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Questions and Answers
What role do superantigens play in the immune response?
What role do superantigens play in the immune response?
What do the antigen binding fragments (Fabs) of an antibody do?
What do the antigen binding fragments (Fabs) of an antibody do?
Which structural feature allows flexibility in the positioning of the Fabs in an antibody?
Which structural feature allows flexibility in the positioning of the Fabs in an antibody?
Which of the following is NOT a consequence of T cell activation by superantigens?
Which of the following is NOT a consequence of T cell activation by superantigens?
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Which step is involved in B-cell activation and response?
Which step is involved in B-cell activation and response?
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What is the primary function of the crystallizable fragment (Fc) of the antibody?
What is the primary function of the crystallizable fragment (Fc) of the antibody?
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What happens during clonal expansion of B cells?
What happens during clonal expansion of B cells?
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How many polypeptide chains are found in an antibody molecule?
How many polypeptide chains are found in an antibody molecule?
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What types of chains compose an antibody?
What types of chains compose an antibody?
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What is the first step in the B-cell response process?
What is the first step in the B-cell response process?
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What type of vaccine uses a denatured exotoxin as the antigen to provide protection?
What type of vaccine uses a denatured exotoxin as the antigen to provide protection?
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Which method is used to produce vaccines reliant on surface antigens through genetic engineering?
Which method is used to produce vaccines reliant on surface antigens through genetic engineering?
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Which of the following is an example of a vaccine that uses surface proteins as antigens?
Which of the following is an example of a vaccine that uses surface proteins as antigens?
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What characterizes viral vector vaccines?
What characterizes viral vector vaccines?
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Which of the following antigens is currently being considered as potential vaccine material?
Which of the following antigens is currently being considered as potential vaccine material?
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What term describes immunity acquired through normal life experiences rather than medical intervention?
What term describes immunity acquired through normal life experiences rather than medical intervention?
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What type of immunity occurs when a person develops their own immune response after an infection?
What type of immunity occurs when a person develops their own immune response after an infection?
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Which type of antibodies can be transferred from the mother to the fetus through the placenta?
Which type of antibodies can be transferred from the mother to the fetus through the placenta?
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What type of immunity is conferred through the administration of specific antibodies against an infectious agent?
What type of immunity is conferred through the administration of specific antibodies against an infectious agent?
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What does vaccination specifically trigger in the immune system?
What does vaccination specifically trigger in the immune system?
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What process describes the transmission of IgA antibodies through breast milk?
What process describes the transmission of IgA antibodies through breast milk?
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Which of the following is an example of artificial immunity?
Which of the following is an example of artificial immunity?
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What is a key characteristic of passive immunity?
What is a key characteristic of passive immunity?
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What role do haptens play in the immune response?
What role do haptens play in the immune response?
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Which type of antigen is specifically associated with blood group incompatibilities?
Which type of antigen is specifically associated with blood group incompatibilities?
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What is the most common type of antigen-presenting cell (APC)?
What is the most common type of antigen-presenting cell (APC)?
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Which of the following T cell types is primarily responsible for driving B-cell proliferation?
Which of the following T cell types is primarily responsible for driving B-cell proliferation?
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What is a defining characteristic of superantigens?
What is a defining characteristic of superantigens?
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What is the primary function of T cytotoxic cells (TC)?
What is the primary function of T cytotoxic cells (TC)?
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What is necessary for T cell activation?
What is necessary for T cell activation?
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What is the primary purpose of artificial active immunity conferred by vaccination?
What is the primary purpose of artificial active immunity conferred by vaccination?
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Which interleukin is NOT secreted by T helper 2 cells?
Which interleukin is NOT secreted by T helper 2 cells?
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What is the role of cytokines secreted by T lymphocytes?
What is the role of cytokines secreted by T lymphocytes?
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Which of the following can be used to prepare vaccines?
Which of the following can be used to prepare vaccines?
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What is NOT a requirement for an effective vaccine?
What is NOT a requirement for an effective vaccine?
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Which type of antigen promotes allergic reactions?
Which type of antigen promotes allergic reactions?
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What is a key disadvantage of live attenuated vaccines?
What is a key disadvantage of live attenuated vaccines?
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What describes acellular and subunit vaccines?
What describes acellular and subunit vaccines?
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Which statement is true regarding the benefits of live vaccine preparations?
Which statement is true regarding the benefits of live vaccine preparations?
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What is one of the criteria for an effective vaccine regarding its administration?
