Herd Immunity and Vaccination Strategies

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Questions and Answers

What is the total amount of formaldehyde received from three doses of the vaccine?

  • 0.2 mg
  • 0.4 mg
  • 0.1 mg
  • 0.3 mg (correct)

Which type of mercury is NOT present in any vaccine?

  • Elemental mercury
  • Organic mercury
  • Metil mercury (correct)
  • Etil mercury

What is the maximum allowable amount of aluminum in a liter of water according to established rules?

  • 0.5 mg
  • 0.1 mg
  • 0.2 mg (correct)
  • 1.0 mg

What was the cost of drugs in 2015 as reported in the content?

<p>28.9 billion euros (C)</p> Signup and view all the answers

What is the approximate annual cost for follow-up after organ transplantation due to chronic hepatitis?

<p>17,000 euros (A)</p> Signup and view all the answers

In terms of vaccine response, how do females typically respond compared to males?

<p>Females respond greater than males (A)</p> Signup and view all the answers

How much aluminum do we ingest in total throughout a year from drinking water?

<p>700 mg (D)</p> Signup and view all the answers

What was the cost of antiacids in comparison to vaccines?

<p>923.3 million euros (A)</p> Signup and view all the answers

What effect does low doses of beta-estradiol have on inflammatory cytokines?

<p>It increases their release. (A)</p> Signup and view all the answers

How does progesterone affect macrophages?

<p>It induces the differentiation into M2 macrophages. (B)</p> Signup and view all the answers

Which statement correctly describes the effect of testosterone on immune cells?

<p>It promotes an anti-inflammatory profile. (B)</p> Signup and view all the answers

In which scenario is there typically a greater response to vaccines in males?

<p>In aged adults receiving the tetanus vaccine. (D)</p> Signup and view all the answers

Which immune cells have receptors for sexual hormones?

<p>Both innate and adaptive immune cells. (C)</p> Signup and view all the answers

What is the impact of high doses of beta-estradiol on cytokines?

<p>Decrease the production of cytokines. (A)</p> Signup and view all the answers

Which type of T cells does progesterone upregulate?

<p>Th2 cells and regulatory T cells. (D)</p> Signup and view all the answers

What distinguishes the immune response in females compared to males generally?

<p>Females usually have a greater response to vaccines. (C)</p> Signup and view all the answers

What happens to receptors in anergic B cells?

<p>They express less receptors and cannot change the receptor. (D)</p> Signup and view all the answers

What is the consequence of anergic B cells not having adequate BCR?

<p>They remain non-responsive in exiting the bone marrow. (D)</p> Signup and view all the answers

What mechanism leads to the degradation of BCR and TCR in anergic B cells?

<p>Ubiquitination followed by proteasomal degradation. (C)</p> Signup and view all the answers

In anergic B cells, what is recruited instead of the kinase SYK?

<p>Phosphatase. (C)</p> Signup and view all the answers

Which transcription factor is NOT involved in the activation pathways of anergic B cells?

<p>CREB. (B)</p> Signup and view all the answers

How does anergy affect the immune response of B cells?

<p>It prevents triggering by peripheral antigens. (C)</p> Signup and view all the answers

Which of the following activates downstream signaling pathways in B cells?

<p>Activation of specific kinases. (D)</p> Signup and view all the answers

What is the primary effect of ubiquitination on BCR and TCR in anergic B cells?

<p>It targets them for degradation. (A)</p> Signup and view all the answers

What is the primary cause of B cell anergy in the experiment with the transgenic mice?

<p>Continuous presence of a specific antigen (A)</p> Signup and view all the answers

How was it determined that the anergy in B cells was independent of T cells?

<p>By irradiating a mouse to eliminate original T cells (A)</p> Signup and view all the answers

What happens to B cells' IgM levels during anergy?

<p>IgM levels decrease significantly (A)</p> Signup and view all the answers

What type of dendritic cell is described as having a reduced ability to activate T cells?

<p>Tolerogenic dendritic cell (C)</p> Signup and view all the answers

Which of the following receptors is implicated in inhibiting B cell responses?

<p>CD22 (B)</p> Signup and view all the answers

What is the main characteristic of long-lasting T cell anergy compared to B cell anergy?

<p>T cell anergy is generally more enduring over time (B)</p> Signup and view all the answers

What occurs if the antigen is not presented for an extended period to B cells experiencing anergy?

