Vaccine Additives Flashcards

1
Q

What does Adjuvant mean

A

Helper

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2
Q

what does Adjuvants help to do

A

help stimulate the immune system to respond to a vaccine

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3
Q

Do we want Adjuvants to be immunogenic

A

NO! we dont want the immune system attacking them

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4
Q

what are the side effects to adjuvants

A

they cause mild inflammation (phagocytosis)

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5
Q

why do we need adjuvants

A

live microbes are too dangerous, but killed microbes may not attract the immune system. these make sure the immune system sees the microbes

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6
Q

What are the 4 Adjuvants

A
  1. Aluminum
  2. Oil emulsion (MF59, AS03)
  3. TLR agonists
  4. Combination (AS04)
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7
Q

What does Aluminum do

A

“repository effect” - slow release of Ag for longer response time

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8
Q

what is the purpose of “repository effect”

A

cause inflammation resulting in longer lasting immunity and possible Th1 response

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9
Q

what is the issue with Aluminum

A

contact dermatitis, HA, arthralgia, myalgia, cause allergies, over-reaction, chronic granulomatous inflammation

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10
Q

what does oil-emulsion adjuvant do in the body

A

local cell death and production of danger signals. cause inflammation for immunity

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11
Q

what is the issue with oil-emulsion

A

tend to me reactogenic

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12
Q

What does the TLR agonist do in the body

A

use pathogen components to activate a TLR response

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13
Q

what is the issue with TLC agonists

A

over-reaction, Lipid-A

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14
Q

what does combination adjuvants do in the body

A

combination of Alumn and MPL (lipid-A). Allows Lipid-A endotoxin to react

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15
Q

what are 4 types of vaccine preservatives

A
  1. Antibiotic
  2. residual material from processing
  3. Thimerosal
  4. Formaldehyde
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16
Q

what are residual materials from processing

A

egg protein or tissue culture

17
Q

what is Thimerosal

A

ethyl mercury

18
Q

T/F ethyl mercury has not been used since 2001

A

true

19
Q

what is the risk of formaldyhyde

A

excessive exposure can be linked to CA

20
Q

do we produce formaldehyde in the body

A

yes