12 - vaccine adjuvants Flashcards

(30 cards)

1
Q

changes in preferred vaccine types over time

A

used to rely on live vaccines

now prefer sub-unit vaccines

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2
Q

why do we now prefer subunit vaccines

A

perceived way to reduce side effects
focused
safe
reliable

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3
Q

subunit used for plague vaccine

A

component of bacterium’s T3SS

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4
Q

why use adjuvants

A
increased intensity/magnitude of response
increased duration  of immune response
no need for repeat vaccines
can use lower doses
allows modification of immune response
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5
Q

why do adjuvants increase intensity of immune response

A

they increase the antibody and T cell response

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6
Q

3 types of adjuvant

A

1 - depot effects
2 - delivery vehicles
3 - immune stimulators

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7
Q

overall method of depot effect adjuvants

A

antigen is sequestered at the site of infection and then released over time

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8
Q

benefit of depot effect adjuvants

A

antigen is released and exposed to immune system over a longer period of time

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9
Q

2 ways to carry out depot effect

A

1 - physically trap protein antigen into a capsule structure which breaks down over time

2 - formulate the antigen to be embedded in a matrix

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10
Q

most widely used adjuvant method

A

depot effect

protein antigen embedded in a matrix

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11
Q

examples of depot effect adjuvants

A

liposome
- antigen encapsulated in lipid bilayer

aluminium salts
- antigen absorbed onto gel-like matrix

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12
Q

overall method of delivery vehicle adjuvants

A

antigen is targeted to APC/immune cells for efficient delivery

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13
Q

2 systems used in delivery vehicle adjuvants

A

1- virus-like particles
- capsule loaded in vaccine antigen

2 - liposomes
- fuse vaccine antigen with host cell membrane to deliver its contents into the cytosol and elicit a T cell response

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14
Q

overall method of immune stimulator adjuvants

A

activates elements of the innate immune system to modify the immune response
e.g. production of specific cytokines to elicit optimal adaptive resposne

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15
Q

pathway stimulated by immune modifier adjuvants

A

TLR pathway

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16
Q

2 TLR signalling pathways

17
Q

how do adjuvants modify the immune system

A

they act on APCs and CD8/CD4 t cells

18
Q

effect of adjuvants on APCs

A

increase their efficiency at presenting (MHC I or II)

19
Q

effect of aduvants on T cells

A

switch them on

20
Q

examples of a toll agoinst

A

LPS

however too risky to actually be used

21
Q

why are toll agonists risky

A

you have to balance their adjuvant effects against their toxic effect
e.g. over agonsing TLRs can lead to cytokine storm (sepsis)

22
Q

aims of modification of LPS

A

reduce LPS toxicity

retain LPS adjuvant activity

23
Q

method of modification of LPS

A

remove phosphate group from Lipid A to make MPLA

24
Q

Lipid A

A

component of LPS that is recognised by TLRs
anchors molecules to bacterial cell wall
has important phosphate group

25
MPLA
monophosphoryl lipid A
26
Importance of MPLA as an adjuvant
non-toxic makes TLR signalling terminate at inflammatory mediators only activates TRIF pathway therefore different repertoire of cytokines/inteferons produced
27
other molecules that could b used as adjvants
DNA molecules | peptodglycan
28
why dont live and killed vaccines require adjuvants
the entire molecule/cell is injected which is sufficient to enter the cytosol and activate the pathways the entire cell has the ability to target the antigen by itself
29
which type of vaccine are adjuvants essential for
sub unit vaccines
30
example of adjuvants causing side ffects in vaccines
adjuvants cause narcolepsy side effects in influenza H1N1 vaccine