<p>B cells will regain expression of their BCR (C)</p> Signup and view all the answers

Which process leads to the downregulation of effector functions in B cells?

<p>Binding of inhibitory immunoglobulins (A)</p> Signup and view all the answers

Which therapy primarily uses antihistamines to manage early phase allergic reactions?

<p>Conventional therapies (B)</p> Signup and view all the answers

What is the main aim of hypo-sensitization therapy?

<p>To induce tolerance against allergens (A)</p> Signup and view all the answers

Which cytokine is NOT typically targeted by monoclonal antibody therapies in immunotherapy?

<p>IL6 (A)</p> Signup and view all the answers

What is a consequence of the presence of excess levels of IgG in the bloodstream?

<p>Type II hypersensitivity reactions (C)</p> Signup and view all the answers

In type II hypersensitivity, what triggers phagocytosis by macrophages?

<p>Binding of IgG to surface proteins (A)</p> Signup and view all the answers

Which of the following statements is true regarding corticosteroids as a therapy?

<p>They are primarily used to manage inflammation. (D)</p> Signup and view all the answers

What is a key safety concern associated with hypo-sensitization therapy?

<p>It can cause anaphylaxis if not monitored. (C)</p> Signup and view all the answers

Which type of hypersensitivity is characterized by the involvement of IgG antibodies?

<p>Type II hypersensitivity (A)</p> Signup and view all the answers

What is the effect of transforming an antigen into a tolerogenic form on the immune response?

<p>It completely impairs both primary and secondary immune responses. (A)</p> Signup and view all the answers

Which factor does NOT contribute to the immunogenicity of a protein?

<p>The number of peptide bond formations in proteins. (B)</p> Signup and view all the answers

Why are dendritic cells critical in the immune response to antigens?

<p>They efficiently trigger T cell activation through antigen presentation. (D)</p> Signup and view all the answers

How does the use of D amino acids in a protein synthesis affect its immunogenicity?

<p>It transforms the protein into a tolerogenic one. (B)</p> Signup and view all the answers

What happens to the immune response when an antigen is presented in a soluble form compared to a complex form?

<p>The complex form is generally more immunogenic. (C)</p> Signup and view all the answers

What is the significance of dose in the context of immune tolerance?

<p>Both low-zone and high-zone tolerances exist for each antigen. (A)</p> Signup and view all the answers

Which characteristic of an antigen is most likely to lead to its recognition by FCγ receptors?

<p>Formation of an immune complex. (C)</p> Signup and view all the answers

What would be the consequence of a very small antigen injected into a mouse?

<p>It might fail to trigger an immune response. (D)</p> Signup and view all the answers

Flashcards

Estradiol

A female sex hormone that plays a crucial role in the immune system, particularly by enhancing immune responses.

M2 Macrophage

A type of macrophage that helps suppress inflammation and promote tissue repair.

M1 Macrophage

A type of macrophage that helps fight infection by releasing inflammatory chemicals.

Progesterone

A female sex hormone that generally has an opposite effect to estradiol, suppressing inflammation.

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Testosterone

A male sex hormone that primarily modulates immune responses, often acting to suppress inflammation and reduce immune activation.

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Natural Killer (NK) Cells

Cells that are responsible for identifying and destroying infected or cancerous cells.

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Phagocytes

A class of white blood cells responsible for engulfing and destroying pathogens.

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Dendritic Cells

Specialized immune cells that present antigens to activate T cells.

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Anergy in B cells

A state where B cells become unresponsive to antigens due to lack of BCR triggering.

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B cell receptor (BCR)

The receptor on B cells that recognizes antigens.

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B cell anergy

The process where B cells are programmed to become unresponsive to specific antigens.

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Proteasome degradation

The process where cells degrade proteins, like the BCR, into smaller peptides.

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Ligand

A molecule that binds to a receptor and triggers a signaling cascade.

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NF-κB pathway

A signaling pathway that activates transcription factors involved in immune responses.

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SYK

A type of kinase involved in B cell signaling.

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Phosphatase

An enzyme that removes phosphate groups, which can reverse the effects of protein kinases.

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Aluminum in Vaccines

A substance that is present in very small amounts in vaccines, food, and water, often used as an adjuvant to enhance the immune response.

