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6 Cards in this Set

  • Front
  • Back
2 types of vaccines
May be whole organism or parts
- Attenuated vaccines -" weakened" bacteria or viruses ( require refrigeration)
- Replicating vaccines - inactivated or killed (lyophilized)
Newer vaccine types
Synthetic, subunits, conjugate and naked DNA
Subunit vaccines required "adjuvant", which amplify the immune response
- Alum: aluminum salt-based
- MF59: oil-based substance
3 essential characteristics of a vaccine
- produce protective immunity w/ minimal side effects
- produce a strong and measurable response
- Retain potency over long periods of time
Host response to vaccine
- begins with dendritic/macrophages biding to invading organisms by recognizing components of cell wall.
- Toll-like receptors (TLR): pathogen- recognition receptors on APCs
- Cells then process and present pathogenic antigens to naive antigen-specific T cells, which then launch an immune response.
HIV vaccine (strategies, effectiveness, areas of research, challenges, and reasons)
Strategies:
- Preventive and therapeutic
Currently no effective therapeutic or preventive vaccine available
Areas of research for vaccine development
- Preventative / prophylatic to prevent infection
- Therapeutic
- Perinatal for prevent transmission of HIV from mothers to fetus
Challenge:
- High rate of viral mutation
- No early defined natural immunity to HIV
- HIV infects cells critical to immune defense
- HIV is transmitted as a free virus and in infected cells
Reasons to keep searching:
- some success in non-human primates agains HIV and/or SIV
- Successful vaccine available in cats gains FIV, also a retrovirus
- All humans develop some type of immune response to HIV that is able to control the infection over a long period of time
New and Vaccines under development
Anthrax: experimental vaccine available, Thraxine has improved stability
CMV: high priority, to prevent congenital CMV
Hay fever: experimental DNA vaccine
HPV: Gardisil approved in 2006 for girls and women age 9-26. Targeted protection against types associated with cancer: HPV - 16 and 18 , 6 and 11
INFLUENZA: WHO coordinates viral surveillance to predict candidate vaccines for upcoming year (both live, attenuated, and killed --- injection and nasal)
LEUKEMIA: therapeutic vaccine for AML in treatment resistant patients
POLIO: incidence reduced by >96% worldwide, however still endemic in several countries. inadequate immunization results in inadequate immunity to interrupt transmission.
SMALLPOX: stopped in 1972 when it was eradicated in US, but due to its Category A status, discussions regarding reintroducing vaccine ( Individuals in high risk professions are vaccinated. Vaccine made from live vaccinia virus, closely ralted to VARIOLA virus)