What is one of the criteria for an effective vaccine regarding its administration?
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Which feature of vaccines derived from killed whole cells is critical?
Which feature of vaccines derived from killed whole cells is critical?
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What is the primary means of protection against COVID-19?
What is the primary means of protection against COVID-19?
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What is a disadvantage associated with the distribution of vaccines?
What is a disadvantage associated with the distribution of vaccines?
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What are the two functionally distinct segments of an antibody called?
What are the two functionally distinct segments of an antibody called?
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Which type of vaccines are currently under trial for HIV and Zika?
Which type of vaccines are currently under trial for HIV and Zika?
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What is the significance of disulfide bonds in antibody structure?
What is the significance of disulfide bonds in antibody structure?
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Which component of the antibody allows for flexibility at the hinge region?
Which component of the antibody allows for flexibility at the hinge region?
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What happens to the mRNA from RNA vaccines after inoculation?
What happens to the mRNA from RNA vaccines after inoculation?
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Which statement best describes the structure of immunoglobulin?
Which statement best describes the structure of immunoglobulin?
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What is the purpose of using plants to mass produce vaccine antigens?
What is the purpose of using plants to mass produce vaccine antigens?
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What role do the variable regions of the heavy and light chains play in an antibody?
What role do the variable regions of the heavy and light chains play in an antibody?
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Which cell type is primarily responsible for the activation of B cells?
Which cell type is primarily responsible for the activation of B cells?
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What is the primary function of antibodies in humoral immunity?
What is the primary function of antibodies in humoral immunity?
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What is formed when a T cell undergoes activation?
What is formed when a T cell undergoes activation?
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Cell-mediated immunity is defined by which characteristic?
Cell-mediated immunity is defined by which characteristic?
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During clonal expansion of B cells, which of the following occurs?
During clonal expansion of B cells, which of the following occurs?
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What is the primary component that signifies the adaptive immunity's response to foreign substances?
What is the primary component that signifies the adaptive immunity's response to foreign substances?
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Which feature of specific immunity allows for a stronger and faster response upon re-encountering an antigen?
Which feature of specific immunity allows for a stronger and faster response upon re-encountering an antigen?
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In which organ do T cells mature during their development?
In which organ do T cells mature during their development?
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What is the role of antigen-presenting cells (APCs) in the immune response?
What is the role of antigen-presenting cells (APCs) in the immune response?
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Which statement describes the development of B lymphocytes in the immune system?
Which statement describes the development of B lymphocytes in the immune system?
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What term describes the ability of the immune system to interact with a wide spectrum of foreign substances?
What term describes the ability of the immune system to interact with a wide spectrum of foreign substances?
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What is the primary function of B lymphocytes in the immune system?
What is the primary function of B lymphocytes in the immune system?
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Which of the following describes a key activity during antigen presentation in the immune response?
Which of the following describes a key activity during antigen presentation in the immune response?
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What is the primary function of cell receptors or markers?
What is the primary function of cell receptors or markers?
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Which group of MHC genes is involved in presenting antigen to T-cells?
Which group of MHC genes is involved in presenting antigen to T-cells?
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Which type of lymphocyte receptor binds free antigens?
Which type of lymphocyte receptor binds free antigens?
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What does the diversity of lymphocyte receptors arise from?
What does the diversity of lymphocyte receptors arise from?
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What role do Major Histocompatibility Complex (MHC) molecules play?
What role do Major Histocompatibility Complex (MHC) molecules play?
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Where do T cells migrate to for development after differentiating from lymphocytic stem cells?
Where do T cells migrate to for development after differentiating from lymphocytic stem cells?
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Which of the following correctly describes the proliferative stage of lymphocyte development?
Which of the following correctly describes the proliferative stage of lymphocyte development?
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Which is true regarding the MHC system?
Which is true regarding the MHC system?
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What defines the specificity of T cell responses?
What defines the specificity of T cell responses?
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Which types of cells are classified as antigen-presenting cells (APCs)?
Which types of cells are classified as antigen-presenting cells (APCs)?
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What receptors do Cytotoxic T (Tc) cells express?
What receptors do Cytotoxic T (Tc) cells express?
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What is the primary function of T Helper (TH) cells?
What is the primary function of T Helper (TH) cells?
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What is the outcome when granzymes from NK cells enter through perforin holes?
What is the outcome when granzymes from NK cells enter through perforin holes?
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Which of the following T cells is directly involved in activating macrophages?
