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24 Cards in this Set

  • Front
  • Back
Rapid response in vaccination is promoted by?
-enhanced mucosal immunity
-high affinity antibodies
-lots of memory T and B cells
-isotope switching
vaccines must be
safe, cheap, stable, easy to administer
give sustained protection
induce neutralizing antibody
induce protective cytotoxic T cells
Four major types of vaccines include?
-live attenuated
-killed
-acellular
-recombinant
Killed vaccines include?
polio, influenza
Live attenuated vaccines include?
FluMist, MMR, smallpox
The smallpox vaccine is made of
a heterologous virus (vaccinia versus variola)
Advantages of attenuated vaccines include
single dose
long lasting immunity
pathogen specific B and T cells
Disadvantages if attenuated vaccines include
-expensive and unstable
-reversion to virulence
-adverse reactions
-can't use in immuno-compromised individuals
-contagious to less responsive individuals
Adverse affects, leading to a greater focus on acellular vaccines, of the attenuated smallpox vaccine include
-autoinnoculation
-eczema vaccinatum
-CNS disease
Disadvantages of killed vaccines
short lived
often multiple doses needed
limited cytotoxic lymphocytes generated
Disadvantages of acellular vaccines
expensive
short lived
often multiple doses needed
limited cytotoxic lymphocytes generated
adjuvant generally required
why do acellular polysaccaride vaccines use a protein carrier to illicit linked recognition?
one needs to create antigen (toxoid) specific t cells, because children under 2 have limited T cell independent B cell function
examples of acellular polysaccaride vaccines include
H. influenzae type B
S. peumoniae
N. menigitidis
what kind of immune response is required for the polio virus?
circulating neutralizing antibody, to keep virus from getting to nervous system
what kind of immune response is required for the smallpox virus?
circulating neutralizing antibody or CTL
what kind of immune response is required for HIV?
CTL
what kind of immune response is required for enteric and respiratory pathogens?
mucosal IgA and IgG
key events in response to vaccination include?
innate immune response
dendritic cell maturation
dendritic cell expression of CD80/86. CD40
migration of dendritic cells
activation of T and B cells
generation of memory T and B cells
One can shift the response between Th1 and Th2 by using
different doses
adjuvants and cytokines
different antigen processing pathways
IL12 will promote
a Th1 response
live viral vaccines will be processed by what pathways resulting in production of?
MHC I and MHC II creating CTL and antibodies
killed viral vaccines will be processed by what pathways resulting in production of?
MHC I, producing antibodies
Experimental adjuvants include?
cytokines(IL1, IL2, IFN gamma)
TLR agonists
Challenges for HIV vaccine production are brought on by?
high rate of mutation, no good animal model, generating high avidity CTL