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45 Cards in this Set

  • Front
  • Back
In order to be effective, all vaccines need to induce an adaptive immune response which exhibits...
...memory and specificity
Why is influenza hard to make a vaccine for?
The virus has extensive antigenic variation

2032221110
What is an 'Adjuvant'?
Substances which boost the immune response to a co-delivered antigen

By providing a long-term depot of antigen and by stimulating antigen-presenting cells
How do adjuvants boost the immune response?
By providing a long-term depot of antigen and by stimulating antigen-presenting cells
Substances which boost the immune response to a co-delivered antigen
Adjuvants
What is the only adjuvant in common use today?
Alum (aluminium hydroxide/aluminium phosphate)
Vaccination is predominantly a ____________, rather than a therapeutic (Of or relating to the healing of disease) intervention.
Prophylactic (A medicine or course of action used to prevent disease)
Define 'therapeutic'
Of or relating to the healing of disease
Define 'Prophylactic'
A medicine or course of action used to prevent disease
'Of or relating to the healing of disease'
Therapeutic
'A medicine or course of action used to prevent disease'
Prophylactic
The effectiveness of vaccines is strongly influenced by the rate of compliance (herd immunity) T/F
T
Define 'herd immunity'
General immunity to a pathogen in a population based on the acquired immunity to it by a high proportion of members over time
General immunity to a pathogen in a population based on the acquired immunity to it by a high proportion of members over time
Herd immunity
List three recently introduced vaccines
Pneumococcal conjugate vaccine (PCV)

Meningococcal Group C conjugate vaccine (MenC)

Cervarix cervical cancer vaccine against human papilloma virus strains 16 and 18
What are new technologies that could contribute to the development of vaccines in the future?
Live recombinant vectors

DNA immunisation
What provides protective immunity against extracellular bacteria?
Antibody
What provides protective immunity against intracellular bacteria?
Th1, CD4+ T-cells
What provides protective immunity against viruses?
CD8+ T-cells (cause cell to die), antibody
What provides protective immunity against multicellular parasites?
Antibody
What are the four types of vaccines in current use?
Live attenuated organism

Inactivated killed organism

Subunit vaccines

Passive immunisation
The live attenuated vaccine is often given in multiple doses and induces long-term immunity T/F
FALSE - given in *single* doses
Attenuated viruses have the potential to cause virulence T/F
T
Live attenuated vaccinations can be used against immunocomprimised individuals T/F
False
Live attenuated viruses pose no difficulties in quality control or storage T/F
False
Give two examples of vaccinations administered via live attenuated strains.
BCG and MMR
The innactivated killed organism method of vaccination is stronger than the liver attenuated method T/F
F
The innactivated killed organism method of vaccination can cause immunopathology T/F
T
The innactivated killed organism method of vaccination can be used on immunocomprimised individuals
T
The innactivated killed organism method of vaccination has no risk of virulence T/F
T
Give examples of vaccines administered through the inactivated, killed organism method
HepA
Rabies
Inactivated Polio vaccine (IPV)
Influenza (Mostly live, but some nasal sprays can be inactivated ones)
HepA
Rabies
Inactivated Polio vaccine (IPV)
Influenza (Mostly live, but some nasal sprays can be inactivated ones)
Examples of vaccines administered through the inactivated, killed organism method
What are the three parts a subunit vaccine can be?
A toxin
Viral coat protein
Bacterial cell wall component
All subunit vaccines currently in use only induce an antibody response. What is the problem with this?
It leads to problems of appropriateness and limits the vaccine
Subunit vaccines require a booster T/F
T
Subunit vaccines do not require addition of an adjuvant T/F
F, they do
Give examples of subunit vaccines:
Tetanus
Diptheria
Pertussis
HepB
Meningococcus
Haemophilus
What is passive immunisation?
Where the preformed antibody can be administered to provide immediate, but temporary immunoprotection
Where the preformed antibody can be administered to provide immediate, but temporary immunoprotection
Passive immunisation
Passive immunisation os occasionally used therapeutically post-exposure T/F
T
Give examples of passive immunisation (2)
Tetanus
Botulism
What is a 'drift' mutation of a virus?
A slight mutation, cf shift mutations
What is a 'shift' mutation of a virus?
A substantial mutation, cf drift mutations
What is the only human disease to be eradicated by vaccination?
Smallpox
What is a 'gene gun'?
An idea to insert DNA instead of protein to make someone immune. The DNA is in a capsule which breaks down, and the DNA is taken up, which codes *for* the protein which will then provide protection against the antibody.