Which of the following T cells is directly involved in activating macrophages?
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What differentiates TH1 cells from TH2 cells?
What differentiates TH1 cells from TH2 cells?
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What is the main role of perforins released by cytotoxic T cells?
What is the main role of perforins released by cytotoxic T cells?
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What distinguishes Natural Killer (NK) cells from other T cells?
What distinguishes Natural Killer (NK) cells from other T cells?
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Which of the following correctly describes the secretion of cytokines by T cells?
Which of the following correctly describes the secretion of cytokines by T cells?
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Study Notes
Adaptive Immunity and Immunization
- Adaptive immunity is the third line of defense, and is a product of B and T lymphocytes.
- Immunocompetence is the ability of the body to interact with a wide spectrum of foreign substances.
- Molecules that stimulate response by T and B cells are called Antigens.
- Specific immunity is characterized by antibodies that function only against the antigen in response to.
- Lymphocytes are programmed to recall their first encounter with an antigen and respond rapidly to subsequent encounters.
Overview of Specific Immune Responses
- The specific immune response has separate but related activities:
- Development and differentiation of the immune system
- Lymphocytes and antigen processing
- Cooperation between lymphocytes during antigen presentation
- B lymphocytes and the production and actions of antibodies
- T lymphocyte responses
Development of the Lymphocyte System
- Lymphocytes arise from the same stem cells but differentiate into two distinct cell types:
- T cells mature in the thymus gland.
- B cells mature in specialized bone marrow sites.
- Matured cells settle in lymphoid organs and provide constant defense against infection.
Contact with Antigens and Antigen-Presenting Cells (APCs)
- Foreign cells bear molecules called antigens that are recognized and engulfed by antigen-presenting cells (APCs).
- Dendritic cells are APCs that present processed antigen to helper T cells. In most responses, T helper cells receive the processed antigen from the APC and go on to activate B and other T cells.
Activation of T Cells
- An activated T cell forms memory cells and differentiates into helper cells (TH) or cytotoxic cells (TC).
- Cell-mediated immunity is triggered when the whole T cell acts directly to destroy the microbes, rather than by secreting molecules into the body fluids.
B-Cell Responses
- A B cell, activated by T helper cells, undergoes a surge in cell division, producing memory cells, which trigger rapid recall to the antigen and plasma cells that secrete antibodies (proteins).
Humoral Immunity
- Antibodies circulate in blood, extracellular fluid, and lymph, providing hormonal immunity.
- Antibodies react specifically with the antigen and enhance the immune response.
Development of the Immune Response System
- Cell receptors or markers confer specificity and identity of a cell.
- Major functions of cell receptors include:
- Perceiving and attaching to nonself or foreign molecules
- Promoting the recognition of self molecules
- Receiving and transmitting chemical messages among other cells of the system
- Aiding in cellular development.
Major Histocompatibility Complex (MHC)
- MHC is a set of cell surface proteins.
- Receptors are found on all cells except red blood cells (RBCs).
- The MHC (HLA) system recognizes self and non-self molecules.
- The MHC gene family is divided into two main groups:
- MHC Class I genes
- MHC Class II genes
Functions of MHC Groups
- MHC genes code for markers that display unique characteristics.
- This unique characteristic allows recognition of self and non-self molecules and regulates immune reactions.
- Required for T lymphocytes to interact with pathogens.
- MHC class I molecules are found on all nucleated human cells (except red blood cells).
- MHC class II molecules are found on some types of white blood cells.
Lymphocyte Receptors
- B-cell receptors bind free antigens.
- T-cell receptors bind processed antigens together with MHC molecules on cells that present antigens to them.
- Antigen molecules are diverse in their chemical structure exhibiting potentially billions of uniquely different structures and shapes.
- Sources of antigens include microorganisms and chemical compounds in the environment.
Origin of Diversity and Specificity in the Immune Response
- Lymphocytes use 500 genes to generate a tremendous variety of specific receptors.
- Undifferentiated lymphocytes undergo a continuous series of divisions and genetic changes during embryonic and fetal development. This then generates hundreds of different cell types each with unique receptor specificity.
Development of Lymphocytes
- In the bone marrow, lymphocytic stem cells either develop into B cells or T cells.
- B cells remain in the bone marrow while T cells migrate to the thymus gland to mature.
- Mature T and B cells migrate to secondary lymphoid tissues; these tissues will constantly be supplied with B and T cells
Proliferative Stage of Lymphocyte Development
- Lymphocyte specificity exists in the genetic makeup before an antigen has ever entered the system.
