WEEK 9: VACCINES Flashcards

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1
Q

What is a vaccine?

A

It is a modified form or weakened form or a component of a microbe that is used to elicit protective immunity to a subsequent exposure to the pathogenic (wild type) form of that microbe

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2
Q

Do we have vaccines for fungal diseases?

A

no.

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3
Q

Do we have vaccines for parasitic diseases?

A

yes.

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4
Q

What 2 diseases have been eradicated by vaccinations?

A

variola major (smallpox) and rinderpest

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5
Q

What is the R0 value?

A

The R0 is the number of people that one sick person will infect (on average). It varies from one pathogen to another

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6
Q

What is herd immunity?

A

Herd immunity is when a threshold of individuals have been vaccinated or have been infected naturally that results in a level of community immunity in a population that limits the movement of the virus or bacterial pathogen.

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7
Q

What is active immunity?

A
  • giving the recipient a modified form of the pathogen or material derived from it that induces long term immunity to the disease
  • long term protection
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8
Q

What is passive immunity?

A
  • giving the products of the immune response i.e. antibodies or immune cells, into the recipient
  • short term protection
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9
Q

Give examples of passive vaccines.

A

Varicella-zoster vaccine, Lassa virus vaccine, Ebola virus vaccine (Zmapp)

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10
Q

What are the key immunological requirements of an effective vaccine? (3)

A
  • induce appropriate immune response (includes neutralising antibodies, CD4+ T cells responses, CD8+ T cell responses)
  • the immune responses that need to be elicited to achieve protection = correlates of immunity
  • vaccinated individuals must be protected against the disease caused by the virulent of the specific antigen
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11
Q

What are the key safety and economic requirements of an effective vaccine?

A
  • Safety: no disease, minimal side effects
  • Induces protective immunity in the population
  • Protection must be long lasting
  • Other factors:
  • Low cost (WHO suggests <£1)
  • Genetic stability
  • Storage; preferably no cold chain
  • Route of administration (oral, needle, IV,intramuscular)
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12
Q

What is an attenuated vaccine?

A

A live vaccine. Virus retains antigenicity but loses pathogenicity.

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13
Q

How is attenuated vaccine made?

A

take the wild type pathogen and either passage it through cells or an animal model. Changes from wild type and attenuates. Virus retains antigenicity but loses pathogenicity.

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14
Q

What is a subunit vaccine?

A

A subunit vaccine is a vaccine that contains purified parts of the pathogen that are antigenic, or necessary to elicit a protective immune response

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15
Q

How is an inactivated vaccine produced?

A

Grow virus i cell culture (mammalian cell culture or MCACKS??). Isolate virus and inactive virus.
Inactivated through chemical procedures to preserve antigenicity and eliminate infectivity simultaneously.

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16
Q

what kind of vaccine is mmr?

A

MMR is an attenuated (weakened) live virus vaccine

17
Q

What type of virus is poliovrius?

A

its an enterovirus in the family picornaviridae

18
Q

how many polio infections lead to paralysis?

A

1 in 200

19
Q

how is polio transmitted?

A

through the oral faecal route.

20
Q

where does polio first replicate?

A

in the epithelium cells in the mouth and drops down to the small and large bowel where it infects any epithelial cells that express CD155.

21
Q

what cells does polio infect?

A

it infects any epithelial cells that express CD155.

22
Q

why does polio lead to neuronal damage?

A

The polio virus attacks specific neurons in the brain stem and spinal cord.

23
Q

How is the IPV vaccine given?

A

intramuscularly

24
Q

What is an empirically derived attenuated vaccine?

A

a vaccine produced from growing a pathogenic virus in different cell tissues until it mutates to be unable to grow in human cells, making it a safe vaccine.

25
Q

Which is more dramatic: antigenic shift or antigenic drift?

A

antigenic shift