risk for back mutation?

A

in polio ! - chance t

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8
Q

What are the risks in attenuated vaccines?

A

risk for immunocompromised people
the immune system must be under control when given
they can be hazardous because the modified micrboes ma retain enough residual virulence to cause disease
-pregnant women shouldn’t take this

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9
Q

Examples of attenuated vaccines are”

A

MMR, polio, flu shot, varciella roster, rabies vaccines

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10
Q

How was the rabbies vaccines acheived?

A

serial infections in rabbits led to a live virus strain that was more virulent in rabbits then it was in dogs.

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11
Q

Process of attenuation

A

pathogenic virus is isolated in patient –> put in animal cell –> viruses acquire a mutation that allows it to grow in animal cell, then the virulent cell does not have the ability to grow in a human cell :)

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12
Q

Killed and subcellular vaccines are:

A

virons inactivated by chemical procedure; the infectivity and viral ability to replicate are eliminated but antigenicity is not compromised - killed for the use in vaccines and its important antigen remain similar to that of the living organism as possible

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13
Q

Killed vaccine are antigenically weak, what does this mean?

A

its administered at high doses or incooperated with materials called adjuvants (help increase the vaccine)

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14
Q

What is a positive about killed vaccines?

A

there is no chance it can replicate, revert, mutate or retain an residual virulence = safer

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15
Q

what is a negative about killed vaccines?

A

you have to administer a shit ton of boosters to keep the immunity up

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16
Q

Examples of killed vaccines?

A

polio, influenza, hep a, modern day rabies

17
Q

What are two toxoids?

A

1) Diphtheria: toxin is encoded by bacteriophage

2) Tetanus

18
Q

What is a toxoid??

A

a inactivated toxin

19
Q

What is the process of bacterial exotoxins?

A

modification of a toxin to a toxoid - by chemical modification

20
Q

Small fragements: happens when some cells in the body pick it up and acquire immunity to it: true or false?

A

true betches

21
Q

Give 2 examples of a fragment vaccine

A

Hep B: 1st generation extracted from blood plasma (hboAG) from hepb patients, now its cloned by yeast
HPV: protects from cervical cancer; vaccines has legnthened the average life expectancy

22
Q

Passive Immunity: Natural VS Artificial

A

Natural: placental tranfer of IgG, and breast feading (Transfer of IgA, mucosal)
Artificial: antibodies from other individuals and from immune animals

23
Q

What are the advantages and disadvantages of passive immunization?

A

Adv: immediate protection
DIS: no long term protection, risk of infection with unknown pathogens, serum sickness

24
Q

What is the product and use of Diphtheria

A

P: specific Ig from horse
U: tx of diphtheria

25
Q

what is the product and use of botulism?

A

P: specific ig from horse
U: tx of wound and blood born forms of botulism / infant botulism treated with the botulism immune globulins (baby big)

26
Q

what is the product and use of tetanus?

A

P: ig from human
U: tx of tetatnus

27
Q

what is the product and use of rabies?

A

P: rabies iG
U: post exposure, locally -

28
Q

what is the product and use of vaccina?

A

P: vaccina iG from horse
U: tx of progressive vaccina infection, usually resulting from smallpox vaccination in immunocompromised patients.

29
Q

what is the product and use of varicella?

A

P: varicella zoster Ig
U: post exposure in high risk individuals

30
Q

what is the product and use of cystomegalovirus?

A

P: hyper immune human Ig
U: prevention; used most often with organ transplantation

31
Q

what is the product and use of hep A

A

P: pooled human IG
U: prevention of hep a

32
Q

what is the product and use of hep B

A

P: Hep B ig
U: prevention in high risk infants - admin with hep b vaccine; protects from risks of sexual avtivity

33
Q

what is the product and use of snake and other toxic bites?

A

P: specific ig from horse; from milking snakes- inactivates the toxicity (toxoid), and injects into the horse, to modify the venom
U: tx

34
Q

what is the product and use of hypo-gamma globuliniemia

A

P: pooled human ig
U: prevention of man diseases in patients with an immune disorder characterized by reduction of all immune globulins

35
Q

How do you prevent maternal transfer of Hep b?

A

H-big: heb b immune globulin- passivley delivered = instant protection + vaccine
+ 1-2 months= vaccine
++ 6 months = vaccine

36
Q

Define Risk for Back Mutation

A

when the people vaccinated with attentuated vacines can spread disease to people who arent vaccine = bad