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what "helps" stimulate the immune system, increasing the immune repose to the vaccine?
adjuvants
you don't want your adjuvant to be ___________
immunogenic
how do adjuvants cause mild inflammation?
attract phagocytes, accelerates phagocyte activation, accelerate antigen presentation to T cells
types of adjuvants
alum, oil-emulsion, TLR agonists, combination
what type of adjuvant has a "respiratory effect" and slows the release of Ag for longer response time?
alum
alum adjuvant can cause inflammation, resulting in....
longer lasting immunity and possible Th1 response
issues associated with alum adjuvant
contact dermatitis, headache, arthralgia, myalgia, mediates Th2 response causing over-reaction
what type of adjuvant induces strong response including local cell death and production of danger signals?
oil-emulsion
oil-emulsion adjuvant causes inflammation resulting in...
longer lasting immunity (likely due to same mechanisms as alum)
oil emulsion adjuvants tend to be ________
reactogenic (not ideal)
what type of adjuvant uses pathogen components that activate a TLR response?
TLR agonists
combination of alum and MPL (monophosphoryl lipid A and LPS like molecule)
combination adjuvant
what does a combination adjuvant do?
enhance MPL activity and increase reactogenicity
types of vaccine additives
antibiotics, residual materials, thimerosal, formaldehyde
what type of vaccine additive is often used to inactivate organisms or toxins
formaldehyde
what vaccine preservative is recommended in childhood vaccines ?
thimerosal (ethyl mercury)
most of our exposure to formaldehyde comes from...
environment
what act was an attempt to eliminate the potential financial liability of vaccine manufacturers due to vaccine injury in order to ensure stable market of vaccines and provide cost-effective arbitration for vaccine injury claims? (includes vaccine compensation)
national childhood vaccine injury act
what is the early warning system for vaccine issues called?
vaccine adverse event reporting system
when you get an infection and body develops immunity
naturally acquired active immunity
antibodies gained from mother during fetal development
naturally acquired passive immunity
get vaccine and body develops immunity
artificially acquired active immunity
simply being given antibodies
artificially acquired passive immunity