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14 Cards in this Set

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Two ways Acquired Immunity is generated
Active and Passive
Active Acq. Immunity
exposure to foreign Ag produces Abs (and possibly T lymphocytes)
slow acting but induces memory
Natural - exposure to Ag (illness)
Artificial - exposure to dead or weakened pathogen (vaccination)
Passive Acq. Immunity
Abs received from donor who was exposed to Ag; fast acting, temporary protection only
Natural - Abs from mother, across placenta to fetus or breast milk to newborn
Artificial - Isolated Abs (gamma gobulin, antiserum, antivenom, antitoxin) ex - rabies, tetanus
Vaccination
innoculation with weakened, dead, or fractionated microbes to generate immunity; frequently the only feasible method of controlling viral diseases
most efficient and cost effective method of disease control; used against bacteria and viruses; viral vaccines are most effective and longer lasting than bacterial
Why are viral vaccines more effective than bacterial counterparts?
capsid and spike proteins are more antigenic than polysaccharides of cell envelope
Why is it not necessary to vaccinate 100% of population?
Herd immunity - immunity in most of pop'n limits outbreaks to a few cases
One type of Vaccine that uses live pathogens
Attenuated (live) vaccines (ex - MMR (combined), Cowpox, Polio (Sabin) (oral, dangerous))
uses pathogens with reduced virulence (weakened); can result in mild infection (replication); active microbes stimulate a strong immune response because of active intracellular infection and many antigens; modified microbes may still cause disease or revert to wildtype
One type of Vaccine that uses killed pathogens
Inactivated (killed) vaccines (ex - Polio (salk) (injected, safe))
whole agent vaccines (entire microbe); safer than attenuated vaccines; antigenically weak because no intracellular replication and requires boosters; often combined with adjuvants
One type of Vaccine that uses inactivated toxins
Toxoid vaccines; antigenically weak - few epitopes and requires boosters (ex - Diphtheria, tetanus)
Conjugate Vaccine
combines bacterial capsule polysaccharide with toxoid protein (tetanus, diphtheria)
makes capsular components more immunogenic (ex - Hib vaccine that protects against meningitis caused by Haemophilus influenza b)
just FYI - immunogenic means relating to or denoting substances able to produce an immune response
Subunit Vaccines
administer antigenic determinants only, produced with recombinant DNA technology
effective, safe, inexpensive
ex - Hepatitis B, Human papilloma virus (HPV)
Adjuvants
chemicals added to increase effective antigenicity
stimulate inflammation
slows processing and degradation of Ag
ex - Aluminum salts
Dream Vaccine
not injected, lifelong immunity, single dose, stable without refrigeration, affordable, no interference with other vaccines
Vaccine Safety
mild toxicity
risk of anaphylactic shock from allergic rxn to egg, adjuvant, or preservative
residual virulence from attenuated viruses (oral polio, 1/2 mil. got polio)