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vaccination or immunization
administering a version of a pathogen and stimulating an organism's immune system to produce antibodies against pathogens or toxins
protection without inducing normal disease course
What does vaccination provide a recipient with?
strong B and T cell response resulting in various antibody isotypes and long lasting memory cells
a vaccine ideally stimulates this response
prophylactically
Are most vaccines given prophylactically or therapeutically?
Rabies or HepB
two vaccines that can be given post exposure
rate of replication of pathogen and incubation period
What has to be favorable for post exposure vaccine administration?
allows vaccine to stimulate immune response before the pathogen causes disease
Why is a longer incubation period more favorable for post exposure vaccine administration?
antibodies and vaccine
mixture that induces active immunity
fever, malaise, discomfort at site of injection
common side effects of immunization
joint pain or arthritis, convulsions, neurological disorders
adverse effects of immunization (not as common)
allergies to eggs or other vaccine constituents
may result from viral vaccines produced in eggs
influenza
example of a vaccine sometimes produced in eggs
Live attenuated
vaccines that include live, non pathogenic microbes
treated live, non pathogenic microbes
What do live attenuated vaccines include?
repeated passage in cell culture or intentional mutations
How are microbes treated for live attenuated vaccines to prevent them causing disease?
long lasting, specific
What type of immunity do live attenuated vaccines induce?
live attenuated pediatric immunization
What can be sufficient for lifelong protection?
some attenuated or killed bacterial vaccines induce limited protection, may lead to mild illnesses or cases, not for immunocompromised
disadvantages to live attenuated bacterial and viral vaccines
Sabin polio vaccine, MMR, Varicella zoster, Rotavirus
four examples of live attenuated bacterial and viral vaccines
Inactivated or killed
vaccines composed of intact, inactivated non pathogenic microbes
intact, inactivated non pathogenic microbes
What do inactivated or killed vaccines contain?
immunogenicity, replicating
In inactivated/killed vaccines, microbes retain their _______________ while no longer ______________
boosters
What is often needed for inactivated/killed vaccines to retain a sufficient antibody response?
some do not raise immunity, boosters tend to be needed, little mucosal IgA immunity
What are some disadvantages to inactivated/killed vaccines?
HepA, Salk polio, Rabies post exposure, Typhoid, cholera, plague, Bordetella pertussis, influenza
eight examples of inactivated/killed vaccines
acellular or purified antigen
vaccines composed of antigens purified from microbes or inactivated toxins
antigens purified from microbes or inactivated toxins
What do acellular or purified antigen vaccines contain?
adjuvant
What are acellular or purified antigen vaccines (and other besides live vaccines) administered with?
substance that increases immune response to antigens
What is an adjuvant?
diseases caused by bacterial toxins
What are acellular or purified antigen vaccines important in preventing?
diphtheria, tetanus, pertussis
three toxins that acellular or purified antigen vaccines that prevent against
DTP or DTaP
acellular or purified antigen vaccine for three bacterial toxins
Tdap
booster for an acellular or purified antigen vaccine for three bacterial toxins
polysaccharide antigen
What type of vaccines are pneumococcal and meningococcal?
polysaccharide capsule only
What is in polysaccharide antigen vaccines?
combines polysaccharide from different serotypes of bacteria and attaching them to a protein carrier to form conjugate vaccines
What happens with polysaccharide antigen vaccines?
conjugate vaccines
formed by combining a polysaccharide from a serotype of a bacteria and a protein carrier
serotypes
different strains or variations of the same bacteria that have distinct polysaccharide structures on their surface
diphtheria toxoid
protein carrier for a polysaccharide antigen vaccine example
pneumococcal and meningococcal
polysaccharide antigen vaccine examples
recombinant antigen
vaccines that identify immunodominant microbial antigens/epitopes responsible for producing neutralizing antibodies
immunodominant antigens or epitopes responsible for producing neutralizing antibodies
What is identified to make recombinant antigen vaccines?
clone nucleic acid sequence coding for immunodominant epitopes, transfect into cell expression, purify and use recombinant proteins
three steps to making a recombinant antigen vaccine
nucleic acid and ability to replicate
A recombinant antigen vaccine resembles the virus but lacks what?
Herpes simplex, human papillomavirus, HepB
three recombinant vaccine examples
nucleic acid
vaccines involving inoculation with a plasmid containing complementary DNA (cDNA) or RNA encoding a protein antigen and the host cells make the antigen themselves
plasmid with cDNA or RNA
What does a nucleic acid vaccine contain?
protein antigen
What does the cDNA or RNA in a nucleic acid vaccine encode for?
humoral and cell mediated
What type of immune response do nucleic acids induce?
refrigeration
It is easy to make nucleic acid vaccines store DNA without _____________ for use in the field
covid 19
nucleic acid vaccine example
herd immunity
idea that immunization among the population will limit disease and confer protection to the immunocompromised
adherence of general population to vaccination
What does herd immunity require?