Principles of Immunity Flashcards

(32 cards)

1
Q

What does natural passive immunity involve?

A

Placental transfer of IgG
Colostral transfer of IgA - yellowish liquid secreted by mammary gland

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2
Q

What is human normal immunoglobulin?

A

Preparation of proteins from plasma
Contains antibodies of normal adult levels from several different donors

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3
Q

What is specific immunoglobulin?

A

Preparation from human plasma
Selected for high immunoglobulin count against specific pathogen

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4
Q

What can immunoglobulins be used for?

A

Post - exposure prophylaxis

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5
Q

Give an example of Human Normal Immunoglobulin

A

Hepatits A, Measles, Rubella

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6
Q

Give an example of a human specific immuhnoglobulin

A

Hep B
Rabies
Tetanus

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7
Q

What are the advantages and disadvantages of passive immunity?

A

Advantages - Immediate protection

Disadvantages - Short term effect - no immunological memory

Serum Sickness - body recognises antibody as foreign - anaphylaxis

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8
Q

What is natural and artificial active immunisation?

A

Natural - exposure / infection

Artificial - Vaccination

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9
Q

What immunoglobulin is responsible for the primary response to infection?

A

IgM next is IgG

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10
Q

What are common diseases we vaccinate against?

A

Measles, mumps and rubella
(MMR)

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11
Q

Define contraindications

A

Procedure harmful to person

Symptom/medical condition that is reason for person not to receive particular treatment/procedure as it may be harmful

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12
Q

What are the contraindications of vaccination?

A

Febrile illness - symptoms of fever
Pregnancy - cannot give live attenuated viruses
Allergy
Immunocompromised

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13
Q

How is attenuation of a live virus achieved?

(weakening of virus)

A

Repeat passage in cell culture or non-human host

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14
Q

Why do attenuated viruses offer lifelong immunity?

A

Elicit strong cellular and antibody response

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15
Q

What are the downsides to live attenuated viruses?

A

Attenuated form can revert to virulent form and cause disease

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16
Q

Who cannot be given attenuated viruses?

A

damaged or weak immune system

17
Q

Which microorganism allows easy/difficult formation of an attenuated vaccine?

A

Easy for viruses

Difficult for bacteria

18
Q

How are inactivated vaccines created?

A

Contain viruses with genetic material that has been destroyed by heat, chemicals (formaldehyde) or radiation

(Killed organisms, inactivated microbial exotoxin, purified fractions of micro-organisms)

19
Q

What is the advantage/disadvantage of inactivated vaccines?

A

More stable and safer than live vaccines

Stimulate weaker immune response

Adjuvant often required

(ingredient in some vaccines helps create stronger immune response people receiving vaccine)

20
Q

Define adjuvant

A

substance enhances body’s immune response to antigen

21
Q

What does an acellular vaccine consist of?

A

Only antigenic part of organism (flagella, capsule or part of protein cell wall)

22
Q

Advantages and disadvantages of acellular vaccines?

A

Advantages - cannot cause disease - safe for immunocompromised

Disadvantages - Don’t induce strongest immune response

23
Q

When are toxoid vaccines used?

A

When bacterial toxin is main cause of illness

24
Q

How are the bacterial toxins inactivated?

A

Treated with formalin (formaldehyde solution)

25
What is the immune response to a toxoid?
Learns how to fight off natural toxin Produce antibodies that lock onto and block toxin
26
How does the BCG vaccine protect against mycobacterium tuberculosis?
Attenuated strain of mycobacterium bovis Similar to virulent organism but does not cause serious disease
27
What do subunit vaccines contain?
Fragments of protein/polysaccharide from pathogen, uses epitopes (part of antigen recognised by immune system)
28
What type of immune response do you get from subunit vaccines?
Strong immune response
29
How do conjugate vaccines work?
Link antigens or toxoids from microbe to polysaccharides - enabling immature immune system to react to polysaccharide coatings Young children can't respond to antigens disguised by polysaccharide coatings
30
What are DNA vaccines?
DNA sequence coding for antigen is incorporated into some body cells Causes large immune response
31
Give an example of an adjuvant
Aluminium salts, causes a mild inflammatory response
32
What is meant by heard immunity
Vaccinated less likely to spread infection, reduces risk of unvaccinated being exposed to infection Individuals who cannot get vaccinated will benefit