- Lymphocytes with receptors that recognize self-molecules are eliminated (clonal deletion).
- Each surviving lymphocyte is specific for a single antigen molecule making an enormous pool of mature but naïve lymphocytes.
- Naïve lymphocytes are ready to further differentiate in response to various immune stimuli in the body's "home" organs.
Clonal Selection and Expansion
- The first introduction of an antigen selects a genetically unique lymphocyte clone.
- This causes the clone to rapidly expand with mitotic divisions into a larger population of lymphocytes that can react to the same single specificity antigen.
Antibody Structure and Functions
- Antibodies (Igs) are large glycoproteins with four polypeptide chains connected by disulfide bonds.
- The protein chains are in a Y-shape with two functionally distinct segments called fragments:
- Antigen-binding fragments (Fabs) with the amino-terminal end and variable regions of the heavy and light chains: antigens bind here.
- Crystallisable fragments (Fc) that binds to various cells and molecules within the immune system.
Antigen-Antibody Binding
- The Fab antigen-binding site is composed of hypervariable regions with extremely variable amino acid content.
- The groove of the antigen-binding site has a specific three-dimensional fit for the antigen.
- The specificity of the two Fab sites is identical for each antigen.
Antibody-Antigen Interactions
- The goal of antibodies is to bind to the antigen that initiated antibody formation.
- In the process of coating microorganisms and other particles, specific antibodies are called opsonins.
- Antibodies fill surface receptors on viruses and microbial enzymes to prevent attachment.
- Several forms of interaction between antibodies and antigens include agglutination (clumping together of cells or particles), complement fixation, and precipitation.
Functions of the Fc Fragment
- Fc fragments bind to cell membranes of macrophages, neutrophils, eosinophils, mast cells, basophils, and lymphocytes.
- Regions on the Fc portion enable antibody molecules to fix complements.
- Binding of the Fc portion in certain antibodies may cause the release of cytokines.
Classes of Immunoglobulins (Isotypes)
- Five functional classes (isotopes) of immunoglobulins (Ig):
- IgG: monomer; produced by plasma cells; most prevalent in serum.
- IgA: monomer in blood; dimer in mucous and serous secretions.
- IgM: pentamer; first class synthesized after Ag encounter; serves as a receptor for antigen on B cells.
- IgD: monomer; serves as a receptor for antigen on B cells.
- IgE: monomer; involved in allergic responses and parasitic worm infections.
Antibodies in Serum
- Serum containing specific antibodies may be separated into 4 bands via electrophoresis; Alpha-1 (a1), Alpha-2 (a2), Beta (β), and Gamma (γ) globulins.
- Most globulins are antibodies.
- Gamma globulin (γ) is predominately composed of IgG; others are a mixture of IgG, IgA, and IgM.
Monitoring Antibody Production
- Primary response: a latent period with no measurable antibody occurs early; IgM then followed by IgG is produced; titer tapers to low levels.
- Secondary response: a latent period is lacking; rapid rise in antibody titer (mainly IgG) and sustained for several weeks; smaller amount of IgM.
Antibodies
- Originate from single clones and have a single specificity for an antigen.
- Pure preparation of antibody: formed by fusing a mouse B cell with a cancer cell to create high specificity.
- Used in diagnosis, microbe identification, and treatment.
Use of Monoclonal Antibodies for Treatment
- Trastuzumab (Herceptin) - breast cancer
- Rituximab (Rituxan) - B-cell disorders (lymphomas, leukemias)
- Omalizumab (Xolair) - asthma
- Belimumab (Benlysta) – systemic lupus erythematosus (SLE)
- Daclizumab - Multiple Sclerosis
- Ibalizumab(Trogarza) - HIV
- Erenumab(Aimovig) - Migraine
- Adalimumab(Humr) - Rheumatoid arthritis, psoriasis
- Casirivimab and Imdevimab - COVID-19
Immunity Categories by Mode of Acquisition
- Active immunity: develops when a person is challenged with an antigen stimulating production of antibodies; creates immunological memory; takes time to develop but is lasting.
- Passive immunity: preformed antibodies are donated to an individual; no immunological memory is created; acts immediately; is short-term.
- Natural immunity: acquired as part of normal life experiences.
- Artificial immunity: acquired through a medical procedure, such as a vaccine.
