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28 Cards in this Set

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What sort of immune response does alum cause?

Antibody, Th2 skewed


Not a very good T-cell response

Morphology of aluminum oxyhydroxide/ alhydrogel?

Poorly crystalline

Morphology of aluminum hydroxyphosphate/ AdjuPhos?

1-20um clusters/ aggregates of 50nm nanoplates


Completely amorphous

Aluminum oxyhydride binds to ____ charged Ag.

Negatively

Aluminum hydroxyphosphate binds to ___ charged Ag.

Positively

How are antigens adsorbed into aluminum?

Both alums have hydroxy on the surface that can undergo ligand exchange with phosphate groups on the Ag. Can even work with electrostatic repulsion.



More phosphates = more adsorptive

Why is free phosphate added to vaccines?

Free phosphates compete with antigens and the adjuvent. This decreases strength of interaction between Ag and adjuvent.

What happens to alum in vivo?

AdjuPhos rapidly dissolves


Alohydrogel slowly and incompletely dissolves under physiological conditions

What is AS04?

A next generation alum-based adjuvent, basically a non-toxic form of LPS that is adsorbed onto aluminum oxyhydroxide particles. It has improved Th1 response compared to aluminum oxyhydroxide alone, but does not make t-cells.

What is Imiquimod?

A TL47 agonist, and a potent adjuvent for therapeutic vaccines, but diffuses too quickly due to low MW.

How can imiquimod be improved?

Can modify by adding phosphate group, and can be adsorbed via ligand exchange to form an alum depot. Alum holds imiquimod longer at site of administration.

What are VLPs?

Virus like particles - viruses that can't replicate/ non-infectious. These are the same size as normal cells (50-75um) and can be phagocytosed by APCs.

What are ISCOMs?

Immune stimulating complexes. Spherical, cage-like structures that spontaneously form upon mixing cholesterol, saponaria saponins and phospholipids. This allows for insertion of antigens that are amphipathic.


- used for influenza membrane antigens


-50-70nm

What are virosomes?

"Fancy liposomes"


Phospholipid membranes incorporating viral proteins into the surface of the particle and inside the compartment of the virosome.


100-200nm in diameter

What is MF59?

Microfluidized O/W emulsion made of squalene oil and Tween 80 and Span85. Another adjuvent with acceptable safety profile.

MOA of MF59?

Increases local cytokine and chemokines, and increases cell recruitment. Improved antigen uptake by monocytes.

What are the benefits of PLGA nanoparticle and microparticle vaccines?

- can hold and protect antigens


- can have continuous or discontinuous release of antigens


- able to modify shape and size


- ability to modify and functionalize particle surface

What are drawbacks to PLGA vaccines?

- Degrades and releases lactic acid, which can change the protein structure of antigen


- Also costs a lot and hard to manufacture consistently

How can you improve/ solve the problem with PLGA microspheres?

1. Use buffer salts to prevent substantial pH drop


2. Use polyphosphazenes instead cuz they degrade to make a neutral microenvironment

Does the site of injection matter for a. live attenuated vaccines b. non-live vaccines

A. No, go stick that needle anywhere yolo


B. Yes. Need to stick in a DC rich site. Skin is high in DC, muscle moderate, fat low.

How far should needles go to administer non-live vaccines?

Approximately 1.2mm. Use mantoux method cuz doctors suck.

What is poke and patch method of microneedles?

Uncoated microneedle makes holes in skin


Apply vaccine

What is poke and release method of microneedles?

Microneedle is made up of polymeric matrix of with the antigen. Entire needle dissolves.

What is coat and poke method of microneedles?

You coat the microneedle with the antigen with a dry-film and go stabbity stab stab. Antigen released upon application.

What are the advantages of hollow microneedles?

Vaccines can be injected as a liquid, and you can precisely control how much is injected.

True or false:


3um and 6um flu vaccine injected ID is equal to 15um flu vaccine injected IM

True

What is intercell TCI patch?

An abrasive strip disrupts stratum corneum, and then a patch with a vaccine is applied. The antigen are then taken up by langerhan cells.

Why do mucosal vaccines require live attenuated viruses?

Mucosal often creates tolerogenic response (interprets antigen as normal flora/ beneficial) so a live virus creates a stronger response.