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67 Cards in this Set

  • Front
  • Back
Vaccination helped completely eradicate *** and by ***(year) not a single case was reported.
smallpox
1977
In addition to smallpox, *** was predicted to be eradicated but has had outbreaks continue due to the *** of immunization.
polio
cessation
D***, m***, m***, p***, p***, r*** and t*** have declined dramatically due to immunization practice.
Diphtheria
measles, mumps
pertussis, poliomyelitis
Rubella
tetanus
New vaccines have been released for the childhood disease ***.
bacterial pneumonia
There is a HUGE need for vaccines against ***, ***, and ***.
malaria, tuberculosis(TB), and HIV
WHO estimates *** persons/day are infected with HIV.
14,000
Diseases causing *#* of *** deaths could be prevented with vaccines currently available.
millions
infant
Vaccine development begins with b*** r***. Advances in the areas of *** and *** *** have led to effective new vaccines.
basic research
immunology and molecular biology
The study of these two specific mechanisms greatly aids vaccine development.
1)
2)
1) How T&B cells recognize antigenic epitopes.
2) Antigen processing pathways & presentation w/MHC molecules.
How does the study of T&B cell antigenic epitope recognition help vaccine development?..........
maximum activation of immune system responses
How does the study of antigen processing & presentation pathways help vaccine development? *** and ***.
Discovering new adjuvants
Maximum antigen presentation
Adjuvants are used in vaccinations to ***(result) through effects on the *** & *** of antigens(mechanisms).
improve efficacy
processing & delivery
Active immunization induces immunity through the *** of pathogens or their *** into the body.
inoculation
components
*** immunization is achieved by inoculation with pathogens or its components that induce immunity.
Active
*** immunity is the transfer of active ***(type) immunity in the form of readymade ***, from one individual to another.
Passive
humoral
antibodies
*** immunization is used when there is high infection risk & insufficient time for the body to develop its own immune response.
Passive
Passive immunization is routinely administered to individuals exposed to b***, d***, h***, m***, r***, and t***.
botulism, diphtheria, hepatitis, measles, rabies, and tetanus
Active immunization elicits ***-term protection.
Passive immunization elicits ***-term protection.
long
short
Active immunization can be achieved through *natural/artificial* infection w/a ***(noun) or *naturally/artificially* through a ***(noun).
natural - microorganism
artificially - vaccine
In active immunization, antigen-reactive *** cells results in the formation of memory cells.
T and B
Vaccination begins at about the age of ***.
2 months
*** vaccine is recommended for children between the age of *** and ***.
Hepatitis A
12 and 23 months
Vaccinations for adults depends on their *** group. Vaccines for m***, p***, and i*** are given to groups w/*** or groups ***.
risk
meningitis, pneumonia, & influenza
reduced immunity
living in close quarters
To develop a vaccine, what are 3 factors need consideration?
1) Measurable immune response
2) Know if it's humoral or cell-mediated activation
3) Development of immunologic memory
The influenza virus has a incubation period of ***(time) which is relatively *** ***.
1-2 days
very short
Flu symptoms are already there by the time *** are finally ***.
memory cells
activated
Pathogens with ***(life cycle property) do not need high antibody levels at time of infection to be effectively combated.
longer incubation periods
Poliovirus requires more than ***(time) to infect ***(anatomy). This gives time for memory cells to produce high levels of antibody.
3 days
CNS
Immunization w/*** vaccine(inactivated poliovirus vaccine) allows high levels of antibody w/in *** & then declines. Memory response continues to climb for *** and persists for ***.
Salk - 2 weeks
6 months - years
*** infects the CNS.
Poliovirus
Live, Attenuated Vaccines lose the ability to c*** s*** *** but retain capacity to grow *** in a host.
cause significant disease
transiently
Cowpox AKA *** is a naturally attenuated agent used to give *** immunity. It is a ***(type of vaccine).
Vaccinia virus
small pox
naturally attenuated agent
*** ***(***) attenuated through growth in abnormal culture media(increasing concentration of ***) for *** years.
Mycobacterium bovis(BCG)
bile - 13 years
Polio virus is attenuated by growth in *** cells.
monkey kidney epithelial
*** is attenuated by growth in monkey kidney epithelial cells
Polio virus
Inactivated vaccines are also called *** vaccines.
killed
Inactivated vaccines are achieved through *** or *** means. These pathogens can *** but cannot *** in host.
heat or chemical
raise immune response
replicate in host
In inactivated vaccines, the structures of *** on *** antigens must be maintained during inactivation.
epitopes - surface
Heat inactivation causes protein *** so it's more prone to failure.