Examples of Origins of Immunity
- Getting an infection: recovering from an infectious disease and developing active resistance to reinfection.
- Mother-to-child: IgG antibodies from the mother can pass or be actively transported across the placenta to the fetus; IgA antibodies from breast milk react against microbes entering the intestine.
- Immunotherapy: a preparation of antibodies is administered to a patient at risk of infection.
- Vaccination: microbial (antigenic) stimulus to trigger the immune system to produce antibodies and memory cells.
Categories of Acquired Immunities
- Acquired Immunity
- Natural immunity: acquired though normal life experiences
- Active immunity: results when a person develops their own immune response.
- Passive immunity: results when a person receives preformed immunity.
- Artificial immunity: produced purposefully through medical procedures (immunization).
Immunization
- Useful for immunocompromised patients who cannot be vaccinated. Acts immediately; lasts 2 to 3 months.
- Human antisera
- Intravenous immune globulin (IVIG), gamma globulin; Ig extracted from pooled blood of donors; used in preventing measles, hepatitis A, and in replacing antibodies in immunodeficient patients
- Specific immune globulin (SIG) from donors in a hyperimmune state after vaccination or infection by pertussis, tetanus, chickenpox, hepatitis B
- Antisera and antitoxins of animal origin: sera is produced in horses; used in diphtheria, botulism, and spider and snake bites.
Artificial Active Immunity
- Can be conferred by provoking exposure to material that is antigenic, but not pathogenic, to stimulate a primary and secondary anamnestic response to prepare the immune system for future encounters to virulent pathogens
- Response is immediate, powerful, and lasting
Principles of Vaccine Preparation
- Vaccines are prepared from:
- Killed whole cells or inactivated viruses
- Live, attenuated cells or viruses
- Antigenic molecules derived from bacterial cells or viruses
- Genetically engineered microbes or microbial agents
- Vaccines should have low toxicity/side effects; protect against naturally occurring pathogens; stimulate both antibody response and cell-mediated response; produce long-term effects creating memory cells; work with minimal doses or boosters; be inexpensive; have a relatively long shelf life; and be easy to administer.
Advantages and Disadvantages of Live Vaccines
- Advantages: Organism can multiply; long-lasting protection; usually requires fewer doses and boosters.
- Disadvantages: Requires special storage; can be transmitted to other people; can conceivably mutate back to virulent strain.
Whole Pathogen Vaccines
- Vaccines made from whole pathogens (killed or deactivated) or whole but attenuated (reduced virulence) microorganisms.
- They stimulate immunity but cannot cause the disease.
Vaccines from Microbe Parts
- Vaccines that rely on a portion of the cell of a virus; uses antigens to create immunity; exotoxins are used in tetanus and diphtheria vaccines.
Genetically Engineered Vaccines
- Purified antigen vaccines: plasmids with surface antigens are used to stimulate a response without direct contact, are used in hepatitis B, and HPV vaccines.
- Viral vector vaccines: use modified viruses to deliver genetic code to human cells mimicking viral infection. Johnson & Johnson COVID vaccine, Ebola vaccine, and trials for HIV & Zika are ongoing.
- RNA vaccines: viral RNA is inoculated into the recipient; primary means of protecting against COVID-19; vaccine against influenza is currently in clinical trials.
Development of New Vaccines
- No reliable vaccines are available for HIV or various diarrheal diseases, respiratory diseases, and worm infections.
- Companies are exploring plant-based methods for mass production of vaccine antigens.
- Tests are underway to use plants like tomatoes, potatoes, and bananas to synthesize proteins from pathogens like cholera, hepatitis, and papillomavirus.
Routes of Administration and Side Effects of Vaccines
Most vaccines are administered via injection (few oral, nasal). Some vaccines require a compound to enhance immunogenicity. Benefit outweighs risk. Possible side effects include local reaction at the injection site, fever, allergies, and rarely mutated back into virulent strain or neurological effects.
Herd Immunity
- Immune individuals do not harbor pathogens, subsequently reducing occurrence.
- This makes it less likely that a nonimmunized person will encounter the pathogen
Vaccine Protection
- Vaccines have dramatically reduced the morbidity of various diseases like measles, pertussis, mumps, rubella, smallpox, and polio (paralytic).
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Description
Test your knowledge on the immune response, specifically focusing on the roles of superantigens and antibodies. This quiz covers topics such as antibody structure and B-cell activation processes. Challenge yourself with questions that explore the intricacies of immune system functioning.