Vaccination And HIV Flashcards

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1
Q

What is a vaccine

A

An injection of antigens from attenuated (dead or weakened) pathogens

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2
Q

What does a vaccine stimulate

A

It stimulates the formation of memory cells

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3
Q

Explain how vaccines provide protection to individuals against disease

A

Specific B lymphocytes with complementary receptors bind to antigens
Specific T helper cells bind to APCs and stimulate B cells
B lymphocytes divide by mitosis to form clones
Some B lymphocytes differentiate into B plasma cells which release antibodies and some differentiate into memory cells
On secondary exposure to the antigen B memory cells rapidly divide by mitosis to produce B plasma cells, these release antibodies faster and at a higher concentration

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4
Q

Define herd immunity

A

When the majority of a population is vaccinated against a pathogen, the spread is reduced as the chain of infection is reduced

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5
Q

How do vaccines provide protection for populations against disease

A

When lots of people are vaccinated, herd immunity can occur. This means the majority of the population is protected from being infected by the pathogen so its chain of infection is prevented. This means vaccinated people do not become ill and unvaccinated people are unlikely are come in to contact with people with the disease

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6
Q

Describe the process of active immunity

A

In order for active immunity to occur contact with the antigen/pathogen is needed
Once in contact, lymphocytes are selected, cloned and differentiated
Complementary antibodies can then be made and secreted by plasma B cells
B memory cells are made, so immunity is long term

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7
Q

Does active immunity take a long time upon first infection or not? Why?

A

It takes a long time as the correct antibodies have to be selected to bind to the complementary antigen
It is faster upon secondary infections as memory cells are left behind

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8
Q

What is natural active immunity

A

A normal response to infection

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9
Q

What is artificial active immunity

A

A response triggered by infection of foreign antigens (vaccination)

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10
Q

Describe the process of passive immunity

A

No contact is needed with an antigen
Lymphocytes are not involved
No antibodies are made, but are introduced from another organism
No memory cells are made
The response has an immediate effect

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11
Q

What is an example of natural passive immunity

A

During and after pregnancy antibodies pass across the placenta and in breast milk

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12
Q

What is an example of artificial passive immunity

A

Injection of antibodies or antitoxins from someone else, which gives immediate protection

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13
Q

What are the differences between active and passive immunity

A

In active initial exposure to the antigen is needed, in passive no exposure to the antigen is needed
In active memory cells are involved, in passive no memory cells are involved
In active antibodies are produced and secreted by B plasma cells, in passive antibodies are introduced from another organism (eg breast milk)
In active the process in slower as it takes longer to develop, in passive the process is faster acting
In passive immunity is long term and can be produced in response to the specific antigen again, in passive immunity is short term as the antibody is hydrolysed

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14
Q

How is HIV spread

A

When an infected persons body fluids mix with another persons
Eg during sexual intercourse, during a blood transfusion from an infected person, through sharing needles, across the placenta of an infected mother

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15
Q

Describe the action of HIV and how it affects the body

A

Attachment proteins attach to receptors on a T cell
Nucleic acid/RNA enters the T cell
Reverse transcriptase converts RNA to DNA
Viral proteins/capsids/enzymes are produced
Virus particles are assembled in the T cells and are released to go on and infect more cells

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16
Q

Why are antibiotics not effective against viruses

A

Viruses do not have structures or processes that antibiotics can inhibit
Viruses don’t have metabolic processes (don’t make protein) and don’t have ribosomes
Viruses don’t have bacterial enzymes or a murein cell wall

17
Q

Why are low levels of T helper cells bad

A

It means that the immune system is poor as there will be fewer B cells and fewer antibodies to help fight infection

18
Q

How do we treat HIV? What does this do?

A

Using an antiretroviral drug
This prevents virus replication

19
Q

Describe the replication of HIV in T helper cells

A

HIV attachment proteins attach to receptors on the helper T cell
Lipid envelope fuses with the cell surface membrane releasing a capsid into the cell
The capsid uncoats, releasing RNA and reverse transcriptase
Reverse transcriptase converts viral RNA to DNA
Viral DNA is inserted in to the helper T cell Lipid envelope
Then viral proteins/capsids/enzymes are produced and either DNA is transcribed in to HIV mRNA or HIV mRNA is translated in to new HIV proteins
Virus particles are assembled and released from the cell via budding

20
Q

How does HIV cause the symptoms of AIDs

A

HIV infects and kills helper T cells as it multiplies rapidly. This means the T helper cells can’t stimulate cytotoxic T cells, B cells and phagocytes, so plasma B cells can’t release as many antibodies for agglutination and destruction of pathogens
The immune system deteriorates which makes it more susceptible to infections
Pathogens reproduce, release toxins and damage cells

21
Q

What are the ethical issues with using vaccines

A

Preclinical testing on animals could cause potential stress or harm or mistreatment
Clinical trials on humans could cause harm or side effects
Vaccines may continue high risk activities and may still be able to develop or pass on the pathogen