Chemical inactivation w/*** or *** has been more successful.
denaturation
formaldehyde or alkylating agents
Subunit Vaccines are... *** *** *** derived from pathogens. There is *** risk compared to *** or *** pathogens
specific purified macromolecules
less - attenuated or killed
3 general forms of subunit vaccines...
1)
2)
3)
1) Inactivated exotoxins or toxoids
2) Capsular polysaccharides
3) Recombinant protein antigens
Subunit Vaccines: toxoids
Pathogens such as d*** & t*** produce *** which can be purified and inactivated w/formaldehyde to form toxoids.
diphtheria & tetanus
exotoxins
toxoids
To obtain the exotoxins in good quantity the gene can be *** in a*** h*** and purified.
expressed in another host
A *** vaccine covalently attaches a ***(quality) antigen to a ***(type) protein, thereby conferring its immunological attributes.
conjugate
poor
carrier
In a subunit 'capsular polysaccharide' vaccine, coating ***(quality) polysaccharide capsules w/*** &/or *** makes them targets for *** & *** cells.
hydrophilic
antibodies - complement
macrophages - neutrophils
Some pathogen employ their ***(quality)
polysaccharide capsule to evade ***(class) cells.
hydrophilic
phagocytes
Pathogens *** and ***(scientific names) can be prevented by immunization w/ purified capsular polysaccharides.
S. pneumoniae and N. meningitidis
S. pneumoniae and N. meningitidis can be prevented by immunization w/***.
purified capsular polysaccharides.
The one limitation of polysaccharide vaccines is their inability to ***.
activate Th
Polysaccharide can be conjugated to a protein such as ***, to which most people are immunized. This allows for phagocytosis and subsequent APC presentation of epitotes from *** ***.
diphtheria toxoid
weak antigens
Subunit Vaccines: Viral Glycoproteins
Some viral glycoproteins like ***(specific protein) from type *#* ***(virus) has been found to be effective in preventing ***(anatomic loc.) herpes.
Glycoprotein-D
2 herpes simplex virus
genital
The herpes simplex virus vaccine uses the *** method.
Subunit Viral Glycoprotein
Subunit Vaccines: Recombinant Protein Antigens
Any immunogenic protein can be expressed in a h*** h*** (***, ***, and ***(types of hosts)) using ***.
heterogeneous host
bacterial, yeast, and mammalian
Recombinant DNA Technology
HBsAg?
Hepatitis-B Virus surface Antigen
The 1st subunit 'recombinant protein antigen' vaccine was approved for ***. Cloning of major antigen (***) was done in *** cells
hepatitis B
HBsAg(Hep. B virus surface Ag)
yeast
Subunit Vaccines: synthetic peptide vaccines
Identify most a*** e*** in a s*** p*** and create synthetic peptide as vaccine.
active epitope - subunit protein
The advantage of "synthetic peptide subunit vaccines" is the ease of *** and its complete ***. However, *** are not as immunogenic as ***(nouns).
of synthesis - safety
peptides - proteins
The use of *** and *** can assist the efficacy of synthetic peptide subunit vaccines.
conjugates and adjuvants
*** vaccine is a new type of vaccination method. *** are now under way. The big advantage of this method is that there is ***.
DNA
Clinical trials
no need for refrigeration
DNA Vaccines:
*** cells can take up DNA and express encoded genes. DNA is introduced as a *** with *** enabling high levels of pathogen protein production.
Muscle
plasmid
promoters
*** *** vaccines encode foreign antigens into the genome of attenuated viruses/bacteria such as vaccinia virus.
Recombinant vector
Recombinant vector vaccines encode f*** a*** g*** into the genome of an ***(state) ***/***(types of vectors) such as ***(specific vector).
foreign antigen genes
attenuated viruses/bacteria
vaccinia virus
The bacteria/virus host of Recombinant Vector Vaccines directs the expression of *** as well as the expression of ***.
its own antigens
pathogen’s antigens
Immunological Memory:
Memory of antibody responses is based on *** produced in the *** during primary antibody response.
memory B cells
germinal centers
Immunological Memory:
Memory B cells have class switched to Ig***/***/*** & undergone *** *** (process). Can rapidly differentiation into ***(property) antibody *** ***(type) cells.
IgG/A/E
affinity maturation
high-affinity - secreting plasma
Immunological Memory:
Memory CD*** ***-cells are in higher #s than prior to antigen exposure. Can differentiate more rapidly into **s which also secrete more ***.
CD8 T
Tc s
cytokines
*** *** are sites w/in lymph where intense mature B lymphocytes rapidly proliferate, differentiate, mutate.
Germinal centers