Lecture 22 - Immunisation Flashcards

(33 cards)

1
Q

what is the reason deadly viral infections are far less prevalent today?

A

vaccination success

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2
Q

what did edward jenner do in terms of vaccination birth?

A

with trying to cure deadly disease smallpox, noticed that cowpox was similar to smallpox and innoculated a dilute amount of pus in an 8 year old boy

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3
Q

how was it discovered that vaccination could prevent against diseases?

A

by realising that milkmaids with cowpox lesions were protected from smallpox

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4
Q

where is smallpox today?

A

eradicated in 1980, but two vials remain in the US and russia in level 4 containment

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5
Q

who developed the first lab-generated vaccines?

A

louis pasteur

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6
Q

how did louis pasteur develop the first successful lab generated vaccine?

A

accidentally let bacteria attenuate and weaken for a month and then it was found to protect against a normally lethal dose of cholera
- live attenuated cholera vaccine

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7
Q

describe the principle of vaccination in terms of memory

A

receiving a vaccine allows naive B and T cells to respond and generate memory cells so the second exposure is rapidly eliminated and disease doesn’t occur

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8
Q

what does a vaccine need to have to be effective?

A
  • must elicit a protective and strong antibody response
  • must elicit a memory T cell response
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9
Q

why is it more important for a vaccination to elicit a T cell response?

A

T cell response is rqd to maintain a strong B cell response and to generate memory B cells

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10
Q

true or false, a vaccination is always dose of an entire pathogen into our system

A

false, it more commonly contains epitopes (recognisable parts) of the pathogen, so it won’t cause disease when injected

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11
Q

what are the four types of vaccination?

A
  • whole live organisms that are either from a different species that is cross-reactive or are attenuated
  • whole killed organisms (whooping cough, cholera, thypoid)
  • components of organisms (tetanus)
  • mRNA vaccines as of 2021
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12
Q

what examples of vaccines use whole live organisms

A
  • smallpox
  • measles
  • mumps
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13
Q

how does using a whole live organism for a vaccine work?

A
  • immune responses clear infection after 1-2 weeks
  • allows for prolonged exposure to the organism due to low-level replication (live attenuated organisms) and therefore lots of antibody production
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14
Q

what examples of diseases have vaccines that use whole killed or component organisms?

A
  • hepatitis B
  • tetanus
  • HiB
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15
Q

how does using a whole killed or component organism for a vaccine work?

A
  • briefly expose vaccinated person to antigens of the organism
  • immune responses clear antigens within a few days
  • three or more doses to stimulate good immunity
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16
Q

what are polysaccharide vaccines?

A

a vaccine that can be conserved across multiple pathogens through recognising polysaccharides in their cell wall

17
Q

why are first generation polysaccharide vaccines not as commonly used now?

A
  • induce weak antibody responses
  • polysaccharides are T cell independent antigens, so there is little immunological memory
18
Q

why are polysaccharides T cell independent?

A

because they cannot be presented in the same way on the MHC

19
Q

what are conjugate vaccines?

A

Conjugate vaccines link polysaccharides to a carrier protein like tetanus toxoid, allowing B cells to present protein peptides on MHC II and receive T cell help.

20
Q

when is the best time for a human to be immunised?

A

while the infant still has the maternal protective antibodies, so when that wears off, the infant is protected

21
Q

true or false, babies require vaccination to have sufficient antibodies

A

false, vaccination just provides infants with the tools to create more specific ones against specific pathogens

22
Q

what feature of the virus is the covid vaccine based on?

A

spike protein

23
Q

how does the covid-19 virus enter host cells

A

the spike protein binds ACE2 receptor on the cell membrane of airway cells

24
Q

what kind of antibodies will be most effective against covid-19?

A

neutralising antibodies that bind directly to the spike protein

25
how did vaccine development for covid compare to normal vaccine development
Normal development: 15 years Covid: many overlapping stages of the process happening in parallel rather than series and steps performed very quickly (priority) allowed for rapid development
26
what kind of vaccine is the covid vaccine, and how does it work?
mRNA vaccine - mRNA coding for the spike protein is developed and given to individuals. mRNA enters the cell, creates the protein, which is recognised by the immune system, which then produces antibodies against it
27
why were covid vaccines more reactogenetic than other vaccines?
- lipid nanoparticles recruited the innate immune response, causing reactogenicity - means there is a good immune response to the antigen
28
how does strain variation impact of vaccine efficacy?
some vaccines are only effective against certain serotypes and not others of the same species (e.g serotype C vaccine doesn't work against serotype B for neisseria meningitidis)
29
what is herd immunity?
Herd immunity protects unvaccinated individuals when enough people are immune, reducing pathogen spread (transmission) and natural reservoirs.
30
what are the two ways to achieve herd immunity?
- large proportion of the population gets infected - large proportion get vaccinated
31
what causes vaccine hesitancy?
- more (false) info on vaccine risks rather than disease risks we are trying to prevent - quickly developed technologies - they think too many vaccines might overwhelm immune system
32
what are two rumours that made peope hesistant on vaccines?
- link with autism (false) - aluminium toxicity and alzheimers (also no evidence)
33
some mums are worried about vaccinating their children because they are worries about there being too many bugs in the vaccine (vaccine antigen load). what could you tell her to calm her down?
infants require exposure to antigens and encounter far more antigens than what is in the vaccine every day while in the environment: outside, in the sand, with other humans and food etc