Vaccines Flashcards
(54 cards)
What is a vaccine?
Substance used to stimulate immunity to particular infectious disease or pathogen, typically prepared from inactivated or weakened form of causative agent or from its constituents or products
Describe the perfect vaccine
Immune response that is:
- strong
- lifelong
- appropriate immune response
- in the right place
Safe
Cheap
Easy to administer
What are the types of bacterial vaccines?
Inactivated / killed
Attenuated
Subunit (e.g. purified tetanus toxin, inactivated by treatment with formalin (tetanus toxoid) for vaccination against tetanus)
Recombinant (e.g. purified OspA, encoded by gene from Borrelia burgdorferi, protects dogs against Lyme disease)
What are the types of viral vaccines?
Inactivated (whole virus / split)
Attenuated
Subunit
Vectored
(Plasmid) DNA
mRNA
What are the pros and cons of infectious vaccines (e.g. live attenuated)?
Replication – rapid robust immunity
Single dose may be enough
Potential cause mild disease
What are the pros and cons of non-infectious vaccines (e.g. inactivated)?
Less likely to stimulate both cell-mediated immunity & antibodies
Cannot cause signs of disease
Usually requires multiple doses + adjuvant
Duration of immunity generally short
What are the common components of vaccines?
What are adjuvants?
They enhance immunogenicity (Provoke immune response)
Give some examples of adjuvants
Chemicals, microbial components, or mammalian proteins
- Aluminium salts (alum)
- Oil emulsions
- Squalene - triterpene derived from shark liver oil
- Liposomes
- Saponins - bitter-tasting, usually toxic plant-derived secondary metabolites
- Non-ionic block copolymers - surfactants made from ethylene oxide (EO) & propylene oxide (PO)
- Cytokines
- Lipopolysaccharide (LPS)
What are the different causes of adverse events?
Vaccine-induced effect (something wrong with vaccine)
Vaccine-potentiated effect (underlying issue in body)
Programmatic error (e.g. overdosing)
Coincident effects
What are the types of adverse events?
Local or systemic
- Heat, swelling, redness at vaccine site
- Lethargy, loss of appetite / fever* (pregnancy loss)
- Severe allergic reaction (rare)
What is feline injection site sarcoma (FISS)?
Tumours (high-grade sarcomas) linked to vaccine administration
Time from vaccination to tumour development 3m to 4y
Radical excision with radiation therapy recommended for tumours in skin over thorax or abdomen; limb amputation for tumours at injection sites on limb
High recurrence rates
Role of adjuvants, genetics
How can FISS be avoided?
Only administer necessary vaccines
Avoid adjuvanted vaccines/use attenuated or recombinant vaccines
Follow vaccine site recommendations
- Use distal limbs, tail, lateral abdomen
- Avoid the ‘scruff’
Use a different site each year
- Either record site on vaccination card or adopt policy practice for each year
Describe a type 1 hypersensitivity caused by a vaccine
IgE-mediated allergic response
IgE can precipitate degranulation of mast cells & release of histamine leading to anaphylactic shock
Usually within a few minutes
e.g. some vaccines have gelatin in it & if allergic can have reaction to those vaccines
Fill in the table with hypersensitivity reactions to vaccines
What are the key advantages & disadvantages of inactivated/killed vaccines?
They can be made rapidly
Expensive if high level of containment is required
Have short duration of immunity
What is a major drawback of subunit vaccines?
They often produce a poor immune response
What is a potential risk of live attenuated vaccines?
They have the potential for reversion to virulence
What is a key disadvantage of vectored vaccines?
Repeated use can lead to immunity against vector itself, reducing vaccine effectiveness
What are the key advantages & disadvantages of DNA vaccines?
They provide good T-cell mediated immunity
It is difficult to generate a strong antibody response
What is the DIVA strategy?
Differentiation of Infected from Vaccinated Animals
Diagnostic test used to differentiate infected from vaccinated animals by detecting antibodies to proteins not present in the vaccine
Can’t use DIVA strategy with vaccine containing whole pathogen
What is the mechanism of action of adjuvants?
Form a depot for slow antigen release.
Trigger cytokine/chemokine release to boost signalling.
Recruit APCs to the injection site.
Promote antigen uptake and processing by APCs.
Stimulate APC maturation and activation of T and B cells.
Enable MHC presentation of antigens to T cells.
Guide APCs to lymph nodes to activate naïve cells.
Activate B cells (antibody production) and CD8+ T cells (cytotoxic response)
What are the key steps in ensuring the safety of veterinary vaccines?
Pre-licensing tests check for safety, efficacy (immune response), and effectiveness (real-world protection).
Authorisation is granted by bodies like the EMA and VMD.
Post-licensing tests ensure batch safety and quality before release.
What factors contribute to an increased risk of vaccine associated adverse effects?
Small dogs
Neutered
Multiple vaccines on one occasion