Vaccination and Immunisation Flashcards

1
Q

What are Pasteur’s 3 principles regarding vaccinations?

A

ISOLATE
INACTIVATE

INJECT

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2
Q

What are the 6 essential characteristics of vaccinations?

A
  • protection without risk of causing disease or side effects
  • protection = long-lived
  • stimulate correct arm of immune response (antibodies or effector T)
  • stimulate neutralising antibodies to prevent reinfection
  • stable for long term storage and transport
  • economically afforable for widespread use
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3
Q

What are the 6 main types of vaccine?

A
  • Live
  • Attenuated
  • Killed
  • Extract
  • Recombinant
  • DNA
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4
Q

What are the characteristics of a live vaccine?

A

organisms capable of normal infection and replication. not used against pathogens that can cause severe disease

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5
Q

What are the characteristics of an attenuated vaccine?

A

organism is live, but ability to replicate and cause disease reduced by chemical treatment or growth-adaptation in non-human cell lines (MMR)

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6
Q

What are the characteristics of a killed vaccine?

A

organism killed by ohysical or chemical treatment. incapable of infection or replication, but still able to provoke a stron immune response (B.Pertussis typhoid)

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7
Q

What are the characteristics of an extract vaccine?

A

materials derived from disrupted or lysed organisms. Used when there is a risk of the organism surviving the inactivation steps

flu, pneumococcal, diptheria, tetanus

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8
Q

What are the characteristics of a recombinant vaccine

A

genetically engineered to alter critical genes. Can infect and replicate but does not induce associated disease

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9
Q

What are the characteristics of a DNA vaccine

A

naked DNA injected. Host cells pick up DNA and express pathogen proteuns that stimulate immune response

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10
Q

What are the most effective type of vaccines?

A

Live and attenuated

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11
Q

What is herd immunity?

A

the resistance to the spread of a contagious disease within a population that results if a sufficiently high proportion of individuals are immune to the disease, especially through vaccination.

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12
Q

What are the main vaccines offered in the UK?

A
  • DTaP/IPV/Hib: Diptheria, tetanus, pertussis, inactivated Polio vaccine, haemophilus influenzae type B
  • Men C: meningococcal C conjugate
  • DTaP/IPV: booster vaccine for diptheria, tetanus, pertussis, Polio.
  • Td/IPV: booster vaccine for tetanus, diptheria, polio
  • MMR
  • BCG
  • MenACWY
  • Pneumococcal
  • Flu
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13
Q

What common diseases do not currently have a vaccination?

A
  • HIV
  • Ebold
  • SARS
  • vCJD
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14
Q

What are dendritic cells?

A

Cells that sit on the interface between innate immunity and specific immunity

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15
Q

What does activation of dendritic cells cause?

A

vastly increases their ability to capture and process antigen and immunogens, and also attract and activate T cells

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16
Q

What do dendritic cells express?

A

Pattern Recognition Receptors (PRR)

members of the toll-like receptor family (TLR)

17
Q

What is the main TLR involved in activating dendritic cells?

A

TLR-4

recognises lipopolysaccharide, heat shock proteins

18
Q

TLR1 and TLR2 =

A

lipopeptides

19
Q

TLR3 =

A

dsRNA

20
Q

TLR5 =

A

flagellin

21
Q

TLR6 =

A

lipoproteins

22
Q

TLR8 =

A

ssRNA

23
Q

TLR9 =

A

CpG, bacterial DNA

HepB or flu vaccine

IFN-gamma secretion

24
Q

TLR11 =

A

bacterial components