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Cost Comparison: Hepatitis Vaccines vs. Treatment

The cost of treating patients with chronic hepatitis is significantly higher than the cost of vaccinating against hepatitis B and C.

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Gender Differences in Vaccine Response

Female individuals tend to have a stronger immune response to vaccines compared to males, regardless of the type of vaccine or age.

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Formaldehyde in Vaccines

Formaldehyde is used in vaccines in very small amounts. It plays a crucial role in preserving and stabilizing the vaccine components.

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Mercury in Vaccines

Mercury, in the form of ethylmercury (ETIL), is not present in vaccines. The confusion arises from the misidentification with methylmercury (METIL) which is toxic.

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Vaccine Components

Vaccines contain attenuated (weakened), dead, or protein-based components of pathogens, depending on the type and purpose.

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How Vaccines Work

Vaccines trigger the immune system to recognize and combat specific pathogens, preventing future infections.

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Aluminum Intake

The total amount of aluminum ingested annually through drinking water is much higher than the amount present in a single vaccine dose.

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Tolerogenic Antigen

A modified antigen that fails to trigger an immune response, preventing both initial and subsequent immune reactions.

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Immune Tolerance

The inability of the immune system to mount an effective response to a specific antigen. This can occur when the antigen is presented in a way that does not activate immune cells.

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Professional Antigen Presenting Cells

Special immune cells that engulf and display antigens to other immune cells, initiating an immune response. Examples include macrophages and dendritic cells.

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Glycosylation

The process of attaching sugar molecules (glycans) to proteins, affecting their stability and immunogenicity.

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Immunogenicity

The ability of an antigen to trigger an immune response. This is affected by factors like protein structure, size, and stability.

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Antigen

A substance, often a protein, that triggers an immune response, leading to the production of antibodies and activation of immune cells.

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Immunocomplexes

Antigen-antibody complexes are more immunogenic than soluble antigen.

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Dose

The amount of antigen administered to an individual. This is a critical factor in determining whether an immune response will be induced or suppressed.

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Hyposensitization

A type of treatment for allergies that involves injecting small doses of the allergen over a period of time to gradually build up tolerance.

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Immunotherapy

A type of treatment for allergies that uses antibodies to block the action of certain inflammatory chemicals involved in allergic reactions.

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Type II Hypersensitivity

A type of allergic reaction that involves a reaction to the surface proteins of cells.

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Excess IgG in Type II Hypersensitivity

Type II Hypersensitivity reactions are triggered by the presence of large quantities of IgG antibodies.

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Antibody-dependent Cellular Cytotoxicity (ADCC)

A type of cell-mediated immune response where NK cells destroy cells coated with antibodies.

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Phagocytosis in Type II Hypersensitivity

A type of immune response involving macrophages engulfing and destroying cells coated with antibodies.

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Thrombocytopenia

A disorder characterized by a low number of platelets in the blood, often triggered by Type II Hypersensitivity.

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Autoimmune Diseases

Immune system disorders that arise from the immune system attacking the body's own tissues, often involving Type II Hypersensitivity.

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IgM Levels in B Cell Anergy

B cells in a state of anergy show reduced levels of IgM on their surface. This indicates a change in the expression of the B cell receptor, not a change in the receptor itself.

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Antigen Dependence of B Cell Anergy

Anergic B cells are susceptible to becoming responsive again if the antigen exposure is stopped for a period of time. This is because the continued presence of the antigen is required to maintain the anergic state.

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Inhibitory Receptors (CD22 and Fc-gamma-RIIB)

Inhibitory receptors, like CD22 and Fc-gamma-RIIB, act as 'brakes' in the immune system. When activated by binding to immunoglobulins, they interrupt signaling pathways leading to immune responses.

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Tolerogenic Dendritic Cell

A type of dendritic cell that does not express co-stimulatory molecules (like B7). This prevents proper T cell activation and contributes to tolerance.

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B7 Co-Stimulatory Molecule

A specific co-stimulatory molecule expressed on activated dendritic cells, essential for proper T cell activation.

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T Cell Activation (with Co-stimulation)

The process where T cells are activated by antigen-presenting cells (APCs), which express co-stimulatory molecules. This leads to T cell differentiation into effector and memory cells.

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Mature T Cell Unresponsiveness

A state of unresponsiveness in mature T cells, where they are unable to carry out their effector functions despite encountering their specific antigen. This can occur when T cells are presented with the antigen without co-stimulatory signals.

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Study Notes

Herd Immunity

  • Herd immunity occurs when a large proportion of a population is vaccinated, blocking virus spread and protecting vulnerable individuals.
  • Vaccinated individuals prevent virus transmission, safeguarding those unable to be vaccinated.

Triumphs and Defeats of Vaccines

  • Many vaccines effectively combat infections, even leading to eradication (e.g., smallpox) or reduced incidence (e.g., polio).
  • Some vaccines are less effective due to microbial evasion of immunity (e.g., Schistosoma and Leishmania) or antigen mutation (e.g., influenza virus).
  • Continued development of vaccines for challenging diseases (e.g., HIV, Ebola) is ongoing.
  • Vaccine resistance often stems from religious beliefs, emotional reactions, misleading news, and a lack of knowledge about vaccine efficacy and risks.

Vaccine Calendar

  • Specific vaccinations are commonly administered during childhood.
  • Different vaccines may require multiple doses administered over time.
  • Vaccination schedules often vary by country (e.g., Italy).

Vaccination Concerns

  • Early concerns about vaccinations stemmed from a now-discredited study linking a vaccine to autism.
  • Vaccination is generally a safe and effective preventive measure.

Vaccine Safety

  • Current vaccines do not contain toxic substances such as mercury or formaldehyde.
  • Aluminum is a naturally occurring metal in water and food and is present in vaccines in very low levels compared to natural intake levels.

Vaccine Efficacy and Herd Immunity

  • Herd immunity is achieved when a significant proportion of a population is vaccinated, reducing virus spread and protecting those who cannot be vaccinated.
  • Vaccinations are most impactful when a large proportion of a population is immune to a disease.

Gender Differences in Vaccine Responses

  • Women generally exhibit stronger immune responses to various vaccines than men, with enhanced antibody and proliferation levels.
  • Progesterone may decrease cytokine production, reducing inflammation, while estrogen appears to heighten certain immune responses.

Immune Tolerance

  • Tolerance is the adaptive immune system's ability to distinguish and disregard "self" antigens.
  • Central tolerance occurs during lymphocyte development in the bone marrow (B cells) and thymus (T cells), eliminating cells that recognize "self".
  • Peripheral tolerance involves mechanisms to inactivate self-reacting lymphocytes outside the primary lymphoid organs.

Negative Selection of Self-Reactive T and B Cells

  • Negative selection in the thymus removes T cells that react too strongly with self-antigens.
  • Similar selection processes occur in the bone marrow to eliminate self-reactive B cells.

Peripheral Tolerance

  • Peripheral tolerance prevents mature self-reactive lymphocytes from attacking self-tissues.
  • This tolerance may occur in the absence of a full response to the antigen or through the activation of an anergic state.

B and T Cell Anergy

  • Anergy is a state of unresponsiveness to an antigen due to antigen presentation without appropriate co-stimulation.
  • This prevents lymphocytes from initiating an exaggerated response to "self".

Inhibitory Receptors

  • Inhibitory receptors regulate immune responses and prevent excessive or destructive immune reactions.
  • These receptors modulate immune cell activity to maintain homeostasis.

Immune-Privileged Sites

  • These tissues limit immune responses to protect function.
  • Examples include eyes, brain and testes.

Hypersensitivity Reactions

  • Hypersensitivity responses occur when the immune system overreacts to harmless substances.
  • These responses involve a sensitization phase and an effector phase.
  • Types of hypersensitivity responses (e.g., Type I, II, III, IV) differ in their mechanisms and clinical presentations.

Type I Hypersensitivity

  • This response is mediated by IgE, causing mast cell degranulation and the release of inflammatory mediators.
  • Symptoms include itching, swelling, and difficulty breathing.
  • Allergic responses are a common example of Type I.

Type IV Hypersensitivity

  • This delayed-type hypersensitivity is mediated by T cells.
  • This response is associated with chronic inflammation and tissue damage; examples include contact dermatitis, granuloma formation, and transplant rejection.

Experimental Tolerance

  • Tolerance can be facilitated by manipulating antigen form or dose.
  • This allows for antigen-specific regulation of immune responses.

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