Vaccine 2 Flashcards
subunit vaccines are
isolated components of microorganisms e.g. individual proteins or polysaccharides
Subunit vaccine primarily provoke which response
antibody response
antibody response (6)
1) agglutination
2) opsonisation
3) neutralisation
4) activation of complement
5) inflammation
6) antibody-dependent cell-mediated cytotoxicity
protein processing pathways
CD5 T response- MHC2
CD8 T response-MHC I
CD4 T cell response
proteins processed via endosomal pathway, which causes inflammation, macrophage activation and antibody production
CD8 T cell response
proteins processes via cytosolic pathways
- kills infected cell
- cytotoxic T cell
polysaccharide sub-unit vaccines are based on the fact
that all bacteria are coated in sugar
- different bacteria have very specific sugars- which makes them good vaccines
the different combinations of polysaccharides make up
unique cell surface structures
- antibodies can be are again
the different combinations give arise to
immunologically distinct polysaccharides
Streptococcal pneumoniae is the
Major cause worldwide of community acquired pneumonia, bacterial meningitis, bacteraemia and otitis media
- causes systemic infections which are hard to treat due to the time of diagnosis being to late
Streptococcal pneumoniae is a bacteria
that had an abundance of polysaccharide on its outer layer
how are antibodies protective against streptococcal pneumoniae
opsonising- mostly
complement fixing
issues with developing streptococcal polysaccharide vaccines
different strains have different polysaccharides on their surgave
how many serotypes of pstreptococcal polysaccharide
90
how do you develop a vaccine which has a potential of 90 different strains
o focus on the most abundant serotypes (the ones most likely to cause disease)
o especially meningitis and bacteraemia
currently how many serotypes in vaccines against streptococcal pneumoniae
23
Although the very group we want to protect against are the you and elderly do not respond well to polysaccharide vaccine
no memory, weak immune system
- adaptive